Why Bedsores Happen in Care Facilities
Bedsores develop when sustained pressure cuts off blood flow to the skin and underlying tissue. In care facilities, this happens for reasons that are entirely within the facility’s control:
- Failure to reposition: Immobile or bed-bound residents must be repositioned at regular intervals (typically every two hours). When staff is understaffed or inattentive, residents are left in the same position for hours, causing tissue breakdown.
- Inadequate nutrition and hydration: Proper nutrition is essential for skin integrity and wound healing. Facilities that fail to ensure residents receive adequate food and fluids increase their risk of developing pressure injuries.
- Lack of proper support surfaces: Specialty mattresses, overlays, and cushions are standard interventions for residents at risk of pressure injuries. Facilities that fail to provide these devices are not meeting the standard of care.
- Failure to assess risk: Every resident should be assessed for pressure injury risk upon admission and at regular intervals. Facilities that skip or ignore these assessments cannot implement appropriate prevention protocols.
- Ignoring early signs: Stage 1 pressure injuries (non-blanchable redness) are a warning that requires immediate intervention. When staff fails to identify and respond to early-stage bedsores, they progress to more serious stages that cause permanent tissue damage.
Stages of Bedsores
Understanding the severity of your loved one’s bedsores is important for evaluating a potential legal claim:
- Stage 1: Intact skin with non-blanchable redness. The area may be painful, firm, or warmer than surrounding skin. This is a warning sign that requires immediate intervention.
- Stage 2: Partial-thickness skin loss involving the epidermis and/or dermis. The wound appears as a shallow open ulcer or blister.
- Stage 3: Full-thickness skin loss extending into subcutaneous tissue but not through underlying fascia. The wound may show visible fat tissue. Stage 3 bedsores represent a serious failure of care.
- Stage 4: Full-thickness tissue loss with exposed bone, tendon, or muscle. These are life-threatening injuries that carry high risks of sepsis, osteomyelitis, and death. Stage 4 bedsores in a care facility are strong evidence of prolonged, serious neglect.
- Unstageable: Wounds where the base is covered by dead tissue (slough or eschar), making it impossible to determine the true depth. These injuries are presumed to be at least Stage 3 and often Stage 4 once debrided.
Where Bedsore Injuries Occur
We handle bedsore negligence cases against all types of care providers in South Carolina:
- Nursing homes and skilled nursing facilities
- Assisted living facilities
- Hospitals and surgical recovery units
- Rehabilitation and long-term acute care facilities
- Hospice care programs
Regardless of the setting, the standard of care requires that providers assess patients for pressure injury risk and implement appropriate prevention measures.
Compensation Available in Bedsore Injury Cases
Bedsore injury cases can result in significant compensation, particularly when the injuries are advanced (Stage 3, Stage 4, or unstageable) or when they led to hospitalization, surgery, sepsis, or death. Recoverable damages include:
- Medical bills for wound care, surgery, hospitalization, and ongoing treatment
- Cost of transferring the patient to a different care facility
- Pain and suffering caused by the pressure injuries and their treatment
- Emotional distress experienced by the victim and their family
- Wrongful death damages if the bedsore injuries contributed to the patient’s death
Fighting Elder Abuse is What We Do
The entirety of Attorney Nathan Hughey’s more than 27 year legal career has been spent litigating elder abuse lawsuits. After 6 years defending South Carolina nursing homes, assisted living facilities, hospitals, and other healthcare facilities in cases of elder abuse, Nathan joined another South Carolina personal injury law firm before opening Hughey Law Firm in 2007. His heart was always with the injured, and establishing his own law firm allowed him to go after the same care facilities he spent 6 years defending.
But why does this matter? To name a few:
- We know the law and how to spot elder abuse
- We know the defense’s playbook in almost any situation
- Our attorneys AND staff have spent decades working these cases
- We have medical experts ready to review records and testify in court on your family’s behalf
- We have handled elder abuse cases throughout South Carolina
Bedsores Are Not Inevitable. Get Your Free Consultation.
If your loved one developed bedsores in a South Carolina nursing home, hospital, or care facility, Hughey Law Firm can help determine whether the facility’s negligence was responsible.
All initial consultations are completely free and confidential, and we only get paid out of proceeds from any verdict or settlement we are able to win on your behalf.