Pressure ulcers usually don’t appear out of nowhere. Families commonly report warning signs such as:
- New redness or discoloration that doesn’t improve after notifying staff
- Delays in getting the wound evaluated or dressed
- Inconsistent turning/repositioning during the day or overnight
- A sudden change in mobility support needs (after illness, falls, surgery, or rehab)
- Poor documentation—e.g., the wound shows progression while notes stay vague
In suburban long-term care settings, it’s also common for residents to have changing care needs. A resident who was able to shift in bed one month may become largely immobile after an infection or hospitalization—and prevention steps must adapt quickly.


