Purpose: The purpose of this study was to investigate the status and characteristics of visiting nurses' managementfor elders with cognitive impairment living in a community focused on health centers in a metropolitan cityand five medium-sized cities. Methods: Data were collected from 47 visiting nurses working in a metropolitan cityand 47 visiting nurses working in five medium-sized cities from November to December 2012. Results: There wereno statistically significant differences in knowledge, attitudes, and nursing behaviors of cognitive impairment betweentwo groups (F=2.13, p=.148; F=3.64, p=.060; F=0.28, p=.595). Among the elders referred to a physicianin a metropolitan city by visiting nurses, 42.4% were diagnosed as mild cognitive impairment and 15.2% werediagnosed as severe dementia. The major intervention programs which visiting nurses currently applied for elderswere medication and exercise intervention programs, and the intervention programs which they would want toapply in the future were playing, music and recall intervention programs. Conclusion: The cognitive impairmentscreening test can be done effectively by visiting nurses. This study also suggests to develop various kinds ofintervention programs to improve cognitive function for elders living in a community.