This review aims to obtain the relationships between characteristics of the facilities and the quality of life of older adult residents, and to obtain the direction in which new studies should be addressed as well as their application to healthcare policies. A systematic review was conducted following PRISMA guidelines. Multiple databases have been used: Scopus, Web of Science, Wiley online library, PubMed, ProQuest, EBSCOhost, and Emerald, from January 1, 2011 to July 1, 2023. Ten studies from 1,037 articles were included. Evidence exists on the positive relationships between quality of life and hours of management, care, activities, and qualified staff, and in general, the characteristics included in the categories of space management, supporting facilities and building services. In contrast charitable and for-profit facilities, Medicaid status, resident acuity, deficiencies, chain affiliation, size, hours of practical nurses, turnover, and financial resources (except occupancy rate) have a negative impact on quality of life or their dimensions.