An aged care facility at the centre of an ABC investigation has had its accreditation revoked for alleged failings in its care.

In July, the Tinonee Gardens nursing home in the Newcastle suburb of Waratah was sanctioned by the Federal Health Department for the second time within a year.

It came after officials deemed it a serious and immediate risk to residents.

Over the past five months, the ABC has reported several allegations about the home.

During that time the nursing home has repeatedly welcomed the accreditation process.

It had also defended its level of care and said it was concerned about allegations without context where residents had complex needs.

Accreditation to stop in November

The Federal Government's Australian Aged Care Quality Agency outlined in its report more than a dozen concerns about the home and has decided to revoke accreditation.

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"Following a review audit conducted on 8 June 2018 to 19 June 2018, a delegate of the CEO of the Australian Aged Care Quality Agency made a decision on 10 August 2018 to revoke accreditation of this service," the agency said.

"If an approved provider of a service has a significant number of expected outcomes not met or findings of serious risk to the safety, health or wellbeing of care recipients, its accreditation may be revoked as of a specified date.

"The period of accreditation of the service will expire on 2 November 2018 and from then Tinonee Gardens would no longer be eligible for Government subsidies."

The agency said Tinonee Gardens could appeal.

"The approved provider is entitled to seek reconsideration — by a different decision-maker — of a decision to revoke a residential aged care home's accreditation or vary its accreditation period," the quality agency said.

"If the second decision-maker confirms the original decision, the approved provider can appeal to the Administrative Appeals Tribunal for a review."

Pain, behavioural and skin care management criticised

The agency said pain management was a particular concern.

"The home does not demonstrate that pain management strategies are implemented consistent with care recipients' assessed needs and in a timely manner," the audit team reported.

"The review and notification to medical officers or after hours services has caused delays in the management of a care recipient when they are experiencing extreme pain."

The nursing home's skin care protocols were also criticised.

"Management cannot demonstrate care recipients' skin integrity is consistent with their general health," the audit report said.

Wound documentation is at times poor and review of wounds is not always undertaken to support effective evaluation of wound management.

The assessors also took aim at continence and behavioural management.

"The home has systems and processes designed to ensure that 'care recipients' continence is managed effectively," the assessment team found.

"The needs of care recipients with challenging behaviours are not managed effectively."

"We observed unmanaged challenging behaviours impacting on safety and wellbeing."

Privacy and dignity were also deemed a concern in the audit report and assessors also criticised the lack of leisure activities.

"We observed numerous care recipients remaining in their units, in front of the TV and not engaged or watching, during the review audit," it said.

Staff said to be unable to meet demands

Management of staff numbers and skills was also singled out in the agency's report.

"The home does not ensure sufficient appropriately skilled and qualified staff to ensure that services are delivered in accordance with the accreditation standards," the report said.

"Staff report they are unable to complete their duties satisfactorily and cannot meet care recipient needs.

Care recipients and representatives report that care and services have deteriorated and that there are insufficient staff available to meet care recipients' needs.

"Staff do not have skills and knowledge to undertake their roles."

The report said overall clinical care was also deemed substandard.

Care recipients and representatives provided negative feedback about staff consistency and skill.

"There is insufficient clinical oversight and care recipients do not receive appropriate clinical care," it said.

Tinonee Gardens has been approached again for comment.

It previously told the ABC: