The purpose of this study was to explore the effect of horticultural therapy which was integrated the concept of group counseling. In other words, there was a horticultural group therapy was conducted 12 sessions to change living state of 8 elderly in nursing home. The research data was collected by nonparticipant observations which were focused on significant events in group process and research method was executed by quality content analysis. There were some positive effects in this elderly horticultural therapy which were included verbal presentation, interpersonal interaction, cognitive ability, life habit, emotion expression, interest in horticultural activities and so on. Recommendations, limitations of the study, and implications for possible future research were included.