The five guarantees of the elderly who lost life self-care ability are the social vulnerable groups. With the constant improvement of system, their basic needs of life have been effectively guaranteed. However, due to institutional locked in clothing, housing, health and burial, difficult to break theory, lack of innovation in the system, lead to lack of care services for the five guarantees of the elderly who lost life self-care ability. The current social assistance system can not meet their care needs, so their living conditions make people worried. In order to solve their long-term care problem, we should improve laws and regulations, broaden the range of support, establish a variety of financing mechanisms, improve the existing system, ensure that they can receive long-term care services and improve their quality of life.