Pt right to refuse

We recently had an inservice (LTC) on pt right to refuse . Listen to this scenerio and tell me what you think . A pt under 45 TBI , refuses to be turned , changed or cleaned up (incontinent) is developing decubitis ulcers by this point Im sure .The room itself smells to high heaven . Now we are told that this is the procedure : document of course , psych eval , possible conservator, and then they will try to force pt to leave facility to avoid liability.This all being said in context of the case you may have heard of , of the HIV pos pt who refused all treatment developed stage fours, was well documented and finally sent to hosp and expired . The facility is being charged with manslaughter ! Sorry could not find a link to this story . But my question is .....working at a LTC facility is now being subject to a witch hunt ! There are advertisements everywhere about nursing home neglect and abuse and I do realize it happens , but does the choice of actually working at one place my licence in jepordy , even though we document everything thouroughly and try to do the best we can , its doesn't seem to be enough . Just curious to hear the peanut gallery opinion ???????