24/7 registered nurse responsibility

At least one registered nurse (RN) must be onsite and on duty at all times at each residential aged care facility. This is called the 24/7 RN responsibility.

About the 24/7 RN responsibility

You must ensure at least one RN is onsite and on duty at all times, at each residential facility you operate.

Eligible residential facilities in rural and remote areas can apply for an exemption for up to 12 months at a time. 

Why it is important

The 24/7 RN responsibility was introduced in response to recommendation 86 of the Royal Commission into Aged Care Quality and Safety.

By ensuring qualified and experienced care staff are available to identify and address potential risks, this:

  • improves resident safety
  • gives residents better access to clinical care in their aged care home
  • prevents unnecessary trips to hospital emergency rooms.

24/7 RN supplement 

The 24/7 RN supplement helps you employ extra RNs to meet the requirement to have an RN onsite and on duty at all times.

Read about the 24/7 registered nurse supplement for residential aged care.


You must report about your RN coverage at each of your facilities each calendar month through the Government Provider Management System (GPMS).

Support for the aged care workforce

Programs are available to help grow, skill and enable the aged care workforce. Read more about: 

Learn more

For providers

Care minutes and 24/7 registered nurse responsibility guide

This guide provides information about care minutes targets, the 24/7 registered nurse responsibilities from 1 July 2023, and mandatory care minutes responsibilities from 1 October 2023. Learn more about these responsibilities, including definitions and reporting obligations.

For older people


Australian National Aged Care Classification (AN-ACC) contact

Get in touch with the Australian National Aged Care Classification (AN-ACC) team.
Date last updated:

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