What Causes Bed Sores in Nursing Homes?
Bed sores (pressure ulcers) are caused by sustained pressure, often combined with other factors. In nursing homes, preventable causes include immobility without repositioning, poor nutrition, and untreated wounds. A common cause of nursing home neglect that leads to bed sores is failure to reposition residents—often due to understaffing or poor care plans. See repositioning standards for the 2-hour rule.
Immobility
Residents who cannot move themselves are at high risk. When they stay in one position for too long, pressure cuts off blood flow and tissue breaks down. Facilities must turn and reposition at-risk residents on a schedule (e.g., every 2 hours) and use support surfaces to reduce pressure.
Poor Nutrition
Malnutrition and dehydration weaken skin and slow healing. Residents who don’t get enough protein, vitamins, and fluids are more likely to develop bed sores and less likely to recover. Adequate diet and hydration are part of the standard of care.
Lack of Repositioning
Failure to turn residents is one of the most common causes of bed sores in facilities. Understaffing or poor training can lead to missed turns. Care plans should identify at-risk residents and require documented repositioning.
Untreated Wounds
Early-stage pressure damage can progress quickly if not treated. Ignoring redness, blisters, or open areas allows wounds to deepen. Proper wound care and escalation to a wound specialist when needed are required.
In Los Angeles and across California, nursing homes and assisted living facilities must follow care plans and document skin checks. Repeated failures that lead to Stage 3 or Stage 4 ulcers—or to wrongful death from infection or sepsis—often support a neglect case. Understanding how pressure ulcers develop and why they indicate neglect helps families know when to seek legal advice.
When these failures cause or worsen bed sores, the facility may be liable. A bedsore attorney or nursing home neglect lawyer can investigate and advise.