The aging of the population is accelerating. In China, the relationship between the differences in aged care and medical resources is being explored, but there is a lack of research on the aged care and medical needs of older people in the community and the functional space of aged care institutions. In this paper, questionnaires, interviews and observations were conducted with older adults over 60 years of age in a small urban community. Statistical methods were used to analyze their real needs in terms of living and health requirements. The results showed that 1) The number of members in the whole family was significantly associated with the choice of home care model. 2) There was a high demand for day care, emergency stations and home services among the seniors in the community. 3) Watching television, drinking tea, and growing vegetables and flowers were the most popular activities among the seniors. 4) There was a high demand for nursing services, medical services and medical equipment among the seniors in the community. Conclusion. Family service station, ornamental room, tea room, vegetable garden and healthy green environment should be the most basic functional spaces. Professional medical places for the seniors should be provided in the community.