From the perspective of residents，this article interprets the construction of community and family elderly care facilities in urban areas of China，combines residents’needs to understand the shortcomings in the construction of elderly care facilities in urban areas，and explores corresponding optimization measures. The study conducted a questionnaire survey on urban community families in Jiangsu Province，to obtain the needs of residents for medical and elderly care integration. At present，there is a lack of awareness of aging-friendly transformation within urban households in China，and the effect of the construction of standardized elderly care communities is minimal， and the infrastructure configuration for the elderly population is insufficient. Both family elderly care and community home-based elderly care models occupy a mainstream position among different age groups， and residents’ needs for ageing-friendly home modifications are concentrated on healthcare，with the hope that the community where they are located will soon establish a comprehensive and standardized elderly care community. Based on these，we will explore strategies for constructing and renovating integrated medical and elderly care facilities.