Objective To understand the needs and influencing factors of community rehabilitation nursing service among the elderly stroke patients, and to provide basis for intervention measures. Methods A total of 495 elderly stroke patients from 15 community health centers of 3 cities in Shandong province were selected by multistage stratified random sampling method. The patients were surveyed in terms of chronic diseases, quality of life, activities of daily living, and community rehabilitation nursing service demands. Results The total score of community rehabilitation nursing service demands averaged (72.87±11.32) points, with the dimension scoring rates in descending order being 86.67% for health education, 66.03% for rehabilitation and nursing techniques, and 56.90% for general treatment techniques. Multiple stepwise regression analysis showed that age, alone time, income, home-to-health-center distance and EQ-VAS score were the influencing factors of community rehabilitation nursing service demand among elderly stroke community patients (P<0.01 for all). Conclusion The community residing elderly stroke patients have strong need for community rehabilitation nursing service. In community nursing work, the rehabilitation and nursing needs of elderly stroke patients should be analyzed, and comprehensive prevention, control and nursing measures should be developed from the government, community, hospital, family, market and other dimensions, so as to improve the quality of life of elderly stroke patients.