Grand Traverse Pavilions
1000 Pavilions Circle · Traverse City, MI · 49684 · 2319323163
240 certified beds Government - County
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $106,968 in fines in the last 24 months.
- 7 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 3 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$106,968 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 5 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.61 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.36 | 0.55–0.75 |
| Weekend hours / resident-day | 4.26 | ≈ weekday level |
| Nursing turnover / year | 23% | median 45% |
| Fines (3-yr window) | 2 · $106,968 |
Inspection citations (65 in the current record)
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Actual harm · G February 24, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 23, 2026 · Quality of Life and Care
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Potential for harm · D February 24, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 23, 2026 · Resident Rights
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Potential for harm · D February 24, 2026 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 23, 2026 · Resident Rights
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Actual harm · G October 15, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 3, 2025 · Quality of Life and Care
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Potential for harm · D October 15, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 3, 2025 · Quality of Life and Care
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Actual harm · G June 12, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 23, 2025 · Quality of Life and Care
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Actual harm · G June 12, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected July 23, 2025 · Quality of Life and Care
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Potential for harm · E June 12, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 23, 2025 · Resident Rights
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Potential for harm · E June 12, 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.
Corrected July 23, 2025 · Resident Rights
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Potential for harm · D June 12, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 23, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 12, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected July 23, 2025 · Resident Rights
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Potential for harm · D June 12, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 12, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 23, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 23, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 6, 2025 · Quality of Life and Care
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Potential for harm · D June 12, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected July 23, 2025 · Quality of Life and Care
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Potential for harm · F June 12, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected July 23, 2025 · Nursing and Physician Services
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Potential for harm · D June 12, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 23, 2025 · Pharmacy Service
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Potential for harm · D June 12, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected July 23, 2025 · Pharmacy Service
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Potential for harm · E June 12, 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.
Corrected July 23, 2025 · Pharmacy Service
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Potential for harm · D June 12, 2025
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected July 23, 2025 · Nutrition and Dietary
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Potential for harm · F June 12, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 23, 2025 · Nutrition and Dietary
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Potential for harm · F June 12, 2025
Provide and implement an infection prevention and control program.
Corrected July 23, 2025 · Infection Control
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Potential for harm · D June 12, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected July 23, 2025 · Infection Control
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Potential for harm · D June 12, 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.
Corrected July 23, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 12, 2025 | Fine | $77,620 |
| June 12, 2025 | Payment Denial | 25 days |
| September 19, 2024 | Fine | $29,348 |
| September 19, 2024 | Payment Denial | 19 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235088 · certified since January 11, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.