Emergencies　in　elderly　care　facilities　are　not　uncommon.　However,　conducting　evacuation　drills　for　disabled　older　adults　poses　significant　challenges　due　to　their　physical　limitations.　While　simulation　approaches　offer　a　viable　alternative,　there　is　a　dearth　of　research　focused　on　evacuation　simulation　models　considering　the　presence　of　disabled　older　adults.　This　study　introduces　an　agent-based　approach　designed　to　simulate　the　evacuation　of　older　adults　within　elderly　care　facilities.　The　approach　incorporates　the　distinct　characteristics　and　behaviors　of　nursing　staff,　selfsufficient,　semi-disabled,　and　disabled　older　adults　during　evacuation.　The　simulation　environment　replicates　the　typical　architectural　layout　of　single-story　elderly　care　facilities.　Two　evacuation　strategies,　specifying　the　order　in　which　nursing　staff　assist　disabled　older　adults　during　evacuation,　are　proposed.　The　performance　of　these　strategies　under　scenarios　with　varying　proportions　of　disabled　older　adults　and　caregiver　ratios　is　compared　through　simulation　experiments.　The　results　indicate　that　the　strategy　requiring　nursing　staff　to　initially　assist　the　disabled　older　adults　under　their　responsibility　and　then　seek　out　and　aid　the　nearest　disabled　older　adults　is　more　effective　in　reducing　total　evacuation　time　in　most　cases.　Furthermore,　the　impact　of　the　spatial　layout　of　disabled　rooms　on　evacuation　efficiency　and　safety　is　discussed.　The　results　reveal　that　the　opposite-side　center　concentration　pattern　of　disabled　rooms　outperforms　other　spatial　layout　patterns　of　disabled　rooms　in　terms　of　evacuation　efficiency　and　safety.　These　findings　contribute　to　the　optimization　of　evacuation　strategies　and　spatial　layouts　within　elderly　care　facilities　by　providing　quantitative　evidence　to　support　decision-makers.