The Bay of Plenty risks running out of beds and care workers to look after the region's rapidly ageing population - and immigration rules are part of the problem.
Figures released by the New Zealand Aged Care Association show the region's already stretched industry will need nearly 2690 more beds in the next eight years. In that time, another 1670 caregivers will be needed - more than 200 workers a year.
Chief executive Simon Wallace said the Bay's rest home occupancy rate was above the national average at 87 to 88 per cent and "when you look at the projection to 2026, clearly, in this region, there will be a supply issue".
Wallace said New Zealanders had little interest in working in the industry despite last year's $2 billion pay equity settlement to increase pay rates by 15 to 50 per cent.
"Come 2020, we will have a real problem unless we get a surge in Kiwis wanting to work in the industry."