Naples facilities often see residents coming in after hospital stays, surgery, or extended illness—then transitioning through changing care schedules. Those transitions can be where pressure-injury prevention breaks down:
- New mobility limits after discharge aren’t always matched with updated turning/repositioning practices.
- Care plan updates may lag behind what staff observe day-to-day.
- Documentation gaps can appear during busy periods, shift changes, or staffing fluctuations.
When a pressure ulcer shows up during a period of routine change, the legal question becomes whether the facility adapted care quickly enough to the resident’s risk.


