Pressure ulcers are usually preventable when a facility properly evaluates risk and follows a consistent skin-care plan. In practical terms, many Lacey-area families see patterns like:
- Delayed repositioning during busy shifts (especially when residents need frequent turning and the care plan is not followed)
- Inconsistent skin checks—for example, assessments that don’t match the resident’s risk level
- Gaps in wound monitoring after a change is first noticed
- Care-plan updates that lag behind medical reality, such as after hospitalization or a decline in mobility
- Family-reported concerns not reflected in the record
Washington nursing homes are expected to follow accepted standards of care. When documentation and actual care don’t align, the facility’s negligence can become a central issue in a claim.


