Pressure ulcers don’t usually appear out of nowhere. They often develop when a resident’s risk level isn’t matched by day-to-day care—such as turning schedules, skin checks, hydration, or wound response.
In the real world, families in Watertown may notice patterns like:
- A resident is in bed for long stretches, especially during evenings or shift changes
- Family calls or visits and hears “we’re watching it,” but documentation later shows delays
- Staff report the resident is “just uncomfortable,” while photos/notes later show worsening tissue damage
- A wound is treated only after the ulcer is advanced, not when early redness or breakdown was first observed
South Dakota law allows injury victims to pursue civil claims when a facility’s care falls below what’s reasonably required and causes harm. The tricky part is proving what the facility knew, what it did (or didn’t do), and how that connects to the pressure ulcer.


