In many cases, residents aren’t just “getting older”—they’re dealing with limited mobility, medication changes, and shifting care needs. When a facility doesn’t adjust quickly enough, the skin can break down.
Pressure ulcers tend to worsen when:
- Turning/repositioning isn’t consistent (or documentation doesn’t match observed care)
- Staff respond late to early warning signs like persistent redness
- Wound care plans aren’t followed during staffing transitions
- Nutrition and hydration needs aren’t addressed after risk increases
Families in Holladay often tell us the same story: the concern starts small, then escalates—sometimes after a shift change, weekend coverage gap, or after the resident returns from a hospital visit.


