Starfile / Michigan

Grand Traverse Pavilions

1000 Pavilions Circle, Traverse City, MI 49684 · CCN 235088

Abuse icon

Inspection history vs Michigan & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$148,763

Number of fines

2

Number of penalties

4

Payment denials

2

Inspection citations (62)6 actual harm

1. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-10-15 · Health · corrected 2025-11-03

   Actual harm

2. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-10-15 · Health · corrected 2025-11-03

   Potential for more than minimal harm

3. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-06-12 · Health · corrected 2025-07-23

   Potential for more than minimal harm

4. EF0585Honor 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.2025-06-12 · Health · corrected 2025-07-23

   Potential for more than minimal harm

5. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-12 · Health · corrected 2025-07-23

   Potential for more than minimal harm

6. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-06-12 · Health · corrected 2025-07-23

   Potential for more than minimal harm

7. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-12 · Health · corrected 2025-07-23

   Potential for more than minimal harm

8. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-12 · Health · corrected 2025-07-23

   Potential for more than minimal harm

9. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-12 · Health · corrected 2025-07-23

   Actual harm

10. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-12 · Health · corrected 2025-07-23

    Potential for more than minimal harm

11. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-06-12 · Health · corrected 2025-08-06

    Potential for more than minimal harm

12. GF0697Provide safe, appropriate pain management for a resident who requires such services.2025-06-12 · Health · corrected 2025-07-23

    Actual harm

13. DF0699Provide care or services that was trauma informed and/or culturally competent.2025-06-12 · Health · corrected 2025-07-23

    Potential for more than minimal harm

14. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-06-12 · Health · corrected 2025-07-23

    Potential for more than minimal harm

15. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-12 · Health · corrected 2025-07-23

    Potential for more than minimal harm

16. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-06-12 · Health · corrected 2025-07-23

    Potential for more than minimal harm

17. EF0761Ensure 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.2025-06-12 · Health · corrected 2025-07-23

    Potential for more than minimal harm

18. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2025-06-12 · Health · corrected 2025-07-23

    Potential for more than minimal harm

19. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-12 · Health · corrected 2025-07-23

    Potential for more than minimal harm

20. FF0880Provide and implement an infection prevention and control program.2025-06-12 · Health · corrected 2025-07-23

    Potential for more than minimal harm

21. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2025-06-12 · Health · corrected 2025-07-23

    Potential for more than minimal harm

22. DF0887Educate 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.2025-06-12 · Health · corrected 2025-07-23

    Potential for more than minimal harm

23. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-11 · Health · corrected 2025-04-10

    Potential for more than minimal harm

24. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-20 · Health · corrected 2025-03-18

    Potential for more than minimal harm

25. DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2025-01-09 · Health · corrected 2025-02-03

    Potential for more than minimal harm

26. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-09 · Health · corrected 2025-02-03

    Potential for more than minimal harm

27. DF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2025-01-09 · Health · corrected 2025-02-03

    Potential for more than minimal harm

28. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-09 · Health · corrected 2025-02-03

    Potential for more than minimal harm

29. DF0610Respond appropriately to all alleged violations.2025-01-09 · Health · corrected 2025-02-03

    Potential for more than minimal harm

30. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-10-16 · Health · corrected 2024-11-05

    Potential for more than minimal harm

31. GF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-10-16 · Health · corrected 2024-11-05

    Actual harm

32. GF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-10-16 · Health · corrected 2024-11-05

    Actual harm

33. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-09-19 · Health · corrected 2024-10-10

    Potential for more than minimal harm

34. DF0625Notify 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.2024-09-19 · Health · corrected 2024-10-10

    Potential for more than minimal harm

35. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-09-19 · Health · corrected 2024-10-10

    Potential for more than minimal harm

36. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-19 · Health · corrected 2024-10-10

    Actual harm

37. DF0688Provide 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.2024-09-19 · Health · corrected 2024-10-10

    Potential for more than minimal harm

38. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-19 · Health · corrected 2024-10-10

    Potential for more than minimal harm

39. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-09-19 · Health · corrected 2024-10-10

    Potential for more than minimal harm

40. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-09-19 · Health · corrected 2024-10-10

    Potential for more than minimal harm

41. DF0758Implement 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.2024-09-19 · Health · corrected 2024-10-10

    Potential for more than minimal harm

42. DF0791Provide or obtain dental services for each resident.2024-09-19 · Health · corrected 2024-10-10

    Potential for more than minimal harm

43. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-19 · Health · corrected 2024-10-10

    Potential for more than minimal harm

44. DF0825Provide or get specialized rehabilitative services as required for a resident.2024-09-19 · Health · corrected 2024-10-10

    Potential for more than minimal harm

45. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-09-19 · Health · corrected 2024-10-10

    Potential for more than minimal harm

46. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-09-19 · Health · corrected 2024-10-10

    Potential for more than minimal harm

47. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-09-14 · Health · corrected 2023-11-29

    Potential for more than minimal harm

48. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-09-14 · Health · corrected 2023-11-29

    Potential for more than minimal harm

49. EF0558Reasonably accommodate the needs and preferences of each resident.2023-09-14 · Health · corrected 2023-10-06

    Potential for more than minimal harm

50. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-09-14 · Health · corrected 2023-10-06

    Potential for more than minimal harm

51. DF0610Respond appropriately to all alleged violations.2023-09-14 · Health · corrected 2023-10-06

    Potential for more than minimal harm

52. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-14 · Health · corrected 2023-10-06

    Potential for more than minimal harm

53. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-09-14 · Health · corrected 2023-10-06

    Potential for more than minimal harm

54. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-09-14 · Health · corrected 2023-10-06

    Potential for more than minimal harm

55. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-14 · Health · corrected 2023-10-06

    Potential for more than minimal harm

56. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-14 · Health · corrected 2023-10-06

    Potential for more than minimal harm

57. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-09-14 · Health · corrected 2023-10-06

    Potential for more than minimal harm

58. DF0697Provide safe, appropriate pain management for a resident who requires such services.2023-09-14 · Health · corrected 2023-11-29

    Potential for more than minimal harm

59. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-09-14 · Health · corrected 2023-10-06

    Potential for more than minimal harm

60. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-14 · Health · corrected 2023-11-29

    Potential for more than minimal harm

61. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-09-14 · Health · corrected 2023-10-06

    Potential for more than minimal harm

62. EF0880Provide and implement an infection prevention and control program.2023-09-14 · Health · corrected 2023-10-06

    Potential for more than minimal harm

Ownership

Other facilities in Traverse City

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.