Pressure ulcers don’t appear out of nowhere. They typically develop when a resident spends long periods in one position and the facility fails to manage risk factors such as:
- limited mobility after surgery, stroke, or hospital discharge
- reduced sensation (including diabetic neuropathy)
- inconsistent repositioning or delayed skin assessments
- inadequate assistance with toileting and hygiene
- gaps in nutrition and hydration support
- slow escalation when early redness or skin breakdown is noticed
In south Florida, families often tell us they were reassured during visits—then later realized the facility’s records didn’t match what they observed in person. That mismatch is one reason pressure ulcer cases often require a detailed record review.


