A pressure ulcer can develop over days—especially for residents who are bedridden, use a wheelchair most of the day, or have limited sensation. If you notice redness that doesn’t fade, open skin, drainage, or a wound that seems to “progress” despite staff being aware, treat it as a time-sensitive medical and legal concern.
What to do immediately (health first):
- Ask the facility to evaluate the wound right away and document the assessment.
- Request the wound’s stage/grade and the plan for prevention and treatment.
- Confirm whether the resident’s care plan is being updated as risk changes.
What to do immediately (evidence preservation):
- Request copies of relevant skin/wound assessments, care plans, and turning/repositioning logs.
- Keep a dated file of photos (if the facility permits), discharge paperwork, and any written communications.
- Write down your observations while they’re fresh—what you saw, when you reported it, and what staff told you.
In Washington, records matter. The faster you gather documentation, the easier it is for counsel to evaluate what likely went wrong and whether neglect contributed to the injury.


