Objective To investigate the satisfaction degree of the elderly towards the community nursing service in Nanchang and to provide evidences for the reasonable planning of the health administrative department. Methods The stratified simple random sampling method was adopted and the questionnaire of satisfaction degree of the elderly towards the community nursing service was used to investigate 800 old people who were recorded in the community health service center. Results A total of 758 valid questionnaires were returned and the valid rate was 94.8％. Items with high satisfaction rates were regular health examination (89.9%), dynamic management of record information (89.1%), and guidance of diagnosis and subsequent visit (89.0%). Items with low satisfaction rates were guidance of rational use of healthy products (54.6%), guidance of immunization (56.3%), and home sickbed services (61.4%). The stepwise logistic regression analysis revealed that positive influencing factors of the satisfaction degree of the community nursing service were living in Honggutan new district, married, graduation from middle school, average salary of 2 001-3 000 Yuan, walking time less than 15 min from home to the community health service center, and absence of depression; while negative influencing factors were unmarried/widowed, average salary less than 1 000 Yuan, totally at own expense, household registration, chronic disease, vision loss, and persistent depression. Conclusion The overall satisfaction rate of the elderly towards the community nursing service is high, but satisfaction rates of some services are low. Various measures should be taken to improve the satisfaction rate of the elderly towards the community nursing service based on relevant negative influencing factors.