Long-term care policy has been one of the most critical issues in Taiwan, with population aging following close behind. Most researchers have focused on the need or demand for care, in addition to its assessment, costs, and quality. However, differences in the availability of care have been ignored, particularly the availability of a sufficient number of care workers. Nursing assistants and foreign care workers have been providing more than 80% of man power long-term care in Taiwan. Their heavy burden has adversely affected the quality of direct care. This article explores the circumstances faced by those who work as nursing assistants and homes care workers. The differences on their job descriptions, working benefits and care burden faced by these two groups of care workers with respect to the work environment (home vs. nursing home), salaries, benefits, service to clients, and job content are addressed. The findings indicate that the quality of care provided by those care worker who functioning as home-nursing assistants was negatively associated with poor support at private home, ambiguous job content, atypical employment relationships, and low wages. For these reasons, those foreign labor who works as nursing assistants tended to choose agency care rather than home care. In general, foreign care workers regardless whether works at home or nursing home, their working condition such as working hours, wages, vocation, and benefits are worse compare to local Taiwanese care workers. The policy on improving the foreign care labors’ employment situation, it is suggest by author that more attention must be paid to their qualifications, education and training, and the nature of the care works they provide. The results suggest that future studies can enhance accountability in the health care industry and improve the quality of care provided by those foreign labors.