diff --git a/components.d.ts b/components.d.ts
index 07cd891..76c55b7 100644
--- a/components.d.ts
+++ b/components.d.ts
@@ -20,9 +20,12 @@ declare module 'vue' {
     ElCard: typeof import('element-plus/es')['ElCard']
     ElCheckbox: typeof import('element-plus/es')['ElCheckbox']
     ElCheckboxGroup: typeof import('element-plus/es')['ElCheckboxGroup']
+    ElCol: typeof import('element-plus/es')['ElCol']
     ElColorPicker: typeof import('element-plus/es')['ElColorPicker']
     ElConfigProvider: typeof import('element-plus/es')['ElConfigProvider']
     ElDatePicker: typeof import('element-plus/es')['ElDatePicker']
+    ElderDetail: typeof import('./src/components/elder-detail.vue')['default']
+    ElderForm: typeof import('./src/components/elder-form.vue')['default']
     ElDescriptions: typeof import('element-plus/es')['ElDescriptions']
     ElDescriptionsItem: typeof import('element-plus/es')['ElDescriptionsItem']
     ElDialog: typeof import('element-plus/es')['ElDialog']
@@ -45,6 +48,7 @@ declare module 'vue' {
     ElRadioButton: typeof import('element-plus/es')['ElRadioButton']
     ElRadioGroup: typeof import('element-plus/es')['ElRadioGroup']
     ElResult: typeof import('element-plus/es')['ElResult']
+    ElRow: typeof import('element-plus/es')['ElRow']
     ElScrollbar: typeof import('element-plus/es')['ElScrollbar']
     ElSelect: typeof import('element-plus/es')['ElSelect']
     ElSlider: typeof import('element-plus/es')['ElSlider']
@@ -93,9 +97,12 @@ declare global {
   const ElCard: typeof import('element-plus/es')['ElCard']
   const ElCheckbox: typeof import('element-plus/es')['ElCheckbox']
   const ElCheckboxGroup: typeof import('element-plus/es')['ElCheckboxGroup']
+  const ElCol: typeof import('element-plus/es')['ElCol']
   const ElColorPicker: typeof import('element-plus/es')['ElColorPicker']
   const ElConfigProvider: typeof import('element-plus/es')['ElConfigProvider']
   const ElDatePicker: typeof import('element-plus/es')['ElDatePicker']
+  const ElderDetail: typeof import('./src/components/elder-detail.vue')['default']
+  const ElderForm: typeof import('./src/components/elder-form.vue')['default']
   const ElDescriptions: typeof import('element-plus/es')['ElDescriptions']
   const ElDescriptionsItem: typeof import('element-plus/es')['ElDescriptionsItem']
   const ElDialog: typeof import('element-plus/es')['ElDialog']
@@ -118,6 +125,7 @@ declare global {
   const ElRadioButton: typeof import('element-plus/es')['ElRadioButton']
   const ElRadioGroup: typeof import('element-plus/es')['ElRadioGroup']
   const ElResult: typeof import('element-plus/es')['ElResult']
+  const ElRow: typeof import('element-plus/es')['ElRow']
   const ElScrollbar: typeof import('element-plus/es')['ElScrollbar']
   const ElSelect: typeof import('element-plus/es')['ElSelect']
   const ElSlider: typeof import('element-plus/es')['ElSlider']
diff --git a/src/pages/ltc/elder/components/elder-detail.vue b/src/components/elder-detail.vue
similarity index 78%
rename from src/pages/ltc/elder/components/elder-detail.vue
rename to src/components/elder-detail.vue
index 7501fef..e45ef15 100644
--- a/src/pages/ltc/elder/components/elder-detail.vue
+++ b/src/components/elder-detail.vue
@@ -26,20 +26,22 @@
         <el-descriptions-item label="备注" :span="2">{{ elder.note ?? '-' }}</el-descriptions-item>
       </el-descriptions>
 
