One in three nursing posts are remaining vacant in Scotland according to the providers’ body Care Scotland.
There are claims that managers are being spending as much as £1,000 per shift to fill essential roles.
Scottish Care published a report on nursing in care homes which says the situation is getting worse.
The proportion of care home providers who say they cannot readily fill nursing posts has risen from 68 per cent in 2015 to 91 per cent this year. Meanwhile average vacancy levels across the sector have risen from 28 per cent last year to 31 per cent.
The Scottish Care document says agencies charge an average of £434 per shift to help fill nursing rotas, but claims some agencies can charge up to £1,000 per shift.