The study investigated the actual conditions of U.S. nursing-home facilities and Korean nursing homes and conducted a comparative analysis of those nursing facilities to propose the following suggestions for facility improvement: 1.) The number of sickbeds per nursing unit in Korea should be maintained a level of more than 30 beds like the United States, and each rest room in a residential facility should have an area of at least 4.2 square meters. 2.) Each room of a nursing home should be occupied by four or less persons for privacy. 3,) The minimum areas of residential rooms should be larger than 9.2 sq. meters for single rooms and 6.1 sq. meters for quadruple rooms. 4.) Nursing homes for the elderly need to improve rest room spaces and interior fishes to prevent them from falling down and getting hurt and thus help them live safely.