Pressure ulcers (often called bedsores) don’t appear out of nowhere. They usually develop when a resident’s risk is not managed as intended—such as when:
- turning/repositioning is missed or delayed,
- skin checks aren’t completed at the right frequency,
- wound care isn’t escalated when early redness appears,
- staffing levels or assignment practices don’t match the care plan,
- nutrition/hydration needs aren’t addressed alongside wound risk.
In a suburban community like Mission Viejo—where many families manage busy commutes, school schedules, and work—important details can be overlooked. A resident’s skin may worsen between visits, and documentation may not clearly show what was done during those gaps. That’s why a structured record review matters.