-      <el-divider content-position="left">状态变更</el-divider>
-      <el-form inline>
-        <el-form-item label="目标状态">
-          <el-select v-model="statusForm.toStatus" placeholder="请选择" style="width: 200px">
-            <el-option v-for="o in TREAT_STATUS_OPTIONS" :key="o.value" :label="o.label" :value="o.value" />
-          </el-select>
-        </el-form-item>
-        <el-form-item label="变更原因">
-          <el-input v-model="statusForm.changeReason" placeholder="必填" style="width: 240px" />
-        </el-form-item>
-        <el-form-item>
-          <el-button type="primary" :loading="changing" @click="submitStatusChange">变更</el-button>
-        </el-form-item>
-      </el-form>
+      <div v-permission="'elder:status-change'">
+        <el-divider content-position="left">状态变更</el-divider>
+        <el-form inline>
+          <el-form-item label="目标状态">
+            <el-select v-model="statusForm.toStatus" placeholder="请选择" style="width: 200px">
+              <el-option v-for="o in statusOptions" :key="o.value" :label="o.label" :value="o.value" />
+            </el-select>
+          </el-form-item>
+          <el-form-item label="变更原因">
+            <el-input v-model="statusForm.changeReason" placeholder="必填" style="width: 240px" />
+          </el-form-item>
+          <el-form-item>
+            <el-button type="primary" :loading="changing" @click="submitStatusChange">变更</el-button>
+          </el-form-item>
+        </el-form>
+      </div>
 
       <el-divider content-position="left">状态日志</el-divider>
       <el-timeline v-if="statusLog.length > 0">
@@ -50,18 +52,13 @@
       </el-timeline>
       <el-empty v-else description="暂无状态变更记录" :image-size="60" />
     </template>
-
-    <div class="mt-md flex justify-end">
-      <el-button @click="close">关闭</el-button>
-    </div>
   </div>
 </template>
 
 <script setup lang="ts">
-import { onMounted, reactive, ref } from 'vue'
+import { computed, onMounted, reactive, ref } from 'vue'
 import { ElMessage } from 'element-plus'
 import { changeElderStatus, getElder, getStatusLog, type Elder, type ElderStatusLog } from '@/api/elder'
-import { closeDialog } from '@/utils/dialog'
 import {
   ASSESS_LEVEL_OPTIONS,
   CARE_LEVEL_OPTIONS,
@@ -73,11 +70,11 @@ import {
   formatDate,
   formatDateTime,
   labelOf,
-} from '../constants'
+} from '@/pages/ltc/elder/constants'
 
 defineOptions({ name: 'ElderDetail' })
 
-const props = defineProps<{ elderId: string; dialogId?: number }>()
+const props = defineProps<{ elderId: string }>()
 
 const elder = ref<Elder>()
 const statusLog = ref<ElderStatusLog[]>([])
@@ -86,6 +83,13 @@ const changing = ref(false)
 
 const statusForm = reactive({ toStatus: '', changeReason: '' })
 
+/** 目标状态下拉：排除当前状态 + 不可逆终态（dead/terminated）。 */
+const statusOptions = computed(() => {
+  const exclude = new Set(['dead', 'terminated'])
+  if (elder.value?.treatStatus) exclude.add(elder.value.treatStatus)
+  return TREAT_STATUS_OPTIONS.filter((o) => !exclude.has(o.value))
+})
+
 async function load(): Promise<void> {
   loading.value = true
   try {
@@ -118,9 +122,5 @@ async function submitStatusChange(): Promise<void> {
   }
 }
 
-function close(): void {
-  if (props.dialogId != null) closeDialog(props.dialogId)
-}
-
 onMounted(load)
 </script>
diff --git a/src/pages/ltc/elder/components/elder-form.vue b/src/components/elder-form.vue
similarity index 99%
rename from src/pages/ltc/elder/components/elder-form.vue
rename to src/components/elder-form.vue
index a7e8601..43ccf3c 100644
--- a/src/pages/ltc/elder/components/elder-form.vue
+++ b/src/components/elder-form.vue
@@ -132,7 +132,7 @@ import {
   GENDER_OPTIONS,
   INSURE_TYPE_OPTIONS,
   INSURE_VERIFY_STATUS_OPTIONS,
-} from '../constants'
+} from '@/pages/ltc/elder/constants'
 
 defineOptions({ name: 'ElderForm' })
 
