Understanding Aged Care in Australia
Navigating aged care can feel overwhelming — but it doesn't have to be. Whether you're exploring options for yourself or someone you love, this guide will help you understand how aged care works in Australia, what services are available, who is eligible, and how to take the next step.
We're here to provide clarity, transparency and confidence as you consider one of life's hardest decisions.
Top 50 Questions about Aged Care
1. What is residential aged care in Australia?
Residential aged care provides full-time accommodation and 24/7 nursing care for older Australians who can no longer live safely at home.
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1. What is residential aged care in Australia?
Residential aged care (nursing homes) provides permanent accommodation, meals, 24-hour nursing care, personal care assistance, medication management, and social activities for older Australians who can no longer safely live at home due to age-related care needs.
2. How do I know when it's time for aged care?
It’s time when daily tasks become unsafe, falls are frequent, medical needs exceed home support, or family carers can no longer cope.
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2. How do I know when it's time for aged care?
Consider aged care when managing daily tasks (bathing, dressing, meals) becomes unsafe, frequent falls occur, memory loss affects safety, medical conditions require constant monitoring, or family carers are overwhelmed despite home care support.
3. What is the aged care assessment process?
An aged care assessment (formerly ACAT, now Single Assessment System from December 2024) evaluates your care needs to determine eligibility for government-funded services.
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3. What is the aged care assessment process?
From December 2024, the Single Assessment System replaced ACAT assessments. A qualified health professional visits you (usually at home or hospital) to assess your physical, medical, and social needs. The free assessment takes 1-3 hours and determines eligibility for residential care or home care packages.
4. How do I apply for aged care in Australia?
Call My Aged Care on 1800 200 422 or apply online at myagedcare.gov.au. You’ll need an assessment before entering residential care.
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4. How do I apply for aged care in Australia?
Contact My Aged Care (1800 200 422) or apply online. You'll need to: create a client record, undergo an aged care assessment, receive approval, then search for suitable facilities using the Find a Provider tool. The process typically takes 2-6 weeks from application to assessment.
5. What aged care options are available in Australia?
Options include home care packages (Support at Home from Nov 2025), residential aged care, respite care, dementia care, and palliative care.
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5. What aged care options are available in Australia?
Aged care options include: Support at Home program (replacing Home Care Packages from 1 Nov 2025) for care in your home; permanent residential aged care for 24/7 nursing care; respite care for short stays; specialised dementia care units; and palliative care for end-of-life support.
6. How much does aged care cost?
Costs vary widely. Everyone pays a basic daily fee set by the Government. (85% of the single aged care pension). Accommodation (RAD/DAP) and means-tested care fees depend on your financial assessment.
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6. How much does aged care cost?
Basic daily fee is 85% of the single aged care pension, set by the Government 20 March & 20 September each year.Accommodation costs vary widely by home and often consist of a Refundable Accommodation Deposit (RAD) or Daily Accommodation Payment (DAP). From 1 Nov 2025, new residents pay hotelling supplement contribution and non-clinical care contribution based on means testing.
7. What is a Residential Aged Care Agreement?
The agreement is a legally binding contract outlining fees, services, accommodation price, terms and conditions between you and the aged care provider.
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7. What is a Residential Aged Care Agreement?
The Residential Aged Care Agreement is your contract with the facility. It details: room price (RAD/DAP), services provided, fees payable, terms for leaving care, refund conditions, extra services, and your rights. Read it carefully and seek independent advice before signing.
8. How do aged care fees work after the November 2025 reforms?
From 1 Nov 2025, the new Aged Care Act introduces hotelling supplement contributions, non-clinical care contributions, and RAD retention fees (2% per year, max 5 years).
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8. How do aged care fees work after the November 2025 reforms?
Under reforms starting 1 Nov 2025: providers retain 2% annually of RADs (max 10% over 5 years); new hotelling supplement contribution covers daily living costs; non-clinical care contribution replaces means-tested care fee with $130,000 lifetime cap or 4 years maximum. DAP rates indexed twice yearly.
9, Can I keep my family GP in aged care?
Usually no. Most aged care homes have visiting doctors who provide medical care, though you can discuss your preferences with the facility.
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9, Can I keep my family GP in aged care?
