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Our Guides for Aged Care
Plain-English guides to help you understand your options, plan ahead and feel ready for the next step.
Nine checks that separate the best from the rest
Each is a real, published measure, not marketing. What it means, the number that counts, and the exact question to ask on the tour.

Star rating
Read all four parts, not just the headline number.
4★ or higher
Ask “Which of your four sub-ratings is lowest right now?”

Care minutes
The daily hands-on care time the law now guarantees.
215 min / dayIncl. 44 registered-nurse minutes. Only 41% of homes met both targets.
Ask “What were your care minutes last quarter vs target?”

Nurse at 3am
A registered nurse must be on site around the clock.
24/7, no exemptionMandatory since July 2023 for every residential home.
Ask “Do you hold a 24/7 RN exemption? Who is on overnight?”

Clinical numbers
14 quality indicators reported every quarter.
At or above national avgFalls, pressure injuries, restraint, weight loss, medication.
Ask “Show me last quarter's indicators vs the national average.”

Resident voice
One-third of the whole star rating, the heaviest part of all.
4–5★ experienceIndependent interviewers ask residents face-to-face.
Ask “Ask a resident: would you recommend living here?”

Food
A standalone quality standard, tied to a daily supplement.
Well above $10 / dayA third of homes reported spending below $10 per resident.
Ask “What's your daily food spend? Can I stay for lunch, unannounced?”

Enforcement record
Every sanction is public, by name, and never deleted.
No current actionRecords move from Current to Archived; the history stays visible.
Ask “Any non-compliance decisions, current or archived?”

Rights & complaints
The Aged Care Act 2024 enshrines a Statement of Rights.
Staff name it unpromptedSeven strengthened Quality Standards in force from Nov 2025.
Ask “Walk me through what happens if my mother complains.”

