24/7 registered nurse responsibility

At least one registered nurse must be on-site and on duty at all times at each residential facility.

About the 24/7 RN responsibility

Approved providers must have at least one RN on-site and on duty 24 hours a day, 7 days a week, at each residential facility they operate.

For sector-level information on 24/7 RN coverage, updated monthly, see Registered nurse coverage in residential aged care dashboard.

For facility-level information on 24/7 RN coverage, see Registered nurse coverage in residential aged care by facility.

For information about what is a residential facility, see Section 1.5 of the Care minutes and 24/7 registered nurse responsibility guide.

Why it is important

The Royal Commission into Aged Care Quality and Safety identified that staffing levels are critical to the quality of residential care, and recommended at least one RN be on-site at all times at each residential facility. See recommendation 86 of the final report for more information.

The 24/7 RN responsibility reduces the risk of resident harm by ensuring qualified and experienced care staff are always available to identify and address potential risks.

The responsibility also gives residents better access to care in facilities, and:

  • allows RNs to manage some issues as first responders
  • improves resident safety
  • prevents unnecessary trips to hospital emergency rooms.

For detailed information, see the Care minutes and 24/7 registered nurse responsibility guide.

    Reporting arrangements from 1 July 2023

    For more information on reporting, see:

    24/7 RN supplement 

    Residential aged care facilities with, on average, 60 residents or fewer per day (based on occupied bed days) may be eligible for a funding supplement to meet the cost of delivering 24/7 RN care.

    Facilities with more than 60 residents will not receive the supplement, because their existing AN-ACC funding is sufficient to provide 24/7 RN care.

    From 1 July 2024, a reduced rate supplement will be available to better support very small facilities (30 or fewer residents on average over the month) to build their RN workforce.

    For more information on the supplement and the upcoming changes, see 24/7 registered nurse supplement for residential aged care.

    Exemption arrangements 

    For more information on exemption arrangements, including eligibility and how to apply, see

    Support for aged care workforce

    A range of programs are available to support growing, skilling and enabling of the aged care workforce. For more information, see: 

    Information about 24/7 registered nurses for older persons

    For more information for older persons, their families and carers see the 24/7 registered nurses in aged care homes fact sheet.

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