Grand Traverse Pavilions

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Mar 23, 2026

• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 23, 2026

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 23, 2026

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Nov 3, 2025

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 3, 2025

• Provide safe, appropriate pain management for a resident who requires such services.

  Severity G of L: actual harm, isolatedCorrected Jul 23, 2025

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity G of L: actual harm, isolatedCorrected Jul 23, 2025

• Provide a written emergency evacuation plan.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 23, 2025

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 23, 2025

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 23, 2025

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 23, 2025

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 23, 2025

• Provide properly protected cooking facilities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 23, 2025

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 23, 2025

• Have exits that are accessible at all times.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 23, 2025

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Nov 28, 2025

• Ensure proper usage of power strips and extension cords.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 23, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 23, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 23, 2025

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 23, 2025

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Aug 6, 2025

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 23, 2025

• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 23, 2025

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 23, 2025

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 23, 2025

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 23, 2025

• Provide care or services that was trauma informed and/or culturally competent.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 23, 2025

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 23, 2025

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 23, 2025

• Provide special eating equipment and utensils for residents who need them and appropriate assistance.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 23, 2025

• Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 23, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 23, 2025

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 10, 2025

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 18, 2025

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 3, 2025

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 3, 2025

• Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 3, 2025

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 3, 2025

• Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 3, 2025

• Provide timely, quality laboratory services/tests to meet the needs of residents.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Nov 5, 2024

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Nov 5, 2024

• Ensure that residents are fully informed and understand their health status, care and treatments.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 5, 2024

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Oct 10, 2024

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 10, 2024

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Oct 10, 2024

• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Oct 10, 2024

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 10, 2024

• Ensure proper usage of power strips and extension cords.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2024

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 10, 2024

• Have properly located and lighted "Exit" signs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2024

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2024

• Provide properly protected cooking facilities.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2024

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2024

• Have properly installed electrical wiring and gas equipment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2024

• Have an externally vented heating system.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 10, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 10, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 10, 2024

• Provide or get specialized rehabilitative services as required for a resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 10, 2024

• Provide or obtain dental services for each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 10, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 10, 2024

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 10, 2024

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 10, 2024

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 10, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 10, 2024

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 10, 2024

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 29, 2023

• Provide a written emergency evacuation plan.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 6, 2023

• Install corridor and hallway doors that block smoke.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 6, 2023

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 6, 2023

• Provide properly protected cooking facilities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 6, 2023

• Create arrangements with other facilities to receive patients.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 6, 2023

• Have a battery powered remote alarm panel in a location accessible by operating personnel.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 6, 2023

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 6, 2023

• Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023

• Have exits that are accessible at all times.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023

• Ensure proper usage of power strips and extension cords.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023

• Have proper medical gas storage and administration areas.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023

• Ensure that sources of ignition are removed from patients receiving respiratory therapy.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 29, 2023

• Reasonably accommodate the needs and preferences of each resident.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 6, 2023

• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 6, 2023

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 6, 2023

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 6, 2023

• Provide safe, appropriate pain management for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 29, 2023

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 6, 2023

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 6, 2023

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 6, 2023

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 6, 2023

• Allow residents to self-administer drugs if determined clinically appropriate.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 29, 2023

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 6, 2023

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 6, 2023

Grand Traverse Pavilions offers Assisted Living, Independent Living and Skilled Nursing / Long Term Care.

Grand Traverse Pavilions is located at 1000 Pavillions Cir in Traverse City, Michigan.

Grand Traverse Pavilions had 10 government inspection visits in the last three years, with 92 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Grand Traverse Pavilions and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.