Abstract: Background and Objective: Ageing is a global public health concern. With the increase in elderly population, the number of old age homes is also increasing in Nepal. The main objective of this study was to compare the health status of elderly living in two complexes of old age homes: private and government. Materials and Methods: This is a cross sectional descriptive study carried out in Kathmandu and total 7 old age homes were included in this study. The total sample size for this study was 188. Two in-depth studies were carried out. Results: The study found that the elderly people living in the private old age homes have the better health status than the government old age homes despite the minimum amenities available. The elderly in government old homes were suffered more to endemic diseases than private old age homes. Following the healthy habits and the clean dwelling surroundings of the private old home had led their health better in compared to government old age homes. Conclusion: Government should give priority to provide the quality of services to elderly living in old age home compared to private old age home.