In response to the increasing scale of long-term disabled elders, the weakening of family care, and the excessive pressure on residential care resources, Chengdu has established a long-term care insurance system centered on home care policies. After several years’ exploration, preliminary results have been achieved. However, there are still issues such as the deficit in quality of nursing services and accessibility of service content. This paper analyzes the home care policy of long-term care insurance in Chengdu, explores its problems and shortcomings, puts forward suggestions of improving the design of service projects, strengthening the protection of the rights and interests of nursing staff, setting basic nursing standards, and refining supervision and management norms to further improve the home care policy of long-term care insurance.