Australian aged care disgrace

New research from the University of Wollongong has found more than half of all Australian aged care residents are in homes with staffing levels that would be rated one or two stars in the United States’ five-star rating system.

The research was produced for the aged care Royal Commission to analyse staffing of Australian residential aged care homes compared to standards in other jurisdictions.

Staffing levels and the skill mix of staff in residential aged care are proving to be significant issues at the Royal Commission.

The report examines staffing benchmarks used in the United States, British Columbia in Canada, Germany, Victoria and Queensland. The report concludes the United States has the best system currently available to evaluate staffing levels.


In the US system, each aged care home is rated on a five-star scale. Three stars is the sector average, one to two stars is below average, and four to five stars is above average.

The US star ratings are based on the amount of nurse and personal carer time per resident, adjusted for differences in residents’ care needs so that homes can be compared against each other.

When the US system was applied to Australian data, the report found that 57.6 per cent of all Australian aged care residents are in homes with staffing that would only rate one or two stars in the US’s five-star rating system.

The authors of the report consider that one or two stars represent unacceptable levels of staffing, while three stars is acceptable, four stars is good, and five stars is best practice.

Only 27 per cent of Australian aged care residents are in three-star homes, while 14.1 per cent receive four stars and just 1.3 per cent are in homes with five stars.

Raising the standard so that all Australian aged care homes are rated at least three stars would require an average increase of 37.3 per cent in total care staffing in the homes currently rated one or two stars. This would require an increase of 20 per cent in total residential aged care staffing across Australia.

Allied health staff (including physiotherapists) is not counted in the US system but are part of standards set in British Columbia.

The report found only two per cent of Australian aged care residents are in homes that would meet British Columbian allied health staffing standards.

Do you have a frail family member in an aged care facility? What do you think of the staffing levels at the facility? Do you think we should be aiming for world’s best practice in Australian aged care facilities?

If you enjoy our content, don’t keep it to yourself. Share our free eNews with your friends and encourage them to sign up.

Related articles:
Aged care needs ‘urgent redesign’
Plan to prevent unnecessary stays
Aged care accommodation deposits

Written by Ben


Residential and in-home aged care ‘needs urgent redesign’

Inquiry told 16,000 Australians - 44 per day - died while waiting for a home-care package in

New plan to prevent unnecessary hospital admissions for older adults

Program could prevent stressful, often unnecessary, hospital admissions for aged care patients.

Refundable accommodation deposits explained

As people live longer, more will end up in aged care.