Most residential aged care homes use visiting medical officers or have arrangements with specific GPs who provide regular services. However, some facilities may accommodate your existing GP if they're willing to visit. Discuss this during your facility selection process as arrangements vary.
10. What's the difference between respite care and permanent care?
Respite care is temporary (days to weeks) to give carers a break. Permanent care is long-term residential accommodation with ongoing support.
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10. What's the difference between respite care and permanent care?
Respite care provides short-term stays (emergency, planned, or after hospital) to give family carers breaks or support recovery. It can be booked for days or weeks. Permanent care is ongoing residential accommodation for those who can no longer live safely at home, providing 24/7 support indefinitely.
11. What is a RAD and DAP in aged care?
RAD (Refundable Accommodation Deposit) is a lump sum for your room. DAP (Daily Accommodation Payment) is the daily payment alternative. You can combine both.
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11. What is a RAD and DAP in aged care?
RAD is a fully refundable lump sum payment for accommodation. DAP is the daily equivalent calculated using the Maximum Permissible Interest Rate set by the Government. You can pay full RAD, full DAP, or combination. From 1 Nov 2025, providers retain 2% annually of RAD (max 5 years/10%).
12. How do I choose the right aged care home?
Visit multiple facilities, check star ratings, consider location, services, culture, dementia support, staff ratios, food quality, and resident feedback.
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12. How do I choose the right aged care home?
Choose by: checking Star Ratings on My Aged Care; visiting facilities multiple times; speaking with residents and families; assessing cleanliness, atmosphere, and staff warmth; reviewing quality indicators; considering location (family access); checking specialised care (dementia); comparing costs; and trusting your instincts about whether it feels like home.
13. What support is available for families during the aged care transition?
Support includes My Aged Care guidance, free aged care advocates (OPAN 1800 700 600), financial advisers, and facility staff assistance.
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13. What support is available for families during the aged care transition?
Available support: My Aged Care information line (1800 200 422); Older Persons Advocacy Network (OPAN 1800 700 600) for free independent advocacy; aged care specialists at Services Australia; financial advisers for means testing; social workers; and facility managers who guide families through admission processes.
14. How can I help my parent settle into aged care?
Visit frequently, personalise their room, maintain routines, attend activities together, communicate with staff, and give them time to adjust.
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14. How can I help my parent settle into aged care?
Help your parent settle by: personalising their room with familiar items and photos; visiting regularly during early weeks; participating in activities together initially; maintaining their routines where possible; introducing them to other residents; communicating preferences to staff; being patient as adjustment takes 6-12 weeks; and staying positive about the move.
15. What happens on the first day in residential aged care?
Staff conduct orientation, complete admission paperwork, introduce residents to routines, conduct health assessments, and help settle into their room.
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15. What happens on the first day in residential aged care?
On the first day: staff welcome you and complete admission documentation; conduct initial health assessment; orient you to the facility layout, meal times, and routines; introduce you to staff and residents; help unpack and personalise your room; discuss care plan; and arrange family meeting to address questions and concerns.
16. How can I stay involved in my loved one's care?
Attend care plan meetings, visit regularly, communicate with staff, join family councils, participate in activities, and raise concerns promptly.
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16. How can I stay involved in my loved one's care?
Stay involved by: attending care plan reviews (typically quarterly); visiting regularly and participating in activities; building relationships with care staff; joining the family advisory council; communicating preferences and changes in needs; asking questions about care decisions; using family portals or apps where available; and providing feedback to management.
17. What emotional support is available for carers and families?
Support includes carer support groups, counselling services through My Aged Care, Carer Gateway (1800 422 737), and facility family support programs.
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17. What emotional support is available for carers and families?
Emotional support available: Carer Gateway (1800 422 737) offers counselling and support groups; My Aged Care can connect you to local services; many facilities run family support groups; GP referrals for counselling through Medicare; aged care advocacy organisations; and respite options to prevent carer burnout.
18. Can we personalise a resident's room in aged care?
Yes, you can bring furniture, photos, artwork, and personal items to make the room comfortable and familiar, subject to safety requirements.
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18. Can we personalise a resident's room in aged care?
Residents can personalise rooms with: small furniture pieces (chairs, side tables if space permits); photos, artwork and decorations; bedding and cushions; television and music devices; personal clothing and grooming items. Check facility guidelines about electrical items, size restrictions, and infection control requirements before moving items.
