World is ageing as an obvious consequence of the process of demographic transition and it is happening fastest in the developing world. Simultaneous disintegration of joint family system and changing social values, often obligate the elderly segment of society to live alone or in old age homes which make them increasingly vulnerable to mental health problems and other undesirable effects influencing their quality of life. The study aims to investigate the factors of psychological distress and quality of life among inhabitants of old age homes in Delhi. The cross-sectional study was undertaken in four government administered old age homes (OAHs)) in Delhi. 2 of these were free stay and other 2 being pay and stay OAHs. In all 148 subjects of both sexes and aged 60-85 years constituted study sample. Study tool included a semi structured proforma to assess Sociodemographic profile; WHOQOL-BREF scale and K-10 scale were used for QOL and psychological distress respectively. 2/3rd OAH inhabitants were female and rest 1/3rd being male. WHOQOL-BREF domain scores were higher in pay/stay homes as compared to free stay homes, furthermore all 4 domains score were significantly higher for male residents on t’ test. On K-10 scale 29.7%,7.4%, 2.7% residents were categorised as likely to have mild disorder, likely to have moderate disorder and likely to have severe disorder respectively whereas 60.1% were likely to be well, furthermore female were found to have significantly higher score on t’ test. Educational qualification and monthly income demonstrated significant positive correlation with all domains of QOL and sig negative correlation with psychological distress. Psychological distress was found to be higher in the free stay homes which could be attributed to lower level of education and income in these residents. QOL had significant negative correlation with psychological distress. Programs targeting modifiable risk factors could result in improvement of QOL and reduce psychological distress in OAH residents