A pressure ulcer is typically caused by sustained pressure, friction, or shear, often made worse by moisture and limited ability to reposition. But legally, the question isn’t simply whether a wound appeared.
It’s whether the facility:
- identified the resident’s risk level in time,
- followed the care plan and repositioning expectations,
- performed timely skin assessments,
- implemented wound prevention and treatment orders correctly, and
- responded appropriately when the skin changed.
In Virginia, nursing homes are expected to meet minimum safety and care requirements under applicable state and federal rules. When families see gaps—such as delays between observation and treatment, inconsistent documentation, or repeated deterioration—those patterns can support a claim.


