Before focusing on paperwork, prioritize the resident’s health.
- Ask for immediate medical evaluation and request the facility documents the stage/size of the ulcer.
- Request a care plan update in writing (including turning/repositioning frequency and wound care steps).
- Get copies of all wound-related records you can: skin assessment notes, wound measurements, treatment orders, and progress notes.
- Document your observations: when you first noticed redness, whether you reported concerns, and how the facility responded.
If the facility says the ulcer developed “naturally,” don’t stop there. A lawyer can help you compare what the records show against what a reasonably careful nursing home should have done for that resident’s risk level.


