Pressure ulcers (often called bedsores) form when skin and underlying tissue are subjected to sustained pressure, friction, or shear—most commonly over bony areas like the heels, hips, tailbone, and sacrum. Risk increases when a resident:
- can’t reposition easily or reliably
- has limited sensation or cognitive impairment
- experiences moisture-related skin breakdown
- has poor nutrition or circulation
In Washington nursing facilities, residents are entitled to care that meets accepted professional standards. When prevention steps fail—like turning schedules, skin checks, moisture management, pressure-reducing surfaces, or timely wound treatment—pressure injuries can progress beyond the earliest warning signs.


