{"id":2258,"date":"2026-11-06T18:35:27","date_gmt":"2026-11-06T08:35:27","guid":{"rendered":"https:\/\/caretakersaustralia.com.au\/medcare\/?p=2258"},"modified":"2026-11-06T18:38:04","modified_gmt":"2026-11-06T08:38:04","slug":"the-24-7-registered-nurse-requirement-in-aged-care-what-providers-must-do-in-australia","status":"publish","type":"post","link":"https:\/\/caretakersaustralia.com.au\/medcare\/the-24-7-registered-nurse-requirement-in-aged-care-what-providers-must-do-in-australia\/","title":{"rendered":"The 24\/7 Registered Nurse Requirement in Aged Care: What Providers Must Do in Australia"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Keeping a registered nurse on site around the clock is one of the biggest staffing challenges for residential aged care in Australia. Night shifts, weekends, sick leave and regional locations can leave even well-run homes with gaps in the roster.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This guide explains the 24\/7 registered nurse requirement in plain terms: what it is, who it applies to, how exemptions and the supplement work, what you need to report each month, and practical ways to keep RN coverage steady.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>General information only. Rules and funding amounts change, so always confirm the current position with the Department of Health, Disability and Ageing and the Aged Care Quality and Safety Commission.<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">At a Glance<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Registered providers of residential aged care must have at least one registered nurse (RN) on site and on duty at each home, 24 hours a day, 7 days a week.<\/li>\n\n\n\n<li>The requirement started on 1 July 2023 and continues under the Aged Care Act 2024.<\/li>\n\n\n\n<li>Small homes in MM 5 to 7 areas with 30 or fewer operational beds may apply for an exemption of up to 12 months.<\/li>\n\n\n\n<li>Every home must submit a 24\/7 RN report each month in the Government Provider Management System (GPMS), even if it has an exemption.<\/li>\n\n\n\n<li>Eligible homes can receive the 24\/7 registered nurse supplement, but only if their report is lodged on time.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What Is the 24\/7 Registered Nurse Requirement?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The 24\/7 registered nurse requirement means each residential aged care home must have at least one RN on site and on duty at all times. It came out of the Royal Commission into Aged Care Quality and Safety, which found that residents with complex needs were often left without clinical oversight, particularly overnight.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Having an RN on site means someone with the right clinical skills is there to assess a resident who becomes unwell, manage medicines, respond to falls and decide whether a hospital transfer is needed. For residents and families, it is one of the clearest signs of safe care.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The requirement applies to registered providers of residential aged care. It sits alongside, but is separate from, mandatory care minutes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">24\/7 RN Requirement vs Care Minutes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Providers sometimes treat these two obligations as one, but they measure different things.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>24\/7 RN requirement:<\/strong> an RN must be physically on site and on duty every hour of every day.<\/li>\n\n\n\n<li><strong>Care minutes:<\/strong> each home has its own target for the average number of care minutes per resident per day, including a set number of RN minutes. The sector-wide benchmark is 215 minutes per resident per day, including 44 RN minutes, in place since 1 October 2024.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">A home can meet its care minutes target and still miss the 24\/7 RN requirement, for example if no RN is rostered on a night shift. You need to plan for both. Read more in our guide to <a href=\"https:\/\/caretakersaustralia.com.au\/medcare\/mandatory-care-minutes-aged-care-2026\/\">mandatory care minutes in aged care<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Who Can Get an Exemption?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The government recognises that some small regional and remote homes find it very hard to recruit RNs. A 24\/7 RN exemption may be granted for up to 12 months at a time if the home:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Is in a Modified Monash Model (MM) 5, 6 or 7 area, based on the 2023 classifications<\/li>\n\n\n\n<li>Has 30 or fewer operational beds on the day the decision is made<\/li>\n\n\n\n<li>Can show it has effective alternative clinical care arrangements in place, such as access to an on-call RN<\/li>\n\n\n\n<li>Has taken reasonable steps to meet residents&#8217; clinical care needs during the exemption period<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">An exemption does not remove your other obligations. Exempt homes must still deliver their RN care minutes, lodge the monthly 24\/7 RN report and meet the Strengthened Aged Care Quality Standards. Applications and questions go to <a href=\"mailto:exemptions@health.gov.au\">exemptions@health.gov.au<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The 24\/7 Registered Nurse Supplement<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The 24\/7 registered nurse supplement is extra funding to help eligible homes cover the cost of round-the-clock RN staffing. It is aimed mainly at smaller homes, where the cost of a 24\/7 roster is spread across fewer residents.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Key points from the Department&#8217;s guidance:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The amount depends on the number of days of eligible care the home provides and its location under the Modified Monash Model.<\/li>\n\n\n\n<li>A full rate applies to homes with RN coverage of at least 87.5% (an average of 21 hours a day over a calendar month). A reduced rate applies to homes with coverage of 50% or more but under 87.5%.<\/li>\n\n\n\n<li>Supplement eligibility is limited to smaller homes, based on the average number of residents each day over the month. [CHECK: current threshold is listed as 50 residents]<\/li>\n\n\n\n<li>A home with an exemption in place on any day of a month is not eligible for the supplement for that month.<\/li>\n\n\n\n<li>A late 24\/7 RN report means the home is not eligible for the supplement for that month.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Rates are updated each year, usually on 1 October. Check the latest Schedule of Subsidies and Supplements on health.gov.au for current amounts.