This study was conducted to assess needs at each end-of-life care stage and to analyze importance and difficulty of care needs for home care nursing among non-cancer patients. Methods: We used a retrospective design. Total eligible patients were 117 at the ages of 40 and over, who continuously received home care nursing throughout beginning, stable, and near death stages, and finally died at home from January 1, 2006 to December 31, 2006. Descriptive statistics, Cochran`s Q test, Friedman`s test were used for data analysis. Results: In the area of physical care, the care need for ``assistance for activities in daily life`` was significantly highest in the beginning stage. The care need for ``aggravation or adverse changes in physical symptoms`` was significantly increased in the near death stage. In the area of psychospiritual care, ``family``s psychological burden`` was revealed as having the highest rate of care needs in the every stage. Conclusion: Future intervention should consider assessing care needs in end-of-life care for non-cancer patients who are provided with home care nursing.