31 nursing homes, including three in the midlands, have closed in the last three years.
The Government is being warned nursing homes will have to close due to financial pressures.
Three have closed over the past three years in the midlands, with two in Westmeath and one in Offaly.
Nationally, 31 nursing homes have closed in the past three years.
Nursing Homes Ireland says a Fair Deal Rate pricing mechanism is no longer fit for purpose.
Its CEO, Tadhg Daly, says immediate action needs to be taken before other homes close:
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