Abstract: Elderly care institutions, which provide full-time centralized accommodation and care for vulnerable elderly populations, are increasingly exposed to serious emergency-related challenges. The precise formulation and effective implementation of emergency policies are essential for protecting the lives of elderly residents and maintaining institutional stability. This study adopts the PPRR model and employs Grey Relational Analysis to construct a three-dimensional analytical framework, focusing on policy tools, implementation agents, and policy action phases. Emergency policy documents related to elderly care institutions were systematically coded and analyzed through external characteristics, single-dimensional assessments, and multi-dimensional cross-comparisons. The findings highlight several critical issues: current policies often overlook the real needs of elderly residents and their families; emergency management approaches are overly uniform and lack coordination across agencies; policy distribution is fragmented, with inadequate foundational support; and policies related to post-disaster recovery and reconstruction are insufficient. To address these challenges, the study proposes a set of improvement measures, including adopting an elderly-centered policy orientation, establishing a multi-agent collaborative governance model, refining the policy framework, and strengthening end-to-end emergency resilience in elderly care institutions. These comprehensive strategies aim to significantly enhance the effectiveness of emergency governance in the elderly care sector.