Ignore the brand
The biggest chains are not automatically the safest.
Judge the home, not the logoThe ten largest chains average 3.4–3.9★; the same chain runs 2★ and 5★ homes.
Ask “How does THIS home compare with your others?”
The brochure won't tell you which homes are struggling. The data will.
The Royal Commission found substandard care was widespread, not isolated. Since then the government publishes hard data on every home: star ratings, staffing, clinical indicators, and a public register of enforcement. The best homes now separate from the rest on the record.
How we rate homes
of residents malnourished or at risk in the study the Royal Commission cited; a 2024 Monash study still found ~40%.
Monash University, 2024of homes did not meet both mandatory care-minute targets in Q4 FY2024; most fell short of the staffing floor.
Dept of Health; ACQSC quarterly reportingof rated homes sit at 3 stars or below, while only 155 homes in the country earn 5 stars. The spread is real.
Star Ratings extract, August 2026, our calculationHow a star rating is actually built
When a home says “we're 4 stars”, ask which parts carried it.
Residents' Experience
33%Compliance
30%Staffing
22%Quality Measures
15%
A strong overall score with a weak Staffing sub-rating is the pattern to watch; it means the stars are carried by paperwork, not hands-on care time.
Explore our rating methodologyAustralia's 24 largest aged care providers, rated
Ranked by beds, joined to the government's star ratings across every home each one runs. A map, not a verdict; always check the individual home.
Provider snapshot: beds and homes, June 2025 · ratings, August 2026.
| # | Provider | Homes | Beds | Coverage | Ownership | Avg rating | Homes 4+ stars | Staffing |
|---|---|---|---|---|---|---|---|---|
| 1 | Opal HealthCare | 138 | 13,977 | NSWQLDSAVIC+1 | For-profit | ★★★★★★★★★★3.32 | 32% | 1.70 |
| 2 | Bolton Clarke | 88 | 8,722 | NSWQLDSAVIC+1 | Not-for-profit | ★★★★★★★★★★3.93 | 87% | 3.60 |
| 3 | Estia Health | 87 | 8,717 | NSWQLDSAVIC | For-profit | ★★★★★★★★★★3.66 | 66% | 2.72 |
| 4 | Bupa Aged Care | 57 | 5,979 | NSWQLDSAVIC | For-profit | ★★★★★★★★★★3.42 | 42% | 2.18 |
| 5 | Regis Aged Care | 51 | 5,930 | NSWNTQLDSA+3 | For-profit | ★★★★★★★★★★3.71 | 69% | 2.55 |
| 6 | Uniting (NSW.ACT) | 70 | 5,862 | ACTNSW | Faith-based | ★★★★★★★★★★3.94 | 91% | 3.26 |
| 7 | Calvary Aged Care | 57 | 5,229 | ACTNSWSATAS+1 | Not-for-profit | ★★★★★★★★★★3.11 | 11% | 2.12 |
| 8 | Arcare | 52 | 4,981 | NSWQLDVIC | For-profit | ★★★★★★★★★★3.80 | 80% | 3.00 |
| 9 | UnitingCare Queensland | 46 | 3,478 | QLD | Faith-based | ★★★★★n/a | n/a | n/a |
| 10 | BaptistCare | 35 | 3,220 | ACTNSWWA | Not-for-profit | ★★★★★★★★★★3.85 | 82% | 2.94 |
| 11 | Catholic Healthcare | 41 | 3,039 | NSWQLD | Not-for-profit | ★★★★★★★★★★4.20 | 100% | 3.77 |
| 12 | Mercy Health | 30 | 2,681 | NSWQLDVICWA | Not-for-profit | ★★★★★★★★★★3.62 | 62% | 3.07 |
| 13 | Anglicare (Sydney) | 23 | 2,531 | NSW | Faith-based | ★★★★★★★★★★3.91 | 91% | 3.00 |
| 14 | St Vincent's Care | 25 | 2,458 | NSWQLDVIC | Faith-based | ★★★★★★★★★★4.08 | 92% | 4.46 |
| 15 | Ozcare | 19 | 2,405 | QLD | Not-for-profit | ★★★★★★★★★★3.63 | 63% | 2.79 |
| 16 | Respect | 29 | 2,366 | NSWTASVICWA | Not-for-profit | ★★★★★★★★★★3.55 | 52% | 2.66 |
| 17 | Aegis Aged Care | 21 | 2,239 | WA | For-profit | ★★★★★★★★★★3.95 | 95% | 3.81 |
| 18 | RSL LifeCare | 25 | 2,197 | ACTNSW | Community | ★★★★★★★★★★4.00 | 100% | 3.56 |
| 19 | IRT | 20 | 2,114 | ACTNSWQLD | Community | ★★★★★★★★★★3.95 | 95% | 3.10 |
| 20 | Luson | 14 | 2,024 | NSWQLDVICWA | Not-for-profit | ★★★★★★★★★★3.50 | 50% | 2.50 |
| 21 | Churches of Christ Care | 23 | 1,946 | QLDVIC | Faith-based | ★★★★★★★★★★3.65 | 61% | 2.70 |
| 22 | Whiddon | 22 | 1,896 | NSWQLD | Not-for-profit | ★★★★★★★★★★3.86 | 86% | 3.36 |
| 23 | Uniting AgeWell | 21 | 1,839 | TASVIC | Faith-based | ★★★★★★★★★★3.95 | 90% | 2.81 |
| 24 | Thompson Health Care | 16 | 1,725 | NSW | For-profit | ★★★★★★★★★★3.93 | 87% | 3.40 |
Beds and homes: GEN Aged Care Service List (30 June 2025). Ratings and staffing sub-rating: Star Ratings quarterly extract (August 2026), averaged across each provider's rated homes. “Homes 4+ stars” is the share of a provider's rated homes at 4 stars or above.
Browse all providersThe 12-question tour checklist
Visit unannounced at least once, ideally at mealtime. Trust what you see over what you're told.
- Overall star rating, and which sub-rating is lowest? (look it up first)
- Care minutes last quarter vs target, total and registered nurse?
- Registered nurse on site 24/7? Any exemption?
- Last quarter's quality indicators vs the national average?
- What did residents say in the last experience survey?
- Daily food spend per resident? Who plans the menu?
- Can I join a meal today, unannounced?
- Any non-compliance decisions, current or archived?
- Walk me through your complaints process, step by step.
- How do you keep my parent's GP, and how are families told about incidents?
- What is staff turnover, and how long has the manager been here?
- Ask a resident: “Would you recommend living here?”
Built from the government's own datasets
Every dataset and report used on this page
- GEN Aged Care Service List (30 June 2025)
- Star Ratings quarterly data extract (August 2026)
- My Aged Care: how Star Ratings are calculated
- Dept of Health: care minutes
- ACQSC: 24/7 RN coverage & care minutes
- ACQSC: quality indicators
- ACQSC: non-compliance decisions register
- ACQSC: Statement of Rights
- Royal Commission Final Report (2021)
- Monash University malnutrition study (2024)
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