Are bedsores always a sign of nursing home neglect?

In the vast majority of cases, yes. Medical research and nursing standards are clear: bedsores are preventable with appropriate care, including regular repositioning, adequate nutrition, proper hygiene, and use of support surfaces. While some patients with extremely compromised health may develop pressure injuries despite excellent care, this is rare. When a nursing home resident develops Stage 3 or Stage 4 bedsores, it is strong evidence that the facility failed to meet the standard of care.