Wireless communication refers to long-distance transmission communication between multiple nodes without propagation through conductors or cables, and wireless communication can be carried out by radio and electromagnetic waves, etc. Judging from the current situation, the home space positioning design of the medical and elderly care communities is not perfect, which affects the traditional home care. Wireless communication can give wisdom, coordination, and development space in the smart elderly care space positioning design, allowing the elderly to interact, contact, and know their precise location and behavior. This article mainly studies the design and implementation of smart pension space positioning under BIM technology. This paper introduces the frontier of Internet-of-things technology and the theory of sensor network topology control. It uses basic IoT technology to implement the "point, line, and surface" combination of personnel placement algorithms, sensor network communication protocols, topology checks, security models, sensor network wireless communication units, and wireless communication technology. The basic technology and communication technology of personnel deployment based on BIM technology are introduced, the development strategy of wireless communications node is studied, the installation of equipment radio personnel and communication equipment is designed, and the system management platform for the design and development of staff placement in pension institutions is provided. The Web site's information service management, standardized procedures, optimized services, provision of information, intelligent management, and pension services. The experimental results of this paper show that the smart pension space positioning under the BIM technology solves the management loopholes in nursing homes, shortage of nursing staff, inefficiency, lack of services, and family conflicts. It improves the efficiency of the elderly by 25% and the safety index by 23–27%. The development of wireless communication technology promotes the development of intelligent pension space. It will be an important future development direction for the smart community pension.