On January 1, 2024, an earthquake with a maximum seismic intensity of 7 struck the Noto Peninsula in Ishikawa Prefecture, Japan, causing significant casualties and displacement. The Noto Peninsula has a high aging rate, with 49.5% of its population aged 65 or older. This case study focuses on a 68-year-old woman who developed aspiration pneumonia after being admitted to a welfare shelter. The case highlights the challenges of managing chronic medical care during disasters, particularly for the elderly.