Stroke, a leading cause of adult disability worldwide, poses significant challenges to rehabilitation due to its high incidence, resource shortages, and low patient motivation. To address these issues, this study aims to develop a community-based smart rehabilitation service system that integrates digital platforms, virtual reality, and gamified therapy concepts. Using a mixed-methods approach—including case analyses of advanced rehabilitation technologies, interviews with stroke survivors, and field observations in hospital settings—the study identifies key constraints and reconstructs rehabilitation touchpoints to optimize patient engagement. The findings suggest that this integrated framework effectively enhances patient motivation, improves rehabilitation outcomes, and alleviates professional resource shortages. Overall, this research provides fresh insights at the intersection of design and healthcare, offering strategies for more efficient, patient-centered stroke rehabilitation services.