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As the rate of population aging accelerates, the prevalence of stroke among the older population continues to rise. Elderly stroke patients have a high prevalence of neurological impairment, severe clinical manifestations, many associated comorbidities, unfavorable prognosis, prolonged rehabilitation duration, and need extended caregiver support. Elderly stroke patients have challenges in accessing necessary long-term care services due to several circumstances, resulting in notable issues in long-term care. This paper examines the clinical features of elderly stroke patients and presents an overview of long-term care both domestically and internationally. It discusses the current issues surrounding long-term care in our country, focusing on three different forms of care. The paper proposes countermeasures to address these problems, considering the roles of the government, society, medical professionals, institutions, families, and individuals. The aim is to offer guidance for enhancing the quality of long-term care.