In recent years，Beijing has taken many measures to initially build a relatively complete rural elderly care service policy system，promote the construction of elderly care facilities，innovate the combinations of medical care and elderly care，and strive to meet the multiple needs of the rural elderly. At the same time，due to historical and practical factors such as the long-term inclination of care service resources to cities and the insufficient investment in rural pension，there are still problems in Beijing’s rural care service，such as the separation of urban and rural areas，the prominent contradiction between service supply and demand，the imperfect system security system，imperfect supporting facilities and the shortage of professional talents. Based on this，we believe that under the guidance of clear top-level design，we should coordinate the rural elderly care work with multiple subjects，optimize the supply and demand structure of the rural elderly care service market，and improve the overall quality of rural elderly care services through the whole work process before，during and after，so as to realize the integration of urban and rural elderly care as soon as possible and better respond to the national rural revitalization strategy.