Richfield families often tell us they expected the same level of consistent care they saw in other settings. But nursing home staffing models, shift handoffs, and care-plan complexity can create gaps—especially when a resident requires frequent repositioning, skin checks, or assistance with toileting.
When pressure ulcers develop, they can be a sign that a facility’s system for:
- identifying risk (mobility limits, moisture/incontinence, sensory impairment),
- documenting turning/repositioning,
- responding quickly to early redness,
- coordinating wound care,
- and adjusting the care plan
isn’t working the way Minnesota law and professional standards require.


