Ikusei Shuro Caregiving (介護) 2027: N4 Japanese, the 2-Year Transfer Lock, and the Care Worker Path to Permanent Residence
Caregiving is the largest field in Japan's 2027 Ikusei Shuro system — about 33,800 planned slots, a higher Japanese bar than other sectors, a two-year transfer lock, and a unique route to permanent work through the national 介護福祉士 qualification. Here is the full caregiving map for foreign workers.

Bottom line: Caregiving (介護, kaigo) is the single largest field in Japan's new Ikusei Shuro system, with a planned intake of about 33,800 Ikusei Shuro workers (plus roughly 126,900 Specified Skilled Worker slots) through the end of March 2029, decided at the January 23, 2026 Cabinet meeting on sector-specific policies. Caregiving is different from every other sector in four ways that decide your career: it requires A2.2-level Japanese from the very start (not the A1 that most sectors allow), it uses a two-year transfer-restriction period (the longest tier), it has its own two exams run by Prometric, and — because caregiving is not a Specified Skilled Worker (ii) field — it offers a unique long-term route: pass the national Certified Care Worker (介護福祉士) exam and switch to the open-ended "Nursing Care" (介護) residence status, which allows family and counts toward permanent residence. Information current as of July 2026, based on the Immigration Services Agency sector-specific operational policies (分野別運用方針) confirmed on January 23, 2026, the Ikusei Shuro Q&A, and the Ministry of Health, Labour and Welfare's caregiving-sector materials. This is general information for foreign workers, not legal advice — see the disclaimer at the end.
This guide is a companion to our main Ikusei Shuro overview. Here we go deep on caregiving specifically: the language bar most articles get wrong, what care work you may and may not do, the 2025 change that opened home-visit care, how transfer works, realistic pay, and the one career path that is unique to this sector.
Why caregiving is the flagship sector
Japan is the oldest society on earth: more than 29% of the population is 65 or older, and the government projects a shortfall of hundreds of thousands of care workers by the late 2020s. That is why caregiving consistently receives one of the largest foreign-worker allocations of any field.
At the January 23, 2026 Cabinet decision on sector-specific policies (分野別運用方針), the caregiving allocations were set as follows. Treat these as ceilings for the period, not guarantees, and confirm the current figure on the Immigration Services Agency policy page.
| Status | Planned intake (caregiving) | Period |
|---|---|---|
| Ikusei Shuro (育成就労) | about 33,800 | through end of March 2029 |
| Specified Skilled Worker (特定技能) | about 126,900 | through end of March 2029 |
The practical takeaway: demand is structural and long-term. Unlike some manufacturing sub-sectors, caregiving is not going to run out of positions. But it is also the sector with the most human responsibility, and Japan reflects that in a higher language bar and a longer commitment before you can transfer.
The Japanese-language requirement: A2.2 from day one, not A1
This is the single fact most English-language articles get wrong. For most Ikusei Shuro sectors the entry bar is CEFR A1 (about JLPT N5). Caregiving is far higher: the official sector-specific operational policy (介護分野) requires A2.2 or above on Japan's Reference Framework for Japanese Language Education (「日本語教育の参照枠」) before your Ikusei Shuro period begins — the upper half of A2, roughly JLPT N4 level. You then hold that A2.2 level throughout, with added checkpoints:
| Milestone | Japanese requirement | Skill requirement |
|---|---|---|
| Before Ikusei Shuro begins (entry) | A2.2 or above (reference framework) | — |
| Within 1 year of starting | A2.2 or above + a Japanese study plan (waived if you already hold B1 or above) | Care Ikusei Shuro Evaluation Test — Elementary (初級) |
| By the end of Ikusei Shuro (≈3 years) | A2.2 or above + Care SSW Evaluation Test (Japanese) | Care Ikusei Shuro Evaluation Test — Advanced (専門級) |
Because A2.2 is required before your period begins, you cannot arrive at N5 and catch up later the way you can in most sectors. This is the gate that stops the most caregiving candidates, so start Japanese early — free tools built for this exact ladder, such as Lingo, can take you from kana toward the A2/N4 range at your own pace. On top of the exam bar, your post-arrival training must include at least 240 hours of Japanese instruction (reduced to 80 hours if you already hold B1 or above).
The caregiving exams: one at each stage
Caregiving uses its own staged evaluation tests during Ikusei Shuro, plus a care-specific Japanese exam at the transition into skilled-worker status:
| Test | When | What it is for |
|---|---|---|
| Care Ikusei Shuro Evaluation Test — Elementary (介護育成就労評価試験・初級) | within year 1; also required to transfer employers | basic care skill |
| Care Ikusei Shuro Evaluation Test — Advanced (介護育成就労評価試験・専門級) | by the end of Ikusei Shuro | skill level to move into Specified Skilled Worker 1 |
| Care SSW Evaluation Test — Japanese (介護特定技能評価試験・日本語) | end of Ikusei Shuro / entry to SSW1 | care-specific Japanese |
These sector exams sit under the Ministry of Health, Labour and Welfare framework. The care skill and care-Japanese evaluation tests used for Specified Skilled Worker "Nursing Care" are administered by Prometric on the ministry's behalf; you register with a Prometric ID. Passing the Advanced (専門級) skill test and the care-Japanese test is what carries you from the training stage into skilled-worker status.
