This paper mapped spatial accessibility to care homes for older people in Scotland and examined its variation by urbanity and deprivation. The care home data was collected from Care Inspectorate and road networks and other data were collected from Ordnance Survey and governmental agencies. The three step float catchment areas approach was used to quantify spatial accessibility. It was found that there are significant inequalities by urban rural types and deprivation. The accessibility of care home to general practice and green space was also varied over urban and rural types.