According to the third issue of China Longitudinal Aging Social Survey in 2018，this paper studies the status quo of smart home for the elderly in the eastern，central and western regions and Beijing-Tianjin-Hebei region，mainly focusing on three aspects of smart equipment，network conditions and smart home ability. The results show that：（1）At present，there is still a lack of home intelligent equipment for the elderly in China. The basic equipment of electronic blood pressure monitor is popular in the eastern part of China，but it is still scarce in the central and western parts of China. Moreover，the possession of intelligent equipment in urban areas is significantly higher than that in rural areas；（2）The Internet coverage rate in eastern China is significantly higher than the national level and the level of central and western China. The home Internet conditions of the urban elderly are significantly better than that of the rural elderly，with significant regional and urban-rural differences；（3）Television is still the main channel for the elderly to obtain information from the outside world，but the Internet has begun to popularize among the elderly in cities；（4）The intelligent equipment ownership，network coverage and smart home ability of the elderly in Beijing and Tianjin are significantly higher than those in Hebei Province，which has a large rural elderly population. Finally，we put forward countermenasures and suggestions around the optimization of intelligent elderly care equipment，increasing the pupblicity of smart home care，and promoting the network coverage in Beijing，Tianjin and Hebei，especially in rural areas.