CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Grand Traverse Pavilions
View the most recent health deficiencies and inspection results for Grand Traverse Pavilions. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Grand Traverse Pavilions. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-02-24 | 2026-03-23 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2026-02-24 | 2026-03-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-24 | 2026-03-23 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-06-12 | 2025-11-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-10-15 | 2025-11-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-10-15 | 2025-11-03 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-12 | 2025-08-06 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-06-12 | 2025-07-23 | N |
| 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. | Health | 2025-06-12 | 2025-07-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-06-12 | 2025-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-12 | 2025-07-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-12 | 2025-07-23 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2025-06-12 | 2025-07-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-06-12 | 2025-07-23 | N |
| 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. | Health | 2025-06-12 | 2025-07-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-06-12 | 2025-07-23 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-06-12 | 2025-07-23 | N |
| 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. | Health | 2025-06-12 | 2025-07-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-12 | 2025-07-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-12 | 2025-07-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-12 | 2025-07-23 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-06-12 | 2025-07-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-06-12 | 2025-07-23 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-06-12 | 2025-07-23 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-06-12 | 2025-07-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-06-12 | 2025-07-23 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-06-12 | 2025-07-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-06-12 | 2025-07-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-06-12 | 2025-07-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-06-12 | 2025-07-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-06-12 | 2025-07-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-06-12 | 2025-07-23 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-03-11 | 2025-04-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-20 | 2025-03-18 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2025-01-09 | 2025-02-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-09 | 2025-02-03 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2025-01-09 | 2025-02-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-09 | 2025-02-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-01-09 | 2025-02-03 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-10-16 | 2024-11-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-16 | 2024-11-05 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-10-16 | 2024-11-05 | Y |
| Implement 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. | Health | 2024-09-19 | 2024-10-10 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-09-19 | 2024-10-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-19 | 2024-10-10 | Y |
| Notify 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. | Health | 2024-09-19 | 2024-10-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-19 | 2024-10-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-19 | 2024-10-10 | Y |
| Provide 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. | Health | 2024-09-19 | 2024-10-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-19 | 2024-10-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-19 | 2024-10-10 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-09-19 | 2024-10-10 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-09-19 | 2024-10-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-09-19 | 2024-10-10 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-09-19 | 2024-10-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-19 | 2024-10-10 | Y |
| Provide or obtain dental services for each resident. | Health | 2024-09-19 | 2024-10-10 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-19 | 2024-10-10 | N |
| Have an externally vented heating system. | Fire Safety | 2024-09-19 | 2024-10-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-09-19 | 2024-10-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-19 | 2024-10-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-09-19 | 2024-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-19 | 2024-10-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-19 | 2024-10-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-09-19 | 2024-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-14 | 2023-11-29 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-09-14 | 2023-11-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-14 | 2023-11-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-14 | 2023-11-29 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-14 | 2023-10-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-14 | 2023-10-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-14 | 2023-10-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-14 | 2023-10-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-14 | 2023-10-06 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-09-14 | 2023-10-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-14 | 2023-10-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-14 | 2023-10-06 | Y |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2023-09-14 | 2023-10-06 | N |
| Respond appropriately to all alleged violations. | Health | 2023-09-14 | 2023-10-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-14 | 2023-10-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-14 | 2023-10-06 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-09-14 | 2023-10-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-09-14 | 2023-10-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-09-14 | 2023-10-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-14 | 2023-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-14 | 2023-10-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-14 | 2023-10-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-09-14 | 2023-10-06 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-09-14 | 2023-10-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-14 | 2023-10-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-14 | 2023-10-06 | N |