purpose of the study was to investigate factors related to the size of the elderly institution agencies and outcomes of accreditation in a municipality located in south of Taiwan. Accreditation outcomes of the elderly institution agencies in 2013 were analyzed by using SPSS for Windows version 18.0 software, significant level set to .05. Results found that accreditation outcomes and the size of the elderly institution agencies were statistical significant related. In addition, using multiple linear regression analysis to detect predictors of accreditation scores of outcomes, results showed that life care and professional services, administrative organization and management, environment and safety maintenance were the most important significant predictors. The amount of its total variance explained was 72.6%. The results of this study can provide institutional managers once again view their business philosophy, mode of operation, but also provide staff caregivers to self-enrichment of knowledge and skills.