“Pain medication given.”

No score, no scale, no reassessment — no proof of skilled pain management.

The new-pain model note in §4: PQRST, intervention, reassessed effect with timing, notification, and the Section J linkage.

“Resident comfortable.”

For a nonverbal resident, no observational scale or evidence of assessment.

“PAINAD 1 (occasional vocalization only); controlled on the scheduled regimen; no effect on participation/sleep.”

“Pain 8/10.”

No intervention or reassessment — pain documented but not managed.

“Pain 8/10 → PRN given → reassessed 30 min: 3/10; provider notified; plan updated.”