My uncle is currently in a nursing home because he had a major stroke in 2019 is paralyzed on the left side, suffers from cognitive impairment and is bedridden. He was recently sent to the hospital because the facility was unable to get his blood glucose under control (478-not being able to get a reading at all because it was so high), a fever of 99, his blood pressure was low and his pulse rate was over 120. After he was admitted to the hospital I found out that he has a stage 4 pressure ulcer on his bottom and surgery is required. He is also recovering from shingles. The nursing home wound care nurse did inform me that he had a pressure ulcer but she told me it was under control and improving. I know he has a lot going on at once but I am having great difficulty understanding how the nursing home allowed it to progress to stage 4 without sending him to the hospital previously, especially since they didn't send him to the hospital because of the pressure ulcer, that was not mentioned as the reason they were sending him to the hospital.