Pressure ulcers typically develop when a resident’s skin is exposed to sustained pressure, friction, or shearing—most often over bony areas like the hips, tailbone, heels, or lower back. In many cases, facilities can prevent or limit damage with:
- Regular repositioning and correct turning schedules
- Skin checks at appropriate intervals
- Timely escalation when redness or deterioration is noticed
- Care plan updates when risk changes
- Coordination with clinicians for wound staging and treatment
In Utah, families may encounter a pattern we see frequently in investigations: caregivers change shifts, documentation gets “filled in” later, and early warning signs are recorded inconsistently. When a loved one is in a facility where communication breaks down, pressure ulcers can worsen before anyone connects the dots.


