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good luck.
Mayo's is as good as any for what a pressure sore is and about healing. It basically starts due to a body with poor circulation, and the wound progresses to tissue death; in a thin person it can quickly move to necrotic tissue with exposure of bone below. Notoriously difficult to heal because mostly attacks those who are very debilitated with deficits in circulation, nutrition, mobility, age changes to skin, already.
You mention that they are photographing it; all LTC facilities are mandated to report pressure sores. They are often deadly. Too many pressure sores at any facility is indicative of not enough care in turning, in getting preventative mattresses for those who are bed bound. However, no matter the care, at some point in one who is unable to move about, pressure sores will begin to happen.
Christopher Reeves, who played Superman, was injured in fall from his horse and spent years paralyzed and advocating for the disabled did eventually die from a pressure sore. They can easily go systemic, as cellulitis or any other circulatory-involved open wounds can.
I am so sorry that there is yet another level of suffering, and I am so relieved Hospice is there for your LO.