What care work you may — and may not — do
Your permitted duties are defined by the sector rules, not by whatever your employer prefers. In caregiving, the core is physical care (身体介護): helping residents with bathing, eating, and toileting according to their individual condition, plus related support such as recreation and rehabilitation assistance.
- Core duties (身体介護, shintai kaigo): assisting with bathing (入浴), meals (食事), and toileting (排せつ).
- Related duties: recreation activities, assistance with functional-training / rehabilitation, and record-keeping.
- Not the core role: pure cleaning, laundry, or cooking as a standalone job is not the intent of the caregiving status, though incidental support around care is normal.
Home-visit care (訪問介護) opened in 2025 — but with conditions
Historically, foreign care workers on the intern and specified-skill routes were restricted to facility-based care and could not do home-visit (訪問) services. That changed in April 2025, when home-visit care was opened to Specified Skilled Worker and technical-intern caregivers — but only under safeguards. According to sector guidance, a worker must generally have completed the Care Worker Foundation Training (介護職員初任者研修) and have at least one year of practical experience at a facility, together with employer supervision and support measures, before doing home visits. If someone offers you home-visit work on day one, that is a red flag.
Transfer (転籍) in caregiving: the two-year tier
The headline reform of Ikusei Shuro is that you can lawfully change employers (転籍) instead of running away — but the waiting period depends on the sector. Caregiving, as a skill-intensive field, uses the longer two-year transfer-restriction tier rather than one year.
The sector policy sets the caregiving transfer-restriction period at two years as an explicit "gradual-adjustment" measure "for the time being" (当分の間). The stated reasons: caregiving depends on continuity of trust with the people you support, and without a limit, workers who begin in rural areas would flow to higher-wage cities. To transfer, you must have passed the Care Ikusei Shuro Evaluation Test (Elementary / 初級) and hold A2.2-level Japanese. Separately, any employer that sets a restriction longer than one year must have obtained the care treatment-improvement addition (介護職員等処遇改善加算) and must draw up a career-support plan for each worker. Beyond these, the same five statutory conditions in the general system apply to a voluntary transfer:
- The sector-defined transfer-eligibility period (two years for caregiving) has elapsed;
- You have passed the basic skill test or Ikusei Shuro evaluation;
- You have passed JLPT N5 or the equivalent Japanese test;
- The receiving employer is on the "excellent operator" list; and
- You transfer through a public channel such as Hello Work or your Supervising/Support Organization.
Harassment, non-payment, and other hardship cases can transfer under different, faster rules. We break down every condition, including the hardship route, in our Ikusei Shuro transfer-rights guide.
Wages and the treatment-improvement addition
Ikusei Shuro requires equal pay for equal work: your wage must match a Japanese employee doing the same job, and the receiving plan has to demonstrate that parity. In practice, the floor is the prefecture's minimum wage, and caregiving pay is lifted in many workplaces by the government's treatment-improvement addition (処遇改善加算), a subsidy specifically intended to raise care-worker wages.
Illegal deductions were the single biggest wage abuse under the old intern system — the Ministry of Health, Labour and Welfare's FY2024 monitoring found Labour Standards Act violations at a majority of inspected intern workplaces. If your payslip shows deductions you never agreed to in writing, that violates Article 24 of the Labour Standards Act. Our wages and deductions guide walks through how to read your payslip and how to file a complaint with the Labour Standards Inspection Office (労働基準監督署).
The career path that is unique to caregiving
Most Ikusei Shuro sectors climb to Specified Skilled Worker (ii) for indefinite renewal. Caregiving is not an SSW (ii) field — but it has something arguably better: the national qualification route.
| Stage | Typical years | Key requirement | What it gives you |
|---|---|---|---|
| Ikusei Shuro (caregiving) | 0–3 | Raised Japanese bar; OJT + care basics | One transfer allowed after 2 years (conditions met) |
| Specified Skilled Worker 1 (介護) | 3–8 | A2.2-level Japanese + care skill & care-Japanese exams | Free job change within caregiving; 5-year cap; no family |
| Certified Care Worker (介護福祉士) → "Nursing Care" (介護) status | from ~year 5–8 | Pass the national 介護福祉士 exam (after the required practical experience and training route) | Open-ended renewal; family allowed; counts toward permanent residence |
| Permanent Residence (永住権) | ~10+ continuous | Standard PR criteria: tax/pension paid, clean record, stable income | No sponsor; family preserved |
The takeaway: in caregiving, your ceiling is not five years. Passing the 介護福祉士 national exam converts you to the "Nursing Care" residence status, which — unlike SSW1 — has no fixed cap, allows you to bring your family, and puts you on the standard road to permanent residence. For the full long-term calculation across SSW and PR, see our Japan permanent-residency guide.
