Calvary Lakes Entrance

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ResidentialCalvary Aged Care LimitedSite ARCH-04045Service calvary aged care limited::calvary lakes entrance::kalimna::3909

Overview

Care typeResidential
Operational places75
RegionLakes Entrance (SA2)

Location

Lakes Entrance (SA2)

23 Alexandra Avenue, KALIMNA, VIC, 3909

Star ratings

Latest — May 2026

May 2023 — 4Aug 2023 — 4Dec 2023 — 3Feb 2024 — 3May 2024 — 3Jul 2024 — 3Nov 2024 — 4Jan 2025 — 4May 2025 — 3Overall
Compliance
Quality measures1
Residents' experience4
Staffing2
Ratings over time (13 periods)
PeriodOverallComplianceQualityExperienceStaffing
May 2026142
Feb 20264
Oct 2025
Aug 2025
May 202535233
Jan 202545333
Nov 202445432
Jul 202435332
May 202435332
Feb 202435332
Dec 202335332
Aug 202345342
May 202345442

Compliance findings

8 recorded

DateTypeRequirementSeverityFindingStatus
23 Apr 2023Site AuditConsumer dignity and choiceCompliant
23 Apr 2023Site AuditOngoing assessment and planning with consumersCompliant
23 Apr 2023Site AuditPersonal care and clinical careCompliant
23 Apr 2023Site AuditServices and supports for daily livingCompliant
23 Apr 2023Site AuditOrganisation’s service environmentCompliant
23 Apr 2023Site AuditFeedback and complaintsCompliant
23 Apr 2023Site AuditHuman resourcesCompliant
23 Apr 2023Site AuditOrganisational governanceCompliant

Accreditation & assessment timeline

10 events

  1. Exceptional Circumstances

    During the COVID-19 pandemic, the Aged Care Quality and Safety Commission has temporarily modified our Regulatory Program, including the suspension of site audits to determine whether to accredit, not to re-accredit or vary the periods of accreditation for a service. In order to give effect to continuity of accreditation the Department of Health has, under Section 42.5 of the Aged Care Act 1997, made a decision to grant ‘exceptional circumstances’ to this service until 06 November 2023. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.

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  2. Accreditation decision

    Following a site audit conducted on 21 March 2023 to 23 March 2023, the Commission made a decision on 23 April 2023 to re-accredit this service. The period of accreditation of the service will expire on 23 April 2026.

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  3. Site Audit

    Prepared by S. Hicks

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  4. Site audit Performance Report

    A site audit was conducted with this service on 21 March 2023 to 23 March 2023. The attached Performance Report details the assessment of performance against the Aged Care Quality Standards following the site audit.

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  5. Exceptional Circumstances

    During the COVID-19 pandemic, the Aged Care Quality and Safety Commission has temporarily modified our Regulatory Program, including the suspension of site audits to determine whether to accredit, not to re-accredit or vary the periods of accreditation for a service. In order to give effect to continuity of accreditation the Department of Health has, under Section 42.5 of the Aged Care Act 1997, made a decision to grant ‘exceptional circumstances’ to this service 06 May 2023. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.

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  6. Exceptional Circumstances

    During the COVID-19 pandemic, the Aged Care Quality and Safety Commission has temporarily modified our Regulatory Program, including the suspension of site audits to determine whether to accredit, not to re-accredit or vary the periods of accreditation for a service. In order to give effect to continuity of accreditation the Department of Health has, under Section 42.5 of the Aged Care Act 1997, made a decision to grant ‘exceptional circumstances’ to this service until 06 November 2022. The service remains subject to compliance monitoring by the Aged Care Quality and Safety Commission.

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  7. Assessment

    Following an audit we decided that this home met 44 of the 44 expected outcomes of the Accreditation Standards and would be accredited for three years until 06 May 2022.

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  8. Assessment

    Following an audit we decided that this home met 44 of the 44 expected outcomes of the Accreditation Standards and would be accredited for three years until 06 May 2019.

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  9. Assessment
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  10. Assessment
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Regulatory actions

0 recorded

No regulatory actions recorded.