Wound · Ostomy · Continence — NSWOC certified

The specialist your care team is missing.

Keystone Nursing Solutions brings NSWOC-certified wound, ostomy and continence care to long-term care homes, retirement residences and private homes across Southwest Ontario — one of the rarest specialist credentials in Canadian nursing, at the bedside where it's needed most.

Get in touch See services

Clinical lead Tellease Williams, RN, NSWOC · A decade across acute, home & community care in Canada & the U.S. · Registered in good standing, College of Nurses of Ontario

About

Why Keystone

Tellease Williams, RN, NSWOC, founder and clinical lead of Keystone Nursing Solutions — **Tellease Williams, RN, NSWOC**
Founder & Clinical Lead

Like the keystone in an arch, the role is small but load-bearing — the piece that locks the surrounding care into place.

Keystone Nursing Solutions is a specialist nursing practice built around wound, ostomy and continence care — the complex skin and continence needs that general staffing rarely has the depth to manage. We bring that expertise directly into long-term care homes, retirement residences and private homes, where these problems are most common and hardest to cover well.

The practice is led by Tellease Williams, a Registered Nurse and Nurse Specialized in Wound, Ostomy and Continence (NSWOC) — a certification held by only a small number of nurses nationally — backed by a decade of nursing across acute, home and community care in Canada and the United States. Every visit is assessed, documented and reported back to the referring team, so the care and the record behind it both hold up.

Services

What Keystone does

Full NSWOC scope, delivered at the bedside — in facilities and in the home.

Wound

Wound Care

Pressure injury prevention and treatment, diabetic and vascular ulcers, surgical and complex wounds, advanced dressing selection, moisture-associated skin damage, and percent-healing tracking with documentation back to your team.

Ostomy

Ostomy Care

Pre-operative stoma siting, post-operative education, pouching system selection and fitting, peristomal skin complications, and return-to-activity coaching.

Continence

Continence Care

Bladder and bowel assessment, prompted voiding and bladder training, pelvic floor education, catheter management, and continence program development for facilities.

Diabetic & high-risk foot

Foot Health

Assessment and ongoing surveillance of the high-risk foot within NSWOC scope: loss-of-protective-sensation and monofilament testing, vascular screening, offloading, and diabetic foot ulcer prevention and monitoring.

Teams

Staff Education & Programs

Bedside and classroom education for nursing teams, wound and continence program design, and documentation practices that support clinical quality and funding accuracy.

Facilities

Contract Rounds

Scheduled wound and continence rounds for long-term care homes and retirement residences — specialist coverage without adding to your permanent headcount.

Expected late 2026

Foot care clinics

Scheduled, in-residence foot care is on its way to Keystone — we're aiming to launch later this year. Get in touch to be added to the early list for facility and community clinics.

Join the early list

Who we help

Three ways Keystone fits in

For facilities

LTC & retirement residences

Contract wound rounds, continence program development and staff education that lift outcomes and documentation accuracy — flexible coverage that scales with your needs.

For families

Community clients

In-home specialist care for complex wounds, new or established ostomies and continence concerns, with clear communication for family and care teams.

For clinicians

Referring providers

Physicians, nurse practitioners, surgeons and case managers: we extend your plan into the home and report every visit back to your office. Keystone complements your care — closing the gap between appointments, never competing with it.

Insurance & payment

How visits are paid for

Specialist nursing is often more accessible than people expect — but coverage always depends on the plan.

Many extended health plans include a registered-nursing services benefit. When care is medically necessary and directed by a physician or nurse practitioner, visits may be claimable — and we provide insurer-ready documentation to support the claim.

Coverage varies between plans, so it's always best to confirm the details with your insurer before starting. Where care isn't covered, it's private-pay and may qualify for the Medical Expense Tax Credit.

This is general information, not a guarantee of coverage. Eligibility, limits and pre-approval requirements are set by your individual insurer and plan.

Get in touch

Make a referral or ask a question

Referrals from clinicians and direct enquiries from clients and families are both welcome. Tell us a little about the situation and we'll follow up.

Email hello@keystonenursing.ca
Phone (289) 799-3520
Serving Southwest Ontario · based in Hamilton