Objective: To understand community care needs of the urban elderly in Shandong Province. To analysis the influencing factors and community care needs of the urban elderly in Shandong Province. Methods: Shandong Province was divided into four levels according to the level of economic development, multi-stage stratified cluster random sampling method was used. Each city collected the old aged 60 years or older served by 5 community health service centers. A total of 3390 questionnaires were distributed, the recovery rate was 100%, it had 3363 effective questionnaires, and an effective rate was 99.20%. SPSS17.0 software was used for univariate and multivariate analysis. Results: Analysis results show that, the influencing factors of community care needs of health promotion dimension have medical time (t = 3.239, P = 0.001) and EQ-5D score (t = 9.104, P < 0.001). The influencing factors of community care needs of disease prevention dimension have education (t = 2.406, P = 0.016), EQ-5D score (t = −2.388, P = 0.017) and ADL score (t = −6.239, P < 0.001). The influencing factors of disease care dimension have economic income (t = −2.268, P = 0.023), prevalence of chronic diseases (t = −17.276, P < 0.001), medical time (t = 6.266, P < 0.001) and EQ-5D score (t = −3.762, P < 0.001). The influencing factors of community care needs total Score have prevalence of chronic diseases (t = −8.341, P < 0.001), medical time (t = 5.224, P < 0.001) and EQ-5D score (t = −6.929, P < 0.001). Conclusions: Community care needs of the urban elderly in Shandong Province are at a medium level and have many influencing factors, the scores of each dimension from high to low are health promotion, disease care and disease prevention.