Pressure ulcers don’t usually appear overnight. They develop when prolonged pressure, friction, or shearing damages skin and deeper tissue—especially for residents who:
- spend long hours in a wheelchair or bed
- have limited mobility after surgery or illness
- have reduced sensation (or difficulty communicating pain)
- require regular repositioning and skin checks
In many Los Banos cases, families first notice a problem after a day of missed or delayed communication—such as when staffing is stretched during shift changes, when documentation is inconsistent, or when wound updates are vague. By the time a wound is clearly visible, the facility’s records may already show risk assessments that were incomplete or care steps that weren’t followed consistently.


