Purpose: The purpose of this study was to identify factors influencing death anxiety of elderly patients in long-term care hospitals. Methods: Participants were 273 older people who were admitted to long-term care hospitals located at P city and K city, Korea. Data were collected through structured questionnaires from August 7 to October 20, 2014. Data analysis included one-way ANOVA, independent t-test, Pearson correlation coefficients and multiple stepwise regression using the SPSS/WIN 21.0 program. Results: Multiple stepwise regression analyses identified ego-integrity, family support, education, health status, and age as significant predictors of death anxiety and these factors explained 21.0% of the variance in the model. Conclusion: These results suggest that life cycle education to reduce ambiguous death anxiety by adding values to the lives of elderly patients.