Abstract: With the deepening of aging population degree, the housing problem of the old-age has become a major problem troubling the social development of our country. In recent years, with the support of national policies and the help of local governments, old-age care real estate has achieved great development. However, the profit problem has become a major pain point for the sustainable development of old-age care real estate. This paper analyzes the macro and micro reasons that lead to the difficulties in the profitability of old-age care real estate, as well as the main existing dilemma, summaries the development experience of foreign old-age care real estate which can be used for reference, and explores the countermeasures to improve the profitability of old-age care real estate. The government has improved policies and systems, increased the supply of land and old-age housing, and innovated financing methods. The old-age care real estate enterprises diversify market supply, improve operation level, etc. The government and operating enterprises should work together to promote the sustainable and healthy development of old-age care real estate.