The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Grand Traverse Pavilions
Traverse City, MI · Medicare-certified · 240 beds
Needs attention
Abuse citationGovernment-run
2 of 5 overall
Grand Traverse Pavilions in Traverse City has a 2-star overall rating, with a very low 1-star health inspection rating but strong staffing at 5 stars and nurse staffing above the federal benchmark (4.61 vs. 4.1 hours per resident day). It also had $106,968 in fines in the last 24 months and a recent abuse citation, with cited problems including accident hazards/supervision, following care orders, and pressure ulcer prevention.
Facility ratings
Health inspections
Staffing
4.6082 hrs/resident/day
Quality measures
Last inspection: February 24, 2026Penalties, last 24 months: $106,968recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.6082.
Staffing detail
- Registered nurses
- 1.36
- Licensed practical nurses
- 0.39
- Nurse aides
- 2.86
- Weekend nursing
- 4.26
Hours per resident per day.
Total staff turnover: 23%
Registered nurse turnover: 20%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14.7%Steady
Residents with a fall causing major injury
4.6%Improving
Residents with pressure ulcers (bedsores)
4.5%Improving
Residents with a urinary tract infection
0.4%Steady
Residents who lost too much weight
3.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.7%Improving
Residents whose ability to walk got worse
13.6%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
13.2%Worsening
Short-stay residents newly given an antipsychotic
2.8%Improving
Residents with a long-term catheter
1%Improving
Residents with new or worsening incontinence
24.9%Improving
Residents with depressive symptoms
7.7%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.6%Worsening
Short-stay residents given the seasonal flu vaccine
93.2%Steady
Short-stay residents given the pneumonia vaccine
94.2%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $77,620 was recorded.
- INSPECTION
Health inspection found 20 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $29,348 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $106,968 in total fines · 2 payment denials.
- 25 days
Medicare/Medicaid payment denial
Jun 12, 2025
- $77,620
Federal fine
Jun 12, 2025
- 19 days
Medicare/Medicaid payment denial
Sep 19, 2024
- $29,348
Federal fine
Sep 19, 2024
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 177.4 residents on an average day (74% of 240 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 59 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.