At present, China is facing an unprecedented challenge of population aging. In this context, the home-based care model has become a key to solve the dilemma, and there are still some problems that need to be solved further after the development of the home-based care model. On the basis of explaining relevant theories, this paper analyzes the present situation of home-based care for the aged in Henan Province by using the purpose sampling method and multi-stage stratified cluster sampling method, sorts out the existing problems and reasons from different dimensions, and finally puts forward some concrete improvement suggestions, hoping to provide some reference for the development of urban home-based care for the aged.