The improvement of living environment of the elderly is an important part of the development of aging services and the constructionand improvement of the elderly care system in Jiangsu Province. From the active aging perspective this study addresses thekeys and difficult points of improving living environment of the elderly. An index system for the elderly living environment was constructedencompassing three dimensions—elderly healthy living environment elderly health support environment and elderly healthhygiene environment—with a total of 15 observed variables. The entropy-weighted TOPSIS evaluation model was used for measurementand analysis. The results show that the overall level of elderly living environment in Jiangsu Province has been on an upward trendfrom 2014 to 2023 but the growth rate has slowed down. In 2018 the level of elderly health and hygiene environment improved acrosslevels. The overall rate of good environmental air quality and the number of elderly care service institutions showed an negative growth.The per capita current living space mobile phone penetration rate and per capita green park area are important influencing factors.Therefore we should combine the three pillars of active aging namely “health” security and “participation” to further improve theliving environment for the elderly in Jiangsu Province.