When you see redness, discoloration, warmth, or open areas—especially over the heels, tailbone, hips, or shoulder blades—don’t wait for the next family meeting.
- Ask for an immediate skin/wound assessment and request that the care team document it the same day.
- Request the resident’s risk level (often tied to pressure-ulcer prevention protocols) and confirm what the care plan requires.
- Get copies of relevant documentation (or written instructions on how to obtain them): wound notes, skin assessment forms, repositioning/turning records, and care plan updates.
- Write down dates and observations while they’re fresh—what you saw, when you raised concerns, and how the facility responded.
Even if the facility claims the injury was “inevitable,” your documentation and the timing of care are often what determine whether neglect may be involved.


