An apparatus for turning and positioning a patient includes a sheet having a top and a bottom surface, a first handle coupled to the sheet proximate a first side edge, and a second handle coupled to the sheet proximate a second side edge, opposite the first side edge. A first portion of the sheet is configured to be placed underneath a patient and a second portion of the sheet is configured to be wrapped on top of the patient. The first handle and the second handle are longitudinally offset such that when the first handle and the second handle are pulled across one another, the first side edge is positioned beneath the second handle and the second side edge is positioned beneath the first handle. Pulling the first handle across the second handle and across the top of the patient rolls the patient onto the second portion.