Bed-ridden patient who was neglected by staff in a rehab facility after he underwent hip-replacement surgery. Despite repeated, written skin integrity evaluations in his chart alerting staff to a developing ulcer on his right heel, it was neglected, permitted, and allowed to progress to a ‘deep tissue injury’ beyond stage III (thus classified as unstageable), with deep tunneling, tissue necrosis, and cellulitis, requiring debridement procedures.