Elder Care Record

Michigan › Grand Traverse County › Traverse City

Grand Traverse Pavilions

1000 Pavilions Circle, Traverse City, MI 49684

CCN 235088 · Government, county · 240 certified beds

CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Grand Traverse Pavilions is a Government, county nursing home in Traverse City, Michigan, certified for 240 beds and caring for about 188 residents a day.

CMS gives it 1 of 5 stars overall, below the Michigan median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.

Inspectors recorded 65 health deficiencies across the three most recent survey cycles (25, 24, 16 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 27.1 per 100 beds, about the same as the state median of 29.4.

CMS lists 5 penalties in the period covered: fines totalling $158K and 2 payment denials.

CMS flags that the facility carries the CMS abuse icon.

65health deficiencies, 3 survey cycles7 at actual harm or worse
$158Kfines listed by CMS5 penalties in period
—nurse hours per resident per daystate median 3.8
78%occupancy (residents ÷ beds)188 residents a day

Compared with county, state and nation

MeasureThis facilityGrand Traverse Co. medianMichigan medianUS average
Overall star rating1433.0
Health citations, 3 cycles65332928.7
Citations per 100 beds27.127.129.426.8
Total nurse hours per resident day—3.73.83.9
RN hours per resident day—1.20.70.7
Nursing staff turnover—45.1%44.6%45.8%
Fines listed$157,954$69,430$0—

County and state figures are medians across facilities (4 in the county, 422 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)25
Cycle 224
Cycle 316

Dark bar: this facility. Grey bar: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Jun 2025, 19 Sep 2024.

Severity mix: G ×7 D ×43 E ×9 F ×6

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
24 Feb 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation23 Mar 2026
24 Feb 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation23 Mar 2026
24 Feb 2026F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint investigation23 Mar 2026
15 Oct 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation3 Nov 2025
15 Oct 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation3 Nov 2025
12 Jun 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey23 Jul 2025
12 Jun 2025F0697Provide safe, appropriate pain management for a resident who requires such services.GStandard survey23 Jul 2025
12 Jun 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard survey23 Jul 2025
12 Jun 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey23 Jul 2025
12 Jun 2025F0880Provide and implement an infection prevention and control program.FStandard survey23 Jul 2025
12 Jun 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey23 Jul 2025
12 Jun 2025F0585Honor 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 survey23 Jul 2025
12 Jun 2025F0761Ensure 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 survey23 Jul 2025
12 Jun 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey23 Jul 2025
12 Jun 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey23 Jul 2025
12 Jun 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey23 Jul 2025
12 Jun 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey23 Jul 2025
12 Jun 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey23 Jul 2025
12 Jun 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey6 Aug 2025
12 Jun 2025F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey23 Jul 2025
12 Jun 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey23 Jul 2025
12 Jun 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey23 Jul 2025
12 Jun 2025F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard survey23 Jul 2025
12 Jun 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey23 Jul 2025
12 Jun 2025F0887Educate 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 survey23 Jul 2025
11 Mar 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation10 Apr 2025
20 Feb 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation18 Mar 2025
9 Jan 2025F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint investigation3 Feb 2025
9 Jan 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation3 Feb 2025
9 Jan 2025F0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).DComplaint investigation3 Feb 2025
9 Jan 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation3 Feb 2025
9 Jan 2025F0610Respond appropriately to all alleged violations.DComplaint investigation3 Feb 2025
16 Oct 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GComplaint investigation5 Nov 2024
16 Oct 2024F0770Provide timely, quality laboratory services/tests to meet the needs of residents.GComplaint investigation5 Nov 2024
16 Oct 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.DComplaint investigation5 Nov 2024
19 Sep 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation10 Oct 2024
19 Sep 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation10 Oct 2024
19 Sep 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FComplaint investigation10 Oct 2024
19 Sep 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EComplaint investigation10 Oct 2024
19 Sep 2024F0625Notify 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 investigation10 Oct 2024
19 Sep 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation10 Oct 2024
19 Sep 2024F0688Provide 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 investigation10 Oct 2024
19 Sep 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation10 Oct 2024
19 Sep 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation10 Oct 2024
19 Sep 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint investigation10 Oct 2024
19 Sep 2024F0758Implement 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 investigation10 Oct 2024
19 Sep 2024F0791Provide or obtain dental services for each resident.DComplaint investigation10 Oct 2024
19 Sep 2024F0825Provide or get specialized rehabilitative services as required for a resident.DStandard survey10 Oct 2024
19 Sep 2024F0849Arrange 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 investigation10 Oct 2024
14 Sep 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey29 Nov 2023
14 Sep 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation29 Nov 2023
14 Sep 2023F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey6 Oct 2023
14 Sep 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey6 Oct 2023
14 Sep 2023F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation6 Oct 2023
14 Sep 2023F0880Provide and implement an infection prevention and control program.EComplaint investigation6 Oct 2023
14 Sep 2023F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey29 Nov 2023
14 Sep 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey6 Oct 2023
14 Sep 2023F0610Respond appropriately to all alleged violations.DStandard survey6 Oct 2023
14 Sep 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey6 Oct 2023
14 Sep 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey6 Oct 2023
14 Sep 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey6 Oct 2023
14 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey6 Oct 2023
14 Sep 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey6 Oct 2023
14 Sep 2023F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation29 Nov 2023
14 Sep 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey6 Oct 2023

Penalties

DateTypeAmountDetail
15 Oct 2025Fine$49,800
12 Jun 2025Payment denial—25 days
12 Jun 2025Fine$78,806
19 Sep 2024Payment denial—19 days
19 Sep 2024Fine$29,348

Staffing

Total nursing—
Nurse aides—
LPN—
RN—
Weekend total—

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMichigan medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay7.9%9.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.6%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.2%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.2%2.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.5%0.8%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay11.3%10.8%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.8%4.7%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay14.5%13.5%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: government, county. Legal business name: County Of Grand Traverse.

OrganisationRole in the CMS recordInterestSince
County of Grand Traverse5% or greater direct ownership interest100%01/01/1966
County of Grand TraverseAdp of the snfNOT APPLICABLE06/04/1998

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Grand Traverse County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
The Villa At Traverse PointTraverse City965441515.6—7 Apr 2026
Medilodge of Traverse CityTraverse City844342631.0—2 May 2025
Medilodge of GtcTraverse City1252153326.4$69K30 Jun 2026

All 4 facilities in Grand Traverse County

Questions and answers

How many deficiencies has Grand Traverse Pavilions been cited for?

65 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.

Has Grand Traverse Pavilions been fined?

Yes. CMS lists fines totalling $158K in the period covered, plus 2 payment denials.

How does staffing at Grand Traverse Pavilions compare?

CMS does not report staffing hours for this facility.

Who operates Grand Traverse Pavilions?

Ownership type is government, county. Organisations in the CMS ownership record include County of Grand Traverse. Individual owners and managers are not listed on this site.

When was Grand Traverse Pavilions last inspected?

The most recent survey or investigation in the CMS record is dated 24 Feb 2026; the most recent standard health survey was 12 Jun 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.