Many residents of Mercer Island spend time traveling between home health services, short-term rehab, and then long-term care. That “handoff” period is when documentation gaps can occur—especially when a person’s mobility, nutrition, or ability to reposition changes.
In practice, pressure ulcers often worsen when:
- A resident returns from the hospital with new limitations, but the facility’s risk reassessment doesn’t keep pace.
- Care staff follow a plan that isn’t updated for the resident’s current condition.
- Turning schedules or skin checks don’t match the resident’s actual risk level.
Washington families frequently tell us they were reassured early on, only to learn later that the facility had already missed key warning signs.