19. What should I pack when moving into aged care?
Pack comfortable clothing, toiletries, medications, photos, favourite items, important documents, and any mobility aids or special equipment.
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19. What should I pack when moving into aged care?
Essential items: comfortable, easy-to-wear clothing (7-10 days worth); toiletries and grooming items; current medications and scripts; mobility aids; photos and mementos; important documents (POA, advance care directive); glasses, hearing aids, dentures; and small personal treasures. Label all items with name. The facility provides furniture and bedding.
20. How does aged care support people living with dementia?
Facilities offer specialised dementia care units, trained staff, memory support programs, safe environments, meaningful activities, and family support.
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20. How does aged care support people living with dementia?
Dementia support includes: purpose-built secure environments; specially trained staff in dementia care; person-centred care approaches; memory boxes and familiar cues; structured routines and meaningful activities; behaviour management strategies; family education and support; regular assessment and care plan adjustments; and coordination with dementia-specific health services.
21. What role do activities and lifestyle programs play in aged care?
Activities maintain physical health, mental stimulation, social connections, and quality of life through exercise, arts, music, outings, and social events.
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21. What role do activities and lifestyle programs play in aged care?
Lifestyle programs are essential for wellbeing. They include: physical activities (exercises, walking groups); creative pursuits (art, music, crafts); social events (morning teas, celebrations); cognitive stimulation (quizzes, discussions); spiritual and cultural activities; entertainment (performers, movies); gardening and pet therapy; and community outings where possible.
22. Can residents go on outings or leave the facility?
Yes, residents can leave anytime with proper arrangements. Families can take them out, or they can join facility-organised outings.
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22. Can residents go on outings or leave the facility?
Residents have freedom of movement. They can go out with family or friends (notify staff); attend family events and appointments; join facility-organised outings and bus trips; go shopping or to cafes; and come and go independently if capable. Simply sign out/in at reception. For residents with dementia, safety plans may be needed.
23. How does aged care handle end-of-life and palliative care?
Aged care provides palliative care focusing on comfort, pain management, dignity, emotional support, and family involvement at end of life.
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23. How does aged care handle end-of-life and palliative care?
End-of-life care includes: advance care planning to understand wishes; palliative care focusing on comfort not cure; 24-hour nursing support; pain and symptom management; spiritual and emotional support; family involvement and overnight stays; dignity and respect; and coordination with palliative care specialists. Most residents can remain in their familiar environment.
24. How do I talk to my parent about going into aged care?
Start conversations early, focus on safety and quality of life, listen to concerns, involve them in decisions, visit facilities together, and emphasise positives.
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24. How do I talk to my parent about going into aged care?
Approach sensitively: choose a calm moment; express concern about safety not criticism; acknowledge their feelings and fears; present it as additional support not loss of independence; involve them in choosing facilities; visit homes together; emphasise new friendships and activities; discuss trial respite stay; and reassure about family involvement continuing.
25. What rights do aged care residents have in Australia?
Residents have rights to safe quality care, dignity, respect, independence, choice, privacy, information, complaints, and to be heard under the Charter of Aged Care Rights.
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25. What rights do aged care residents have in Australia?
The Charter of Aged Care Rights guarantees 14 rights including: safe high-quality care; dignity and respect; identity, culture and diversity; information in accessible formats; independence and choice; privacy; treatment with care and compassion; personal possessions; connections with family; freedom from abuse; complaints handling; and advocacy access.
26. What is the Charter of Aged Care Rights?
The Charter sets out 14 fundamental rights for everyone receiving government-funded aged care services, ensuring quality care and dignity.
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26. What is the Charter of Aged Care Rights?
The Charter of Aged Care Rights is a legal requirement under current legislation (being replaced by Statement of Rights from 1 Nov 2025). It outlines 14 rights all aged care recipients must receive, making expectations clear for providers and empowering older people to understand their entitlements and speak up about concerns.
27. How are aged care homes regulated and monitored?
The Aged Care Quality and Safety Commission regulates homes through unannounced audits, quality standards assessments, complaints investigation, and Star Ratings.
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27. How are aged care homes regulated and monitored?
