A guiding wheel assembly, mainly for a hospital bed, including a wheel (1) with a horizontal rotation axis (6) installed on an arm (7) that is fixed to the frame (5) with the use of an axis (4) allowing swinging in the vertical plane. The wheel (1) is firmly fixed in the straight direction. The arm (7) is provided with a track (3), against which a pressing element (8) leans. The pressing element (8) is fixed with a pin (9) to the frame (5) in a swinging way.