As of June 30, there were about 120,000 people nationwdie awaiting a home care package.
The My Aged Care website says expected waiting times for level 2, 3 and 4 packages (the three highest levels) are more than 12 months.
A quarter of people wait about three years for a level 4 package
The royal commission said urgent action was needed to stop the "severe suffering" of people who were waiting for a home care package, with delays leading to hospitalisation, forced entry into nursing homes and increased risk of death.
"Many people die waiting," it said, noting more than 16,000 people died waiting for a package in 2017-18.