Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Grand Traverse Pavilions

Traverse City, MI · 240 certified beds · Last Life Safety survey June 12, 2025

CMS Certification Number 235088 · first certified January 1967

Ownership

Independently operated (no chain recorded by CMS) · Government - County

No change of ownership on CMS record since January 1, 2016, when the records begin.

27
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
7
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within MI

27 citations — more than 86% of the 422 certified nursing homes in MI. Compared within MI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 10. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (June 2026 to August 2026), and past the point by which nine in ten MI facilities have been surveyed. This facility’s last Life Safety survey was June 2025. Facilities in MI are typically surveyed 12–14 months after the last one (median 13), measured over 723 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

Get an email about Grand Traverse Pavilions

One email when it happens. No account; stop it any time with one click.

Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 27 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 27 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MI, and nationally. Surveyors differ markedly between states, so the MI figure is the meaningful one.

This facility27MI median14National median11
Citations on file over three years, compared
MeasureCitations
This facility27
Median facility in MI14
Median facility nationally11

Survey history

Citations at each Life Safety survey
112023-0992024-0972025-06
Citations at each Life Safety survey
Survey dateCitations
September 14, 202311
September 19, 20249
June 12, 20257

Most-cited tags

Most-cited tags at this facility
K-03243K-09203K-02712K-03212K-03532K-03742K-07112K-05111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0324Provide properly protected cooking facilities.32025-06-12
K-0920Ensure proper usage of power strips and extension cords.32025-06-12
K-0271Have exits that are accessible at all times.22025-06-12
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22025-06-12
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-09-19
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.22025-06-12
K-0711Provide a written emergency evacuation plan.22025-06-12
K-0511Have properly installed electrical wiring and gas equipment.12024-09-19

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 11
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Egress Deficiencies 4
  • Services Deficiencies 3
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies11
Gas, Vacuum, and Electrical Systems Deficiencies6
Egress Deficiencies4
Services Deficiencies3
Miscellaneous Deficiencies2
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 12, 2025 — 7 citations

Citations issued on June 12, 2025
TagWhat the surveyor checksStatus
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (July 23, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (July 23, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 23, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 23, 2025)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (November 28, 2025)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (July 23, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 23, 2025)

September 19, 2024 — 9 citations

Citations issued on September 19, 2024
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (October 10, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (October 10, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (October 10, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 10, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (October 10, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (October 10, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (October 10, 2024)
K-0522Have an externally vented heating system.Deficient, Provider has date of correction (October 10, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 10, 2024)

September 14, 2023 — 11 citations

Citations issued on September 14, 2023
TagWhat the surveyor checksStatus
E-0025Create arrangements with other facilities to receive patients.Deficient, Provider has date of correction (October 6, 2023)
K-0222Add 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.Deficient, Provider has date of correction (October 6, 2023)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (October 6, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (October 6, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 6, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (October 6, 2023)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (October 6, 2023)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (October 6, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 6, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (October 6, 2023)
K-0925Ensure that sources of ignition are removed from patients receiving respiratory therapy.Deficient, Provider has date of correction (October 6, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.