Purpose: This study was done to investigate oral care provided by nursing staff and the recognition and educational needs for such care in long-term care facilities for the elderly people. Methods: From May 18 to 30, 2009, data was collected from 293 elderly residents and 142 nursing staff. General characteristics, oral care for residents and the recognition and educational needs of nursing staff were obtained through questionnaires. Data were analysed using SPSS/WIN 12.0 statistics package. Results: The main oral caregivers were home care aids and there were no formal guidelines for oral care in the facilities. Most caregivers (89.5%) experienced the residents' refusal to have oral care. While caregivers recognized the importance of oral care, it had a low priority (3~4th). They wanted education on effective oral care. Conclusion: The results of the study indicate a need for formal guidelines on oral care in long-term care facilities, education on approaching uncooperative residents, and the development of education programs for nursing staff on the high priority of effective oral care for the residents.