A pressure ulcer is more than a visible sore. It can reflect a breakdown in day-to-day care—such as:
- Residents not being repositioned often enough
- Skin assessments not being completed at required intervals
- Hygiene and moisture control not being consistent
- Wound treatment not starting promptly after early warning signs
- Care plans not matching a resident’s mobility, nutrition, or medical changes
In practice, Bourbonnais families often notice issues during routine visits—when a loved one seems “newly worse,” when caregivers can’t explain what happened, or when the facility’s records don’t line up with what you observed.


