The global aging population is constantly deepening, especially in first tier cities in China. According to research, the aging population in the central urban areas of first tier cities is higher. Therefore, in order to achieve coordinated socio-economic development, the elderly care service facilities in the central urban area should be reasonably laid out and planned. In this paper, the coverage, resource balance and facility layout rationality of elderly care facilities resources are evaluated through the “Spatial Accessibility” methods. The research results show that it is very necessary to reasonably increase the supply and layout of elderly care service facilities in areas with low coverage of community living circles. We need to further study and evaluate the accessibility of elderly care service facilities through potential models.