Yes — bedsores are often a red flag for nursing home neglect. Because pressure ulcers (also called pressure injuries or decubitus ulcers) are largely preventable with proper care, their appearance frequently signals that a facility failed to meet basic standards for a vulnerable resident. When a serious bedsore develops in a Virginia nursing home, families should ask why.

What Bedsores Are and Why They Develop

Bedsores form when constant pressure cuts off blood flow to the skin and underlying tissue, usually over bony areas such as the tailbone, hips, heels, and shoulders. Residents who are immobile, bedbound, or use a wheelchair are especially at risk. Proper care can prevent most of these wounds, which is why they are considered a key quality-of-care indicator in long-term care.

The Stages of Pressure UlcersVirginia Nursing Home Abuse Lawyer  Mottley Law Firm

  • Stage 1: Intact skin with a reddened area that does not fade when pressed.
  • Stage 2: Partial-thickness skin loss or a shallow open sore or blister.
  • Stage 3: Full-thickness skin loss extending into the fatty tissue.
  • Stage 4: Deep wounds exposing muscle, tendon, or bone.
  • Unstageable: The wound base is covered by dead tissue, hiding its true depth.

Advanced pressure ulcers can lead to severe infections, osteomyelitis, sepsis, and even death, and they can cause significant, catastrophic harm to an already fragile resident. Learn more about our work on behalf of catastrophic injuries in Virginia.

How Proper Care Prevents Bedsores

Nursing homes are expected to protect at-risk residents by:

  • Assessing every resident's pressure-ulcer risk and updating the care plan;
  • Repositioning immobile residents on a regular schedule;
  • Keeping skin clean, dry, and moisturized;
  • Providing adequate nutrition and hydration;
  • Using pressure-relieving mattresses, cushions, and padding; and
  • Inspecting the skin daily and treating any breakdown early.

When a facility is understaffed or cuts corners, these tasks are the first to be skipped — and pressure ulcers are often the result.

When Is a Bedsore Nursing Home Neglect?

Not every wound automatically means the facility broke the law; in rare cases a pressure ulcer may be clinically unavoidable despite good care. The legal question is whether the nursing home met the accepted standard of care. If staff failed to reposition an immobile resident, ignored an obvious sore, did not address malnutrition or dehydration, or failed to get medical treatment, the facility may be liable for the resulting harm. Bedsores frequently appear alongside other warning signs of nursing home neglect.

What to Do if Your Loved One Has a Pressure Ulcer

Photograph the wound, request the complete medical and care records, ask the facility for a care-plan meeting, and get independent medical evaluation. If the neglect contributed to a resident's death, your family may have a wrongful death claim.

Speak With a Virginia Nursing Home Neglect Lawyer

The Mottley Law Firm helps Virginia families investigate bedsores and other signs of neglect and hold facilities accountable. Learn more about our nursing home abuse and neglect practice, or contact us or call (804) 409-0876 for a confidential consultation.

This page provides general legal information about Virginia law and is not legal advice or medical advice. Please consult an attorney about your specific situation.

Kevin W. Mottley
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Richmond, VA trial lawyer dedicated to handling brain injuries, car accidents and other serious injury claims