Embedded in an expansion and restructuring of professional care services in Germany, care workers with migrant backgrounds have increasingly been employed in professional care services in Germany. Based on a large survey study in home-based- and residential care services throughout the country, the patterns of integration of care workers with and without migrant backgrounds in professional long-term care services in Germany have been compared. An own multi-level intersectional approach was used to reveal the interrelated impact of long-term care-, professionalization- and migration policies on the employment- and working-situation, i.e. the patterns of integration in professional care organizations respectively daily care work. The analysis examined the interrelated effects of migration backgrounds and skill levels as an indicator for social class in the female-dominated work field. Against the background of mainly stable residence- and work permits two impacts can be found: 1) access to qualified care-related training programs for care workers with migrant backgrounds and a strong impact of the skill level on their employment situation and 2) features of a difficult working-situation in daily care provision for care workers with migrant backgrounds in residential care provision in a complex interrelationship with skill levels.