In December 2016, the Ministry of Health and Welfare approved the Long-Term Care Decade Plan 2.0 (2017-2026). The purpose of this paper is to review the development of long-term care and health promotion policies for the elderly in the United States, Japan, and Taiwan through a literature review; Exploring the transformation of community care bases in qualitative interviews to challenge the management of Long-term Care Lane Station, and explore the challenges of community care bases to promote health promotion. In the US experience, under the framework of the "American Old Law," the federal and local governments work together to promote social services for the elderly, including Disease Prevention and Health Promotion, Long-Term Care Ombudsman Program, Nutrition Service Programs, Senior Community Service Employment Program, Senior Information and Assistance Program, Legal Services. The PACE unit co-ordinates the use of Medicare and Medicaid to provide care for the elderly, community and institutions of the elderly with severe disability. Japan's promotion of the overall care system for the community, the local and private resources to actively participate in the elderly care services, the promotion of senior citizens' volunteer service, the use of care insurance premiums to promote prevention of disability measures, and the promotion of health promotion courses are worthy of reference. The challenges of Long-term Care Lane Station include the difficulties of cooperate with government policies, the fact that family members have no spare capacity to accompany their elders to participate in community activities, limited referral sources, limited service projects, .the source of the day care case is difficult to find; the use of volunteers, because of the non-case source of the service, Because of the lack of source of the case, the volunteers are unable to play, and it is difficult to stay smoothly. Looking into the future, we can implement the three aspects of policy, management, health promotion in the community.