Objective To investigate the current status and influencing factors of elderly residents′ perceived organizational resilience in nursing homes, and to provide a reference for promoting the construction of organizational resilience in nursing institutions.Methods From September to December 2024, a survey was conducted among 327 elderly residents from 11 nursing homes in Chongqing using a general information questionnaire, the self-developed Nursing Home Organizational Resilience Assessment Scale, Nursing Home Care-related Quality of Life Scale, and the Memorial University of Newfoundland Scale of Happiness.Results The elderly residents′ perceived organizational resilience score was 95.00(90.00,99.00) points.Institutional nature, source of el-derly individuals′ income, physical condition, number of children, nursing home care-related quality of life, and happiness level were significant factors influencing perceived organizational resilience (all P＜0.05).Conclusion The perceived organizational resi-lience of elderly residents in nursing homes was at an upper-middle level but still has room for improvement.Nursing home admi-nistrators should implement targeted interventions to continuously enhance organizational resilience and provide more comprehensive and convenient services.