Regulation includes: the Aged Care Quality and Safety Commission conducting regular audits; assessment against 8 Quality Standards; unannounced visits; investigation of complaints; quality indicator monitoring; star rating system; accreditation requirements; financial reporting; and significant penalties for non-compliance. From 1 Nov 2025, strengthened standards and regulatory powers commence.
28. What should I do if I have a complaint about aged care?
First raise concerns with the aged care provider. If unresolved, contact the Aged Care Quality and Safety Commission (1800 951 822) or OPAN for advocacy support.
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28. What should I do if I have a complaint about aged care?
Complaint process: speak to staff or facility manager first; document your concerns; if unresolved, contact Aged Care Quality and Safety Commission (1800 951 822) to make formal complaint; or call OPAN (1800 700 600) for free independent advocacy support. You have rights to complain without fear of retaliation.
29. What is the new Aged Care Act and what does it mean for families?
The new Aged Care Act starts 1 Nov 2025, putting older people's rights at the centre with a Statement of Rights, strengthened standards, and better protections.
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29. What is the new Aged Care Act and what does it mean for families?
The new rights-based Aged Care Act commences 1 Nov 2025, bringing: Statement of Rights (replacing Charter); strengthened Quality Standards; enhanced whistleblower protections; person-centred care requirements; improved complaints pathways; greater provider accountability; transparent pricing; and Support at Home program. It responds to 58 Royal Commission recommendations for safer, fairer aged care.
30. How do I know an aged care home is safe and high quality?
Check Star Ratings (3+ stars is acceptable), visit multiple times, review quality indicators, speak with residents/families, and check compliance history.
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30. How do I know an aged care home is safe and high quality?
Assess quality by: checking Star Ratings on My Aged Care (aim for 3+ stars); reviewing the four rating categories (residents' experience, compliance, staffing, quality measures); visiting unannounced at meal times; speaking with current residents and families; checking quality indicators (falls, pressure injuries); observing staff interactions; assessing cleanliness and atmosphere; and reviewing compliance history.
31. What is a star rating and how do I compare aged care homes?
Star Ratings (1-5 stars) show quality across four areas: residents' experience, compliance, staffing levels, and quality measures. Find them on My Aged Care.
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31. What is a star rating and how do I compare aged care homes?
Star Ratings launched December 2022 rate homes 1-5 stars (more stars = better quality). Overall rating comprises: Residents' Experience (33%), Compliance (30%), Staffing (22%), and Quality Measures (15%). Compare homes using Find a Provider tool on myagedcare.gov.au, filtering by star rating, location, and services needed.
32. What are aged care quality indicators?
Quality indicators measure five key areas: pressure injuries, restrictive practices, unplanned weight loss, falls and injuries, and medication management.
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32. What are aged care quality indicators?
Quality indicators are data reported quarterly covering: pressure injuries (wounds from immobility); use of restrictive practices like restraints; significant unplanned weight loss (5%+); falls causing major injury; and medication management including antipsychotics use. Results compare homes to national averages and contribute 15% to Star Ratings, helping families assess care quality.
33. How can I check an aged care provider's history or compliance?
Use the Find a Provider tool on My Aged Care to view a home's Star Rating, compliance history, quality indicators, and audit outcomes.
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33. How can I check an aged care provider's history or compliance?
Check provider history through: My Aged Care Find a Provider tool showing Star Ratings and compliance; Aged Care Quality and Safety Commission website for quality decisions and sanctions; quality indicator data updated quarterly; recent audit reports; compliance notices; and accreditation status. The Star Ratings Compliance category shows how well homes meet standards.
34. What role does the Aged Care Quality and Safety Commission play?
The Commission is Australia's independent aged care regulator, responsible for monitoring quality, investigating complaints, conducting audits, and enforcing standards.
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34. What role does the Aged Care Quality and Safety Commission play?
The Aged Care Quality and Safety Commission: regulates residential and home care; assesses compliance with Quality Standards; conducts announced and unannounced audits; investigates complaints and concerns; manages the Star Ratings system; enforces sanctions for non-compliance; supports quality improvement; and publishes provider performance data. From 1 Nov 2025, it gains expanded regulatory powers.
35. What cultural or language supports are available in aged care?
Many facilities offer culturally specific care, multilingual staff, interpreter services, culturally appropriate food, religious support, and cultural activity programs.
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35. What cultural or language supports are available in aged care?
