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Background: Dementia refers to a group of syndromes that affect the brain and are characterized by progressive global deterioration in intellect including memory learning orientation language, comprehension and judgment. The Dementia Severity Rating Scale (DSRS) is a brief informant-rated, multiple-choice questionnaire made up of 12-items that measure functional abilities. The DSRS requires minimal staff training to administer, takes five minutes to complete, and can be completed via mail, Internet, or phone. The DSRS incorporates a broad range of scores, making this instrument useful for quantifying all levels of functional impairment, and permitting the detection of fine increments of change over time 8. Reliability and validation studies have shown that the DSRS has high reliability, as well as a constant linear rate of change throughout the entire course of AD. Aim: The aim of the study is to prevalence of dementia in elderly people who are living in old age homes. Method: In this study 108 elderly were screened for inclusion exclusion criteria and 26 elderly people did not fulfill the inclusion criteria hence not taken in the study 82 elderly people fulfill the inclusion criteria hence were taken in the study among whom 39 were male and 42 were female. In this Study the data were collected with questionnaire in the order to determine the prevalence of dementia in elderly people, the dementia servility rating scale questioner use the questionnaire assess about the history of experience of dementia. (DSRS) Result: The study shows unpaired t-test was performed for gender wise comparison if DSRS Dementia Severity Rating Scale which scored t-value 0.97 and p value of 0.33 which is not significant. Conclusion: The study conduct that the average score of Dementia Severity Rating Scale (DSRS) among old age group of 60 to 80 living at old age homes were significant Whereas DSRS (Dementia Severity Rating Scale) scores among the age 60 to 80 living at old age home. According to gender were no significant.