Grand Traverse Pavilions

1000 Pavilions Circle, Traverse City, MI 49684 · (231) 932-3000
Government - County · 240 certified beds

Grand Traverse Pavilions has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2025, found 20 citations, 2 for actual harm or immediate jeopardy (the Michigan average is 9.9). It was fined 3 times in the last three years, $157,954 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on June 12, 2025 found 20 citations. What an inspection citation means

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.June 12, 2025 · F0686 · Level of harm: Actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.June 12, 2025 · F0697 · Level of harm: Actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.June 12, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 12, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide and implement an infection prevention and control program.June 12, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 12, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.June 12, 2025 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.June 12, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 12, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.June 12, 2025 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.June 12, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 12, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 12, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.June 12, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care or services that was trauma informed and/or culturally competent.June 12, 2025 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 12, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.June 12, 2025 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide special eating equipment and utensils for residents who need them and appropriate assistance.June 12, 2025 · F0810 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement policies and procedures for flu and pneumonia vaccinations.June 12, 2025 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.June 12, 2025 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 28 citations.

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.February 24, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.February 24, 2026 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 24, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 15, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.October 15, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.March 11, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 20, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.January 9, 2025 · F0559 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.January 9, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).January 9, 2025 · F0603 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 9, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.January 9, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are fully informed and understand their health status, care and treatments.October 16, 2024 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.October 16, 2024 · F0580 · Level of harm: Actual harm · Residents affected: Few
• Provide timely, quality laboratory services/tests to meet the needs of residents.October 16, 2024 · F0770 · Level of harm: Actual harm · Residents affected: Few
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.September 19, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.September 19, 2024 · F0625 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.September 19, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.September 19, 2024 · F0684 · Level of harm: Actual harm · Residents affected: Few
• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.September 19, 2024 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 19, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.September 19, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.September 19, 2024 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.September 19, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide or obtain dental services for each resident.September 19, 2024 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.September 19, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.September 19, 2024 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.September 19, 2024 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many

Fines and payment denials

• Fine of $49,800October 15, 2025
• Fine of $78,806June 12, 2025
• Fine of $29,348September 19, 2024
• Medicare payment denial for 25 daysStarting July 12, 2025
• Medicare payment denial for 19 daysStarting October 17, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home