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">24\/7 RN Reporting: What You Need to Submit<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Every residential aged care home must lodge a 24\/7 RN report each month in GPMS, which sits in the Registered Provider Portal. The report is due by 11:59pm (AEST\/AEDT) on the 7th calendar day after the end of the month, including weekends and public holidays.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For each month, you report:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Each period of 30 minutes or more when an RN was not on site and on duty<\/li>\n\n\n\n<li>Whether each absence was planned or unplanned<\/li>\n\n\n\n<li>Who held delegated responsibility for nursing care during each absence<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Lodge the report before your monthly Services Australia subsidy claim. Accurate records matter because 24\/7 RN coverage and staffing levels feed into the information families see on My Aged Care, including Star Ratings, and are monitored by the Aged Care Quality and Safety Commission.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why RN Gaps Happen<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">From our work with aged care providers, the same few situations cause most gaps in 24\/7 RN coverage:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Night and weekend shifts:<\/strong> the hardest shifts to fill, especially at short notice<\/li>\n\n\n\n<li><strong>Unplanned leave:<\/strong> a single sick call on a night shift can leave a home without an RN<\/li>\n\n\n\n<li><strong>Regional and rural locations:<\/strong> a smaller local workforce and long travel distances<\/li>\n\n\n\n<li><strong>Holiday periods:<\/strong> Christmas, New Year and school holidays put pressure on every roster<\/li>\n\n\n\n<li><strong>Staff turnover:<\/strong> a resignation can leave a gap for weeks while you recruit<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Practical Ways to Keep 24\/7 RN Coverage<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Providers who manage the 24\/7 registered nurse requirement well usually combine a few of these approaches:<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li><strong>Build a casual and locum RN pool.<\/strong> Have pre-screened RNs who already know your home and can step in quickly.<\/li>\n\n\n\n<li><strong>Plan ahead for high-risk periods.<\/strong> Book locum cover for holidays and known leave weeks early.<\/li>\n\n\n\n<li><strong>Create a clear escalation plan.<\/strong> Know exactly who to call, in what order, when an RN cancels a shift.<\/li>\n\n\n\n<li><strong>Look after your permanent RNs.<\/strong> Fair rosters, manageable workloads and clinical support help reduce turnover.<\/li>\n\n\n\n<li><strong>Track coverage daily.<\/strong> Recording RN hours as you go makes the monthly report quicker and more accurate.<\/li>\n\n\n\n<li><strong>Work with a specialist recruitment partner.<\/strong> An agency that focuses on healthcare can find permanent RNs and provide reliable locum cover when you need it.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">How Medcare Can Help<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medcare by Caretakers Australia helps aged care providers across metropolitan, regional and rural Australia find registered nurses for locum, contract and permanent roles. Backed by over 25 years of industry experience, we take the time to understand your home, your residents and your roster before we put anyone forward.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Whether you need an RN for a single night shift, cover for a holiday period or a permanent appointment, we can help you keep your 24\/7 RN coverage on track.<strong>Need a registered nurse for your aged care home?<\/strong> Call us on 03 9419 4814, email <a href=\"mailto:medcare@caretakersaustralia.com.au\">medcare@caretakersaustralia.com.au<\/a> or <a href=\"https:\/\/caretakersaustralia.com.au\/medcare\/\">contact Medcare<\/a> today.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">What is the 24\/7 registered nurse requirement?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The 24\/7 registered nurse requirement means every residential aged care home in Australia must have at least one registered nurse on site and on duty 24 hours a day, 7 days a week. It started on 1 July 2023.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Does a registered nurse have to be on site 24\/7 in aged care?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes. The RN must be physically on site and on duty at the home. An on-call RN does not meet the requirement, unless the home has an approved exemption that includes alternative clinical care arrangements.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Can an aged care home get an exemption from the 24\/7 RN requirement?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Homes in MM 5 to 7 areas with 30 or fewer operational beds may apply for an exemption of up to 12 months. They must show effective alternative clinical care arrangements and still meet their RN care minutes and monthly reporting.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What is the 24\/7 registered nurse supplement?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It is extra funding for eligible smaller homes that provide high levels of RN coverage. The amount depends on location, days of eligible care and RN coverage. A late monthly report or an exemption removes eligibility for that month.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">How do providers report 24\/7 RN coverage?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Providers lodge a monthly 24\/7 RN report in GPMS by the 7th calendar day after the end of each month, listing every period of 30 minutes or more without an RN on site.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Can agency or locum RNs count toward the 24\/7 RN requirement?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes. Locum and agency registered nurses count when they are on site and on duty at the home. Many providers use locum RNs to cover nights, weekends and leave.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Keeping a registered nurse on site around the clock is one of the biggest staffing challenges for residential aged care in Australia. Night shifts, weekends, sick leave and regional locations can leave even well-run homes with gaps in the roster. This guide explains the 24\/7 registered nurse requirement in plain terms: what it is, who<\/p>\n","protected":false},"author":1,"featured_media":2259,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[115],"tags":[],"class_list":["post-2258","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-aged-care-compliance"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>24\/7 Registered Nurse Requirement in Aged Care | Medcare<\/title>\n<meta name=\"description\" content=\"Learn what the 24\/7 registered nurse requirement means for aged care homes in Australia, including exemptions, the supplement, reporting and RN staffing.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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