diff --git a/nursing-unit-elder/nu-elder-biz/src/main/java/com/nu/modules/mq/elderinfo/listener/ElderInfoMQListener.java b/nursing-unit-elder/nu-elder-biz/src/main/java/com/nu/modules/mq/elderinfo/listener/ElderInfoMQListener.java
index aa4a6ff5..3029adbf 100644
--- a/nursing-unit-elder/nu-elder-biz/src/main/java/com/nu/modules/mq/elderinfo/listener/ElderInfoMQListener.java
+++ b/nursing-unit-elder/nu-elder-biz/src/main/java/com/nu/modules/mq/elderinfo/listener/ElderInfoMQListener.java
@@ -55,7 +55,14 @@ public class ElderInfoMQListener {
     public void handleAddElderInfo(ElderInfoMQDto dto) {
         ElderInfo elderInfo = new ElderInfo();
         BeanUtils.copyProperties(dto, elderInfo);
-        elderInfoService.save(elderInfo);
+        ElderInfo oldElderInfo = elderInfoService.getById(dto.getId());
+        if (oldElderInfo != null) {
+            //长者之前入住过
+            elderInfoService.updateById(elderInfo);
+        } else {
+            //长者第一次入住机构
+            elderInfoService.save(elderInfo);
+        }
 
         //如果机构没有存储过家属信息 则新增家属信息 如果已存在对应id 根据情况更新家属信息
         FamilyMember fData = familyMemberService.getById(dto.getGuardianId());