The purpose of this study is to make clear the architectual planning of long-term care ward as the place for coming to end-of-life.We selected the long-term care ward of downsizing care with private room for a case study and carried out the survey for elderly family.The results of this study are as follows. 1) The length of end-of-life care is about a month. 2) After downsizing care with private room,elderly family visit long-term care ward more than before and the length of visiting long-term care ward is longer than before. 3) After downsizing care with private room, a relationship between elderly family and staff is better because of a good relationship between the elderly and staff. 4) Afer downsizig care with private room, Most of elderly family determine palliative care as end-of-life care.