Background: At present, the degree of ageing in China is becoming severe, especially in Shanghai, which is the largest city with the highest degree of aging in China. How to adjust the community to effectively meet the needs of the elderly groups has become the focus of social attention. Objectives: In this study, spatial analysis was used to explore the matching degree of the elderly population with the distribution of day care centers in Xuhui District, Shanghai, China, to explore the problems, and to propose optimization strategies with a view to providing feasible suggestions for the construction of old-age daycare. Methods: This research adopts the methods of literature study, map analysis, questionnaire survey, especially tries to use the spatial analysis software of Arc GIS in order to set up a spatial database of Xuhui District's elderly population based on street administrative territorial entity. Results: The results show that the quantity and quality of the day care centers in Xuhui District can not meet the actual needs of the elderly. Secondly, the services provided in daycare centers deviate from the actual needs of older population. Thirdly, the day care service content lists are quite homogeneous, which neglects the diversified and personalized needs . Main Contribution to Evidence-Based Practice: From the perspective of spatial distribution study, this article enriches the theory of the construction and management of the elderly care facilities in urban areas, and provides reference for the formulation of aging policy. Meanwhile, it gives some suggestions on optimizing the spatial distribution of community facilities to fulfil the actual needs for optimal matching of the elderly care resources.