In nursing home settings, pressure ulcers are often tied to preventable breakdowns in care: risk assessments that weren’t updated, turning/repositioning that didn’t happen on schedule, inadequate skin checks, or delays in wound care when early redness appeared.
South Dakota law generally treats these matters as civil negligence claims, meaning the key question is whether the facility provided the level of care a reasonable provider would have under the same circumstances—and whether that lapse caused harm.
In practice, the dispute often comes down to two things:
- What the facility knew (or should have known) about the resident’s risk
- Whether the facility’s documented response matched the resident’s needs


