Despite ongoing efforts to improve aquaculture biosecurity in Ghana, farm-level compliance remains poorly understood. This study assessed biosecurity implementation levels by analyzing five years of routine biosecurity audit data from 235 fish farms across 12 regions. A structured questionnaire was used to collect data on farmer demographics, farm-level characteristics, and implementation of 14 biosecurity measures. Biosecurity scores were calculated for each farm and categorized as good (70-100, Grade A), moderate (40-69, Grade B), or poor (0-39, Grade C). Descriptive analyses and Kruskal-Wallis tests were used to explore associations in biosecurity compliance and farm-related factors. Findings revealed significant compliance challenges, with less than 5% of farms achieving a Grade A status. While most farms demonstrated relatively high compliance in feed storage (84.3%) and record-keeping (77.9%), implementation remained low for disinfection points (11.5%), Biosecurity Management Plans (6.4%), influent (3.8%) and effluent (13.2%) water treatment, and signages (11.5%). Biosecurity scores were significantly associated with geographical zone (p<0.001), production scale (p<0.001), operation type (p<0.001), culture facility (p<0.001), and species farmed (p=0.016). Grade C farms were predominantly small-scale, grow-out operations culturing African catfish in concrete or tarpaulin tanks, particularly in the Northern Belt, where 97% of farms had Grade C status. This study highlights a critical need for targeted interventions, extension services, and farmer education to improve compliance while also serving as a baseline to guide biosecurity adoption in Ghana.