BDO Private & Voluntary Nursing Home results 2019/20

BDO Private & Voluntary Nursing Home results 2019/20

The primary purpose of the survey is to report comprehensively on the state of the private and voluntary nursing home sector in Ireland, to analyse key sector indicators and trends and to report on matters of concern to nursing home operators.

Increased operating costs together with heavy capital investments to meet HIQA standards, significant regional inequalities in bed supply and other regulatory requirements are among a raft of issues identified in the 2019/20 survey.

The survey also puts a spotlight on the positives, not least huge progress made in expanding the sector over the past two decades to meet the growing requirement for specialised nursing home care for the growing older population, with in excess of 26,000 beds now provided. 

Some of the key findings identified in the survey include:

  • 75% growth in number of beds over the past two-decades, but viability of many smaller homes now threatened due to capital and operation expenditure deficits 
  • Surge in staff costs by 23.5% since 2014 but Fair Deal rate increases by 13.3% 
  • Fair Deal rate to support residents in Dublin, Wicklow & Kildare up to 33% more than other regions

With significant issues highlighted across the board, the Irish nursing homes sector is facing major challenges in the years ahead, with the viability of many becoming increasingly threatened and closure inevitable.

Download the BDO | Nursing Homes Ireland "Private & Voluntary Nursing Homes Survey" results 2019/2020 below.



BDO is one of the leading advisory firms in the Healthcare sector. We have established a close working relationship with the HSE, the National Hospitals Office and many public and private hospitals in Ireland.

If you have any questions about the items raised in the report, or would like to find out more about BDO's Healthcare Team, contact Brian McEnery, Partner & Head of Advisory, at