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Complaint Investigation

Grand Traverse Pavilions

October 15, 2025 · Traverse City, MI · 1000 Pavilions Circle
Citations 2
CMS Rating 1/5
Beds 240
Provider ID 235088
Healthcare Facility
Grand Traverse Pavilions
Traverse City, MI  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

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

FF0684
Quality of Life and Care Deficiencies

following situations: a resident change in condition. if telehealth services are unable to provide

235088 10/15/2025

Grand Traverse Pavilions 1000 Pavilions Circle Traverse City, MI 49684

Review of guidance from a

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.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Traverse City, MI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Grand Traverse Pavilions or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.