Start with the basics—then build your paper trail.
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Get medical attention immediately
- Ask the facility to evaluate the wound and document the stage, size, and condition.
- Request that the care plan be updated right away if risk factors are present (mobility limits, incontinence, poor nutrition, or impaired sensation).
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Request copies of key documents
- Recent skin/pressure injury assessments
- Wound care notes and treatment orders
- Care plans showing repositioning, hygiene, and monitoring steps
- Incident reports related to falls, mobility issues, or missed care
- Names of staff who signed off on care changes (if available)
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Write down a timeline while memories are fresh
- When did you first notice redness or deterioration?
- When did you report concerns?
- Did the facility respond promptly, or did you hear “we’re monitoring it” repeatedly?
If you’re in the process of gathering records from a California facility, a local attorney can help you request what matters and organize it for faster review.


