The purpose of this study was to probe into the grading differences among graders from different backgrounds when the elderly’ balance and gait assessment tool, the Tinetti Assessment Tool, is employed domestically. The elderly living in northern Tai-Chung, Taiwan were sampled as study population. This study was divided into two stages. The first stage was to show that there were no distinct differences in the grading results of balance and gait from the three groups of grader. In the second stage, obvious differences of assessment result can be detected among elders from different backgrounds. These backgrounds can be categorized into two categories: different living environments and difference in walking ability. Independent elders who were living alone scored better on the gait assessment than those who were living with their families. Elders who did not need walking assistance of any kind scored better on both balance and gait assessment than those who used cane or other assistant devices. In addition, among the tested population, those who used walking assistant devices while living with families and those who lacked exercise while being ill at the same time scored the lowest on balance (11), gait (11), and total score (22). When it came to independent testing, the current walking ability of the elders possessed higher predictability in the scores of balance, gait, and total score.