Where you will work: types of care facilities
Caregiving positions sit inside several facility types. Pay, night-shift load, and the mix of physical care differ across them:
- Special nursing homes (特別養護老人ホーム / 特養): residential care for high-need seniors; more physical care and night shifts.
- Long-term care health facilities (介護老人保健施設 / 老健): rehabilitation-oriented, bridging hospital and home.
- Day services (通所介護 / デイサービス): daytime care; typically no overnight shifts.
- Group homes and home-visit services (訪問介護): smaller settings; home-visit work requires the extra qualifications noted above.
Employment and supervision rules that protect you: caregiving under Ikusei Shuro (and Specified Skilled Worker) must be direct employment (直接雇用) — you are hired by the care operator itself, not supplied through a dispatch (派遣) agency. A workplace cannot take on more foreign workers than its number of full-time Japanese care staff, and must assign a caregiving instructor for every five Ikusei Shuro workers, at least one of whom holds the 介護福祉士 certification. Where night shifts or other low-staffing situations are involved, the employer must put safety measures in place.
A note from LO-PAL's founder
LO-PAL's founder worked in a hospital in Osaka as a government-supported "medical coordinator for foreign patients" (外国人患者受入れ医療コーディネーター). The recurring problem was never the quality of Japanese care — it was access and communication: a foreign patient arriving at the wrong department because they could not find a nearby clinic, or could not explain their symptoms. Caregiving work sits at exactly that intersection of language, health, and trust, which is why the Japanese bar in this sector is real, not bureaucratic. Prepare the language seriously, and you will not just pass the exam — you will do the job well.
Frequently asked questions
Do I need N4 Japanese before I arrive for caregiving?
Caregiving does not use the general A1 entry rule. The official sector policy requires A2.2 or above on Japan's Reference Framework for Japanese Language Education — the upper half of A2, roughly JLPT N4 level — before your Ikusei Shuro period begins, and you keep that level throughout. Plan to reach the A2/N4 range before you apply; unlike most sectors, you cannot arrive at N5 and catch up.
Can I do home-visit (訪問) care?
Only after meeting the 2025 conditions: completion of the Care Worker Foundation Training (初任者研修) and at least one year of facility experience, with employer support in place. Home-visit work offered on arrival is not compliant.
What happens if I fail the skill or Japanese exam?
The general rule allows a limited extension (up to one year) to retake, rather than immediate removal. The exact handling depends on your plan; confirm with your Supervising/Support Organization.
Can I bring my spouse or children?
Not during Ikusei Shuro or Specified Skilled Worker 1. Family accompaniment becomes possible once you convert to the "Nursing Care" (介護) residence status after passing the 介護福祉士 exam — one of the biggest reasons caregivers pursue that qualification.
How much will I earn?
By law, the same as a Japanese worker in the equivalent role, with the prefecture minimum wage as the floor and the treatment-improvement addition (処遇改善加算) lifting pay in many workplaces. Verify the specific figure in your employment contract before departure, and cross-check it against the prefecture's current minimum wage.
What to do next
- Start the Japanese ladder now: caregiving requires A2.2 (roughly N4) before you may begin — not after. Start early with a structured tool such as Lingo.
- Read the transfer rules: caregiving uses the two-year tier — know your rights in the transfer-rights guide.
- Check your country's fees before you sign: see the Vietnam, Indonesia, Philippines, Myanmar, and Nepal country guides.
- Have a specific question about your area or facility? Ask a local in Japan directly on LO-PAL.
Disclaimer: This article is general information, not legal advice. Japan's caregiving immigration rules — including the exact Japanese-language threshold, transfer conditions, and exam requirements — are set by sector notices that can change, and individual outcomes depend on your plan and on adjudicator discretion. Before signing with any sending agency or filing any application, confirm the current rules with the Immigration Services Agency (moj.go.jp/isa) and the Ministry of Health, Labour and Welfare (caregiving-sector page), or consult a licensed administrative scrivener (行政書士). Never pay a fee before verifying the maximum allowed under your home country's regulations.
Sources and further reading
- Immigration Services Agency — Basic policy and sector-specific operational policies (分野別運用方針, decided January 23, 2026)
- Immigration Services Agency — Ikusei Shuro Q&A
- Ministry of Health, Labour and Welfare — Ikusei Shuro in the caregiving sector
- Ministry of Health, Labour and Welfare — Specified Skilled Worker (caregiving) reception, including the sector exams and home-visit conditions
If you are unsure about your specific case, contact the Immigration Services Agency directly or consult a certified administrative scrivener (行政書士) specializing in residence-status applications. This guide does not substitute for individual legal advice.
Written by

Founder, LO-PAL
Former Medical Coordinator for Foreign Patients (Ministry of Health programme) and legal affairs professional. Built LO-PAL from firsthand experience navigating life abroad.
Written with partial AI assistance
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