Objective To develop a systematic standards of dementia service and management for elder-care institutions, and to advance the service and management for the elderly with dementia in the elder-care institutions. Methods Initial indicators were formulated based on literature research, semi-structured interview and questionnaire survey, then 15 experts were consulted by employing the Delphi technique. At last, a consensus was achieved by 8 experts after a face-to-face meeting. Results The returned rate of the questionnaires in each round of Delphi consultation was 93.8% and 100%.The coefficient of authority of experts was 0.89 in both rounds. The Kendall′s coordination coefficient of the importance of the standards was 0.184 and 0.203 in each round respectively, and that of the practicality of the standards was 0.204 and 0.216 respectively （P＜0.01 for all）. Through expert consensus meeting, the final version of the standards included 3 first-level indicators, 11 second-level indicators, 45 third-level indicators, and 55 fourth-level indicators. Conclusion By employing scientific and reliable research methods, standards for dementia service and management in elder-care institutions is practical, which can provide reference for advancing dementia care.