Pressure injuries don’t appear overnight in most cases. They generally develop when skin and underlying tissue are exposed to sustained pressure, friction, or shear, particularly over bony areas like the tailbone, hips, heels, and shoulders. Many residents who develop these injuries have limited mobility, difficulty communicating discomfort, and medical conditions that affect sensation, circulation, or nutrition.
In Rhode Island, families often describe a pattern: the resident seems fine, then a bruise-like area or reddened spot is noticed, and the situation worsens before a comprehensive plan is implemented. Sometimes the nursing home responds quickly once the issue is raised. Other times, families report delays in assessment, inconsistent wound care, or care adjustments that don’t match the resident’s risk level.
It’s important to recognize that pressure injuries can sometimes occur even with decent care. The legal question is usually not whether a pressure injury existed at all, but whether the facility responded in a way that was reasonable under the circumstances and consistent with recognized standards of care.


