Malaysia is a developing country and it is expected to become a developed country by 2020 based by various advances in technology, education, and research. Those aged 60 years old and above are considered as elderly or senior citizen. Thus to cope with the issue, the government should come out with solution and innovation by setting up more nursing homes to meet the increasing demands of this service. The aim of this study is the minimum guideline of facilities at the nursing homes in Klang Valley. The objectives are to explore the current act for guidelines of facilities at the nursing homes in Malaysia; to investigate the physical environment elements guideline of facilities at the nursing home in Malaysia and to determine the physical environment elements guideline of facilities at the nursing homes in Malaysia. This research has been used the qualitative method with semi structured interviewed. Five nursing homes which are located in Kuala Lumpur and Selangor were selected in this research. The five nursing homes are registered under The Private Sector of Medical Practitioner. Data will be gather from expert interview will be analyzed using content analysis. Finding indicates that Malaysia doesn‟t have any specific guideline for Nursing Home but they were used Private Healthcare Facilities and Service Act 1998. This research indicates there are three items from National Minimum Standard that can be used in Malaysia which are dormitories, shared facilities and lavatories from environment element of physical environment activities. Therefore, this study indicates that there are dormitories, shared facilities and lavatories from National Minimum Standard guideline to implements the minimum guideline facilities for nursing homes in Malaysia. Interview was conducted to gain the data, while the analysis was used as Content Analysis. This research recommended for the government to subsidise the minimum standard guideline for nursing homes in Malaysia. Besides, nursing home operators should propose to the government to set the minimum standard for nursing homes in Malaysia based on demographic data and culture. Last but not least, this research will be a benchmark for future researcher to study about the guideline implementation in nursing homes in Malaysia.