Cultural supports include: facilities specialising in specific cultural groups (Italian, Greek, Chinese communities); multilingual staff and interpreters; culturally appropriate meals respecting dietary requirements; religious and spiritual services; cultural celebrations and activities; translation of documents; Elder Care Support program for Aboriginal and Torres Strait Islander peoples; and person-centred care respecting individual cultural needs and preferences.
36. How is food and nutrition managed in aged care?
Facilities provide three meals daily plus snacks, catering to dietary needs, cultural preferences, and swallowing difficulties, overseen by dietitians.
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36. How is food and nutrition managed in aged care?
Nutrition management includes: three meals plus morning/afternoon tea daily; menu planning by cooks and dietitians; catering to medical diets (diabetic, low sodium); modified textures for swallowing difficulties; cultural and religious food preferences; fresh seasonal ingredients; regular meal satisfaction reviews; nutritional supplementation when needed; and food safety standards. Nutrition contributes to Star Ratings quality measures.
37. What is advance care planning and how does it work in aged care?
Advance care planning documents your future healthcare wishes, including treatment preferences, resuscitation decisions, and who can make decisions if you cannot.
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37. What is advance care planning and how does it work in aged care?
Advance care planning involves: documenting healthcare values and preferences; appointing medical treatment decision maker; specifying treatments you do/don't want; discussing resuscitation status; considering palliative vs curative care; completing advance care directive documents; sharing with family, GP and facility; and reviewing regularly. It ensures your wishes guide care if you can't communicate them later.
38. How does aged care support couples who want to stay together?
Many facilities offer companion rooms or adjacent rooms for couples. One partner may pay lower fees if assessed as not requiring residential care level.
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38. How does aged care support couples who want to stay together?
Couples can live together in companion rooms (double occupancy); have adjacent single rooms; access different care levels within one facility if needed; receive means testing as a couple affecting fees; maintain relationship and support each other; and participate in activities together. Discuss couple accommodation options when touring facilities as availability varies.
39. Can aged care support people with complex medical needs?
Yes, residential aged care provides 24-hour nursing care, medication management, wound care, oxygen therapy, diabetes management, and coordination with specialists.
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39. Can aged care support people with complex medical needs?
Complex care support includes: 24/7 registered nurses; medication management and administration; wound care and pressure injury prevention; continence management; diabetes monitoring; oxygen therapy; PEG feeding; catheter care; liaison with specialists and allied health; regular GP reviews; hospital liaison; and the Australian National Aged Care Classification (AN-ACC) funding system matching care needs.
40. What allied health services are available in aged care?
Common services include physiotherapy, occupational therapy, podiatry, speech pathology, dietetics, and audiology, either on-site or through visiting providers.
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40. What allied health services are available in aged care?
Allied health services: physiotherapy for mobility, strength and falls prevention; occupational therapy for daily living skills and equipment; speech pathology for swallowing and communication; dietetics for nutrition; podiatry for foot care; audiology; dentistry; optometry; and diversional therapy. Services may be included, facility-arranged, or privately funded depending on the provider.
41. How often are care plans reviewed in residential aged care?
Care plans are reviewed at least quarterly or more frequently if health status changes significantly. Residents and families participate in reviews.
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41. How often are care plans reviewed in residential aged care?
Care plan reviews occur: routinely every 3 months minimum; within days of admission; after hospital stays; when health changes significantly; when family requests review; or when residents' needs increase. Reviews involve resident (where able), family, care staff, nursing, allied health, and GP, ensuring care remains appropriate to current needs and preferences.
42. What happens if my loved one's care needs increase over time?
The facility adjusts the care plan and staffing. Under AN-ACC funding, homes receive increased funding when assessed needs rise to match required care.
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42. What happens if my loved one's care needs increase over time?
When needs increase: care plans are updated; staffing allocation adjusts; AN-ACC reassessment may increase facility funding; specialised services engage (physiotherapy, wound care); consideration of dementia-specific unit if needed; family discussions about goals of care; and sometimes transfer to higher-care facility. Most changes managed within existing home through care plan adjustments.
43. What financial changes happen after entering aged care?
Age Pension may increase (if home exempt), means-tested fees adjust with asset changes, RAD impacts asset test, and Centrelink needs notification of accommodation costs.
