The home-based community nursing service is a new nursing model that is actively promoted in our country in order to cope with the aging population. However, the quality of home-based community nursing service can not meet the needs of the elderly.Taking the elderly in Qingdao as the research object, the index system was established based on SERVQUAL（service quality) model, and the fuzzy comprehensive evaluation method was used to comprehensively evaluate the service quality of home-based community elderly care. The factors affecting the service quality of home-based community elderly care were discussed. It is found that there are still some problems in the quality of home-based community elderly care service, such as weak consciousness of elderly care, insufficient supply and demand of service resources, and lack of professionals.