When Do Bed Sores Indicate Neglect?

As people age, their skin undergoes several changes. The layer of fat, along with collagen, diminishes, the body produces less oil and cell turnover is slower. The result is thinner, drier skin that heals more slowly.

Some people may try to dismiss bed sores (pressure ulcers) as an inevitable part of aging due to changes to the skin. However, that’s not necessarily true.

Why are pressure ulcers so concerning?

Pressure ulcers develop when prolonged pressure cuts off blood flow to the skin and underlying tissue. They often occur on bony areas of the body, such as:

• Heels
• Hips and tailbones
• Lower back
• Shoulders

Pressure ulcers often start as mild redness, but they can quickly worsen into deep, open wounds. Advanced pressure ulcers can result in serious infections, sepsis, hospitalization and death in elderly people.

Most nursing home residents rely on staff for their daily care and mobility. Residents who are bedridden, confined to wheelchairs or unable to reposition themselves are particularly vulnerable to developing pressure ulcers. Because of this increased risk, nursing homes need to have preventative measures in place, including:

• Regular repositioning
• Routine skin assessments
• Adequate hydration and nutrition
• Pressure-relieving mattresses and cushions
• Prompt treatment at the first sign of skin breakdown

If a long-term care facility doesn’t provide this basic level of care, pressure ulcers can quickly develop. While most pressure ulcers are often preventable, not every one is an indicator of neglect. Common red flags include:

• Failing to turn or reposition a resident
• Advanced pressure ulcers
• Delayed or inadequate treatment
• Lack of documentation
• Poor hygiene
• Dehydration and malnutrition

If your loved one develops a pressure ulcer, taking early action can make a significant difference. Report your concerns to the nursing staff and facility management. If they fail to address the problem, your next step is contacting the Office of Health Care Quality (OHCQ), which is part of Maryland’s Department of Health. 

Your loved one may require ongoing medical treatment and more help than the nursing home can provide. Reach out to a legal representative to discuss the possibility of receiving compensation to cover those additional costs.