The study identified factors affecting the level of nursing home activity worker’s requirements fulfillment in Vietnam. A quantitative survey was conducted amongst 336 elderly people in Hanoi, Hue, Da Nang, Ho Chi Minh City and Can Tho, Vietnam. Through the multiple linear regression, the study showed four factors that had significant effects on the level of social worker's requirements fulfillment, including (i) Self-belief in ability, (ii) Ability to create trust, (iii) Emotional expression, (iv) Relationship building skill with elderly residents. The results show that the skills to build relationships with the elderly are most appreciated. On this basis, the study offers some meaningful solutions to enhance the level of requirements fulfillment of social workers when providing support services to the elderly in Vietnam in the near future.