Bedsores, pressure ulcers, and pressure injuries in nursing homes are often warning signs that basic care broke down. When staff fail to reposition residents, protect vulnerable skin, or respond to early wounds, a preventable sore can become a life-threatening injury. Solomon & Relihan are experts in nursing home bedsore cases.
Our Arizona law firm is 100% dedicated to fighting nursing home abuse and neglect.
What Are Bedsores and Pressure Ulcers?
A bedsore is damage to the skin and underlying tissue caused by prolonged pressure, usually over bony areas such as the tailbone, hips, heels, ankles, elbows, or shoulder blades. You may also hear these wounds called pressure ulcers, pressure injuries, pressure sores, or decubitus ulcers.
A bedsore happens when constant pressure reduces blood flow and the skin starts to break down. What begins as redness or discoloration can become an open wound. If not caught and treated, it can deepen into tissue, muscle, or even bone.
For nursing home residents, bedsores are especially dangerous because many residents are medically fragile. They may be unable to move, unable to feel early pain, or unable to tell family members what is happening. That is why nursing homes are expected to identify risk early and respond fast.
When a Bedsore in a Nursing Home May Be a Sign of Neglect
Pressure ulcers are often preventable with consistent, basic care. Residents who can’t walk independently, reposition themselves, feel discomfort clearly, or communicate worsening symptoms depend on staff for protection. That means turning schedules, skin checks, hygiene, hydration, nutrition, and prompt treatment are not optional details. They are part of safe nursing home care.
Families should take bedsores seriously because these wounds can worsen quickly and lead to devastating complications. A sore that appears after admission, or a wound that rapidly worsens inside the facility, can raise questions about missed care, delayed treatment, understaffing, or poor supervision.
The Stages of Bedsores
Stages 1
The skin is still intact, but it may appear red, purple, darker than usual, warm, tender, or discolored. This is the warning stage. If staff recognize it and relieve pressure immediately, the damage may be reversible.
Stages 2
The skin has started to break open. It may look like a blister, scrape, shallow sore, or raw area. At this point, the injury is no longer just irritation. It needs prompt treatment and close follow-through.
Stages 3
The wound extends deeper below the skin and may look like a crater. Fat tissue may be visible. Infection risk increases sharply here. A Stage 3 ulcer often raises serious concerns about whether prevention and monitoring were missed.
Stages 4
The wound extends into muscle, tendon, or bone. This is a severe and potentially life-threatening injury. Stage 4 pressure ulcers can lead to hospitalization, surgery, sepsis, osteomyelitis, and death. In many cases, a Stage 4 bedsore becomes central evidence in a nursing home neglect claim.
Some records may also refer to unstageable wounds or deep tissue pressure injuries. Those classifications can also reflect serious neglect and should be reviewed carefully.
Why Nursing Home Residents Develop Bedsores
Pressure ulcer neglect in nursing homes usually does not come from a single isolated event. It often happens when routine care breaks down over time.
Common causes include:
Immobility and missed turning or repositioning schedules
Poor hygiene and unmanaged incontinence
Friction and shear during transfers or while sliding in bed
Dehydration and malnutrition that impair skin integrity and healing
Failure to inspect skin and respond to early warning signs
Inadequate wound monitoring after a sore is identified
Understaffing, poor training, or weak supervision
Bedsores are not just “skin issues.” They can be signs of a larger care failure inside the facility.
Arizona Nursing Homes Have Duties to Prevent and Treat Pressure Ulcers
Nursing homes licensed in Arizona are subject to both federal regulations under the Nursing Home Reform Act and state oversight by the Arizona Department of Health Services (ADHS).
That typically includes:
Assessing skin condition and pressure ulcer risk on admission
Creating and updating care plans
Repositioning residents on an appropriate schedule
Keeping residents clean and dry
Managing nutrition and hydration issues
Documenting skin changes and wound progression
Providing or arranging wound care
Escalating to physicians, specialists, or hospital care when needed
How Solomon & Relihan Proves a Bedsore Claim
A strong nursing home pressure ulcer claim is built on evidence, timelines, and medical review. These cases often turn on what the records show, what they fail to show, and whether the documented care actually matches the resident’s condition.
Solomon & Relihan may investigate:
Medical Records and Wound Care Notes
We obtain the complete medical record, including physician orders, nursing assessments, wound care flowsheets, and treatment notes.
Staffing Logs and Schedules
Low staffing is one of the most common root causes of pressure ulcer neglect. We request actual staffing records and compare them against mandated staffing levels and the facility's own care plan commitments.
Care Plans
A care plan is the road map the facility created for your loved one. We compare what it said against what the records show was actually done.
Repositioning Records
Federal guidance recommends repositioning at least every two hours for at-risk residents.
Photographs
Visual documentation of wound progression is powerful evidence. If your family took photographs of the wound, preserve them. If facility staff photographed wounds as required, those images are part of the record we will obtain.
