In order to improve the efficiency of elderly care services and solve the problem that the traditional way of providing for the elderly is difficult to provide Effective demand, this paper designs a system for monitoring the quality of the elderly's home environment and detecting abnormal behavior. This paper studies the design of intelligent home care mode based on artificial intelligence, analyzes the unique advantages of intelligent home care in the new era, and summarizes Big data intelligent intervention, intelligent service robots, The intelligent wearable function and intelligent elderly care envision the application of four artificial intelligence technologies. In order to achieve smart elderly care at home, we need to establish an elderly information database system to comprehensively and deeply understand the living conditions and needs of the elderly. This database system contains multiple aspects of information, such as basic information about the elderly, health status, and living conditions. By collecting and integrating this information, we can quickly understand the condition of the elderly in order to provide them with better services and support. The system functional testing results show that the designed home smart elderly care monitoring system is flexible in networking, with high accuracy and reliability.