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43. What financial changes happen after entering aged care?
Financial impacts: Age Pension may increase if home becomes exempt asset; means-tested care fees and accommodation contributions change if assets/income change; RAD counted in aged care means test but exempt for pension; rental income from family home assessed; energy supplements cease; income from super counted; and regular reviews by Services Australia. Seek financial advice before entry.
44. Can you move from one aged care home to another?
Yes, residents can move facilities anytime. RAD is refunded (within 14 days), and you start a new agreement. Give notice per your current agreement terms.
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44. Can you move from one aged care home to another?
Moving facilities: you have the right to move anytime; provide notice as per residential agreement (typically 14 days); RAD refunded in full within 14 days of leaving (minus agreed deductions); new means assessment not usually required; new residential agreement at new facility; and new room price negotiation. Common reasons: closer to family, better services, or incompatibility issues.
45. What role do families play in ongoing care decisions?
Families participate in care planning, provide input on preferences, attend review meetings, make medical decisions (if appointed), and advocate for their loved one.
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45. What role do families play in ongoing care decisions?
Family involvement includes: participating in care plan meetings; providing information about preferences and history; attending review meetings quarterly; making treatment decisions if appointed medical decision maker; discussing changes in care needs; raising concerns with staff; advocating for resident's rights; joining family advisory councils; and maintaining social connection through visits and activities.
46. How are cultural and religious needs respected in aged care?
Facilities provide culturally appropriate care through ethnic-specific services, religious observances, traditional foods, language support, and cultural activities.
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46. How are cultural and religious needs respected in aged care?
Cultural respect includes: person-centred care honouring background and beliefs; culturally specific facilities (Italian, Greek, Jewish communities); religious services and pastoral care; traditional food and celebrations; respect for cultural practices around death/dying; multilingual communication; cultural activity programs; appropriate end-of-life rituals; and staff training in cultural safety. The new Aged Care Act emphasises culturally safe care.
47. How is aged care adapting to support LGBTQIA+ elders?
Providers increasingly offer inclusive environments with staff training, rainbow tick accreditation, safe spaces, respect for chosen names/pronouns, and peer support programs.
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47. How is aged care adapting to support LGBTQIA+ elders?
LGBTQIA+ support developing through: rainbow tick accreditation programs; staff training in inclusive care; respect for identity, relationships and chosen names; recognition of partners regardless of gender; safe environment free from discrimination; peer support connections; advocacy services; understanding historical trauma; and visibility of inclusive policies. Quality Standards require respect for identity, culture and diversity.
48. What happens when someone passes away in aged care?
Staff contact family immediately, provide compassionate support, arrange funeral director, prepare belongings, refund RAD within 14 days, and offer bereavement support to other residents.
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48. What happens when someone passes away in aged care?
After death: family notified immediately; GP certifies death; funeral director collects the deceased; staff support family and residents; belongings returned to family; room cleaned and prepared; RAD refunded to estate within 14 days; final invoice prepared; facility may hold memorial; and bereavement support offered. Staff experienced in supporting families through this difficult time with dignity and respect.
49. Will I need to sell the family home to pay for aged care?
Not necessarily. The home may be exempt if a spouse remains, or you can rent it for income, or use combination RAD/DAP payments to preserve capital.
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49. Will I need to sell the family home to pay for aged care?
Alternatives to selling: home exempt if protected person (spouse, carer, relative) remains; rent home for income (value capped at $203,350 for aged care means test); pay DAP instead of RAD lump sum; pay combination RAD/DAP; arrange family loan; or use reverse mortgage. Home exempt for 2 years if vacant. Seek financial advice as strategic decisions can save significant money.
50. How does aged care support people with disabilities or chronic conditions?
Aged care provides specialised support for various conditions including stroke, Parkinson’s, arthritis, diabetes, COPD, through trained staff, equipment, and therapies.
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50. How does aged care support people with disabilities or chronic conditions?
Support for disabilities/chronic conditions: staff trained in condition-specific care; equipment like hoists, wheelchairs, pressure-relieving mattresses; physiotherapy and occupational therapy; medication management for complex regimens; wound care; continence programs; speech pathology for communication/swallowing; coordination with specialists; assistive technology; and person-centred care plans addressing individual needs. NDIS may also apply for under-65s with disability.