Witness Statements
Family members, other residents, and nursing aides often have direct observations about care conditions that do not appear in formal records.
Facility Inspection and Complaint History
CMS publishes survey and inspection history for every Medicare-certified facility. Prior deficiency citations for pressure ulcer care, understaffing, or failure to follow care plans significantly strengthen a case.
Expert Medical Review
We work with wound care specialists and geriatric medicine experts who can review the records, assess whether the standard of care was met, and explain to a jury how the neglect caused or contributed to your loved one's injuries.
A single wound can tell a larger story about neglect, malpractice, or systemic failure.
Who Is Liable for Bedsores and Pressure Ulcers?
Liability in a nursing home bedsore lawsuit may extend beyond one bedside caregiver. Depending on the facts, responsibility may rest with:
The nursing home or skilled nursing facility
A parent company, management company, or operator
Nurses, aides, or supervisory staff
Treating physicians
Wound care providers
Administrators
Outside contractors involved in resident care, if applicable
Arizona law allows claims against all responsible parties. In cases involving egregious disregard for resident safety, punitive damages may also be available.
Compensation in a Bedsore Lawsuit
A Phoenix bedsore lawyer may pursue compensation for the harm caused by a preventable pressure ulcer, including:
Hospitalization, wound care, surgery, and related medical costs
Infection-related treatment, including care for sepsis or osteomyelitis
Pain, suffering, and loss of dignity
Relocation costs if the resident must be moved to a safer facility
Permanent injury, scarring, disability, or amputation
Wrongful death damages if the resident dies from complications
The value of a claim depends on the severity of the wound, the medical consequences, the resident’s suffering, and the available proof.
What To Do If You Suspect a Loved One Has Bedsores
If you believe a nursing home failed to prevent or properly treat a pressure ulcer, act quickly.
Get medical care right away and request a full wound evaluation.
Preserve photographs. If you have taken any images of the wound, store them securely.
Write down what you observed. Dates, conversations with staff, changes in the wound, and your loved one’s condition.
Request medical records. You have the right to your loved one’s complete medical record. Request it in writing.
Do not sign facility documents without legal review. If a nursing home asks you to sign anything related to the injury, consult an attorney first.
Contact our office. A consultation is free. We will review what you know, explain your options, and tell you honestly whether we believe a case exists.
Bedsores can progress fast and records become harder to gather with time. Early action helps protect both the resident and the case.
Frequently Asked Questions about Bedsores
How do I know if a bedsore was caused by nursing home neglect?
Some residents are medically fragile and at high risk. But many pressure ulcers are preventable. When a sore appears or worsens in a nursing home, it can raise serious questions about whether the facility provided reasonable care.
The clearest indicators are: your loved one did not have pressure wounds on admission; wounds developed or worsened after admission; and the facility’s records show gaps in skin assessments, repositioning, wound care, or physician notification. A review of the medical records is usually the first step in answering this question.
How fast can a bedsore become serious?
Faster than many families expect. Early skin damage can worsen quickly if pressure continues, moisture is not controlled, or infection develops. A wound that looks minor at first can become dangerous in a short period of time.
Can a nursing home be liable for an infected bedsore?
Yes. If staff failed to prevent, identify, document, or properly treat the wound, the nursing home and others may be liable for the infection and resulting complications.
Can a nursing home claim the bedsore was unavoidable?
Some facilities raise an unavoidable wound defense. For this defense to hold, the facility must document that the wound developed despite consistent provision of appropriate care — that every intervention was tried and properly recorded. Facilities that lack that documentation, or whose records show sporadic care, cannot credibly claim unavoidability.
How long do I have to file a claim in Arizona?
Arizona’s statute of limitations for nursing home neglect and medical malpractice claims is generally two years, but specific circumstances — including when you discovered the injury and who is being named — can affect this deadline. Acting promptly is important. Contact us to understand the timeline that applies to your situation.
What if the resident already had a bedsore on admission?
A facility may still be liable if it failed to assess the wound, put an appropriate care plan in place, monitor the resident properly, or allowed the bedsore to worsen.
My loved one has passed away. Can we still bring a claim?
Yes. Arizona law allows surviving family members to bring a wrongful death claim when a loved one’s death is related to nursing home neglect or malpractice, including deaths caused by complications from untreated or poorly treated pressure ulcers.
If a resident dies because a pressure ulcer led to infection, sepsis, or other fatal complications, the case may become a wrongful death claim.
What records should I request?
Ask for admission assessments, care plans, nursing notes, wound-care notes, medication and treatment records, repositioning logs, incident reports, staffing information, photographs, and related hospital records.
What is the difference between a bedsore, a pressure ulcer, and a decubitus ulcer?
These terms refer to the same type of wound. “Bedsore” is the common term. “Pressure ulcer” and “pressure injury” are the current clinical terms. “Decubitus ulcer” is an older medical term still used in some records. All describe wounds caused by sustained pressure cutting off blood flow to tissue.