Hello, I, too, am shocked at the wound care done at the nursing home I work at (I'm a nurse's aid while I go to school). Everything is done with clean technique, even completely open wounds. One nurse once told me that "in LT care, they don't waste money on sterile supplies because most of the people are going to die of something else before the infection will get them anyways." What an AWFUL thing to say, and how INACCURATE AND WRONG! The majority of the people in LT care live many years quite healthy and happy, simply disabled! Like someone said already, write a letter complaining to the HEAD of the health district AND the head of the facility where you are working (that will get the show on the road)... Believe me, if you only write one letter, it can simply get chucked in the gargage (I've seen it happen many many times). And talk to the doctor yourself (I'm sure he doesn't want your father to be receiving that awful care.... If he realizes what is happening, he may order STERILE dressing changes BID at the care home. And make sure that it is only the RN doing the dressing changes, not the aids or CNA's. If you want, be there and do the dressing change once or twice yourself, with the RN watching, so she can see how meticulous you are about wanting it done right.... Write/make a poster about HOW TO DO IT!!! And make a LARGE poster to hang over his bed about the positions to lie your father in so that the sore doesn't get worse and how ofter to turn him (draw pictures and use colors). And make a sign for on his W/C for how long he can be up in his chair at a time for, how to position him in it, if there are any special cushions for in it (sometimes cutting a cushion can take pressure off the sore - talk to OT/PT or do it yourself) and hag or tape this sign to the chair where it is ALWAYS visible! I hope these ideas work.... These are some things that have been used in the nursing home I work at that have been helpful with residents and their families....The posters are EXTREMELY helpful in MANY different situations.... Just make sure they're visible and easy to read/understand.... Take care!