Grand Traverse Pavilions
Grand Traverse Pavilions in Traverse City, MI — inspection on October 15, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
blood oxygen levels drop below 80%, the brain, liver, and other vital body organs get affected. (https://www.medanta.org/)Review of an article titled Hypoxia written by the Cleveland Clinic and reviewed on 5/12/2022, read, in part: .Hypoxia is when the tissues of your body don't have enough oxygen.
While some of your tissues can adjust to temporary dips in oxygen levels, prolonged hypoxia can cause organ damage. hypoxia symptoms vary depending on the severity, underlying cause and what parts of your body are affected .
Some hypoxia symptoms include: .Confusion, Anxiety, Rapid heart rate (tachycardia), Rapid breathing (tachypnea), Difficulty breathing or shortness of breath (dyspnea). If you experience symptoms like confusion, rapid heart rate or breathing.you should seek medical attention immediately.
Hypoxia should be treated right away to prevent permanent organ damage.Hypoxia can be a life-threatening condition. Go to the emergency room if you have any symptoms of hypoxia or if others notice a sudden change in your behavior or awareness. (https://my.clevelandclinic.org/health/diseases/23063-hypoxia)
Review of the facility policy titled, Telemedicine dated 9/1/24, read, in part: A physician will be contact promptly in the following situations: a resident change in condition. if telehealth services are unable to provide assistance, please refer to the [physician ground] on-call calendar to contact a provider.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/15/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Grand Traverse Pavilions
1000 Pavilions Circle Traverse City, MI 49684
SUMMARY STATEMENT OF DEFICIENCIES
Review of a document titled Oxygen duration with Tanks from the facility's portable oxygen vendor revealed the E-tank duration for a 6 LPM [liter per minute] flow rate equaled 75 minutes. No data was available for an 8 LPM flow rate.On 10/15/25 at 1:42 PM, an interview was conducted with the Director of Nursing (DON) who understood the concerns related to accessibility of respiratory equipment and services at all times for oxygen dependent residents.
The DON verified a flow rate of 6 LPM or above would necessitate a high flow nasal cannula.
Review of guidance from a cardiovascular specialty hospital titled, Blood Oxygen Levels: Everything you Need to Know, dated 5/19/2022, read, in part: .Blood oxygen levels:.Below 91%: low blood oxygen level.
Below 85%: Very low oxygen levels (Hypoxemia).Below 80%: Severe Hypoxemia.if the oxygen saturation drops below 85%, the severe lack of oxygen affects the brain.
The person may experience vision changes and lose consciousness.When the blood oxygen levels drop below 80%, the brain, liver, and other vital body organs get affected. (https://www.medanta.org/)Review of the facility policy titled, Transportation, dated, 1/29/25, read, in part .Resident scheduled for transportation will need to be ready at the time indicated in the transportation scheduled with.any assistive devices needed.
Review of the facility policy titled, Oxygen Therapy, dated, 2/2/23, read, in part: .Nasal cannula is to be used when low to medium concentration of oxygen is required and accuracy is not essential. Do not use for flow rates in excess of six (6) liters. when flow rate in excess of six (6) liters is ordered, use the simple face mask.
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