If you’re noticing worsening redness, open wounds, drainage, or increased pain in a loved one, prioritize care and documentation immediately:
- Confirm medical evaluation right away (ask what stage the ulcer is, what caused it, and what treatment is being implemented).
- Request the wound care plan and skin assessment records for the period leading up to the injury.
- Write down a timeline while it’s fresh: when you first saw changes, what staff said, and whether turning/repositioning seemed consistent.
- Preserve communications (emails, written notices, care updates, discharge paperwork).
California law requires nursing facilities to meet specific standards of care. When pressure ulcers develop after admission—or worsen despite risk factors—those records often become central to determining whether negligence occurred.


