Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 235088

Grand Traverse Pavilions

62 federal citations on record , and 4 federal enforcement actions totaling $148,763.

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Record summary

Federal record · Q1 2026
62
Total citations
62
Last 3 years
6
Actual harm+
4
Federal penalties
$148,763
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care20 Resident Rights11 Abuse & Neglect8 Care Planning5 Medication & Pharmacy5

Most common F-tags at this facility

F6844 F6953 F6003 F6893 F8123

Citation history

62 on record
SurveyF-TagViolationSeveritySource
Oct 15, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Oct 15, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Jun 12, 2025F887Educate 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.DStandard
Jun 12, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Jun 12, 2025F880Provide and implement an infection prevention and control program.FStandard
Jun 12, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Jun 12, 2025F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Jun 12, 2025F761Ensure 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.EStandard
Jun 12, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jun 12, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jun 12, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard
Jun 12, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Jun 12, 2025F697Provide safe, appropriate pain management for a resident who requires such services.GStandard
Jun 12, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jun 12, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 12, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard
Jun 12, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jun 12, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jun 12, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Jun 12, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard
Jun 12, 2025F585Honor 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.EStandard
Jun 12, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Mar 11, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Feb 20, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jan 9, 2025F610Respond appropriately to all alleged violations.DComplaint
Jan 9, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jan 9, 2025F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).DComplaint
Jan 9, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jan 9, 2025F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint
Oct 16, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.GComplaint
Oct 16, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint
Oct 16, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint
Sep 19, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FComplaint
Sep 19, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
Sep 19, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Sep 19, 2024F791Provide or obtain dental services for each resident.DComplaint
Sep 19, 2024F758Implement 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.DComplaint
Sep 19, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Sep 19, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Sep 19, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 19, 2024F688Provide 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.DComplaint
Sep 19, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Sep 19, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Sep 19, 2024F625Notify 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.DComplaint
Sep 19, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EComplaint
Sep 19, 2024F825Provide or get specialized rehabilitative services as required for a resident.DStandard
Sep 14, 2023F880Provide and implement an infection prevention and control program.EComplaint
Sep 14, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint
Sep 14, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Sep 14, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Sep 14, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Sep 14, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Sep 14, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Sep 14, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Sep 14, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Sep 14, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Sep 14, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Sep 14, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Sep 14, 2023F610Respond appropriately to all alleged violations.DStandard
Sep 14, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
Sep 14, 2023F558Reasonably accommodate the needs and preferences of each resident.EStandard
Sep 14, 2023F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $148,763 and 2 payment-denial actions spanning 44 days.

DateTypeFinePayment denial
Jun 12, 2025Fine$119,415—
Jun 12, 2025Payment Denial—Jul 12, 2025 · 25 days
Sep 19, 2024Fine$29,348—
Sep 19, 2024Payment Denial—Oct 17, 2024 · 19 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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