No reassessment

Analgesic given without a documented effect.

Reassess and document the effect with timing every time. (F697.)

Wrong/absent scale

Nonverbal resident assessed with a self-report scale or none.

Use PAINAD or equivalent for non-self-reporters. (F697.)

Opioid unmonitored

Opioid without sedation/respiratory/bowel monitoring.

Document opioid monitoring and the bowel regimen. (F758.)

Section J unsupported

MDS codes pain the record doesn’t show.

Align pain data/effect with Section J (F641).