diff --git a/src/components/ty-crud.vue b/src/components/ty-crud.vue
index b5e8bf7..b5df406 100644
--- a/src/components/ty-crud.vue
+++ b/src/components/ty-crud.vue
@@ -12,7 +12,7 @@
     <el-card class="ty-crud__table" shadow="never">
       <div class="ty-crud__toolbar">
         <div class="ty-crud__toolbar-left">
-          <el-button v-if="showCreate && (!createPermission || permissionStore.has(createPermission))" type="primary" @click="openCreate">
+          <el-button v-if="!createPermission || permissionStore.has(createPermission)" type="primary" @click="openCreate">
             新增{{ entityName }}
           </el-button>
           <slot name="toolbar" />
@@ -122,8 +122,6 @@ const props = withDefaults(
     selection?: boolean
     /** 新增按钮所需权限码（无该权限且非超管时隐藏新增按钮）。 */
     createPermission?: string
-    /** 是否显示内置「新增」按钮（false 时可改用 #toolbar 插槽自定义建档入口）。 */
-    showCreate?: boolean
     actionsWidth?: number | string
   }>(),
   {
@@ -134,7 +132,6 @@ const props = withDefaults(
     actions: () => ['edit', 'delete'],
     collapseCount: 2,
     selection: false,
-    showCreate: true,
     actionsWidth: 140,
   },
 )
diff --git a/src/components/ty-dialog.vue b/src/components/ty-dialog.vue
index ab00c9b..1cb432f 100644
--- a/src/components/ty-dialog.vue
+++ b/src/components/ty-dialog.vue
@@ -12,7 +12,6 @@
     <component
       :is="dialog.options.component"
       v-bind="dialog.options.props ?? {}"
-      :dialog-id="dialog.id"
       :ref="setRef(dialog.id)"
     />
     <template v-if="dialog.options.showFooter !== false" #footer>
diff --git a/src/pages/ltc/elder/constants.ts b/src/pages/ltc/elder/constants.ts
index 9171b37..aed7d63 100644
--- a/src/pages/ltc/elder/constants.ts
+++ b/src/pages/ltc/elder/constants.ts
@@ -21,7 +21,7 @@ export const INSURE_VERIFY_STATUS_OPTIONS: LabeledValue[] = [
 ]
 
 export const ASSESS_LEVEL_OPTIONS: LabeledValue[] = [
-  { label: '重度一级（最高级）', value: 'sev_1' },
+  { label: '重度一级', value: 'sev_1' },
   { label: '重度二级', value: 'sev_2' },
   { label: '重度三级', value: 'sev_3' },
 ]
diff --git a/src/pages/ltc/elder/index.vue b/src/pages/ltc/elder/index.vue
index f2692e0..c587639 100644
--- a/src/pages/ltc/elder/index.vue
+++ b/src/pages/ltc/elder/index.vue
@@ -1,34 +1,40 @@
 <template>
-  <ty-crud
-    ref="crudRef"
-    entity-name="服务对象"
-    :columns="columns"
-    :search-schema="searchSchema"
-    :form-schema="formSchema"
-    :list="list"
-    :create="create"
-    :update="update"
-    :remove="remove"
-    :actions="actions"
-    :show-create="false"
-    id-key="id"
-    name-key="name"
-  >
-    <template #toolbar>
-      <el-button v-permission="'elder:create'" type="primary" @click="openCreate">建档</el-button>
-    </template>
-  </ty-crud>
+  <div class="elder-page">
+    <el-card class="mb-md" shadow="never">
+      <ty-search-form :schema="searchSchema" :model-value="query" @search="handleSearch" @reset="handleReset" />
+    </el-card>
+
+    <el-card class="elder-page__table" shadow="never">
+      <div class="mb-md flex items-center">
+        <el-button v-permission="'elder:create'" type="primary" @click="openCreate">建档</el-button>
+      </div>
+      <ty-table
+        :columns="columns"
+        :data="list"
+        :loading="loading"
+        :total="total"
+        v-model:page="page"
+        v-model:page-size="pageSize"
+        :actions-width="120"
+      >
+        <template #actions="{ row }">
+          <el-button link type="primary" @click="openDetail(row)">查看</el-button>
+        </template>
+      </ty-table>
+    </el-card>
+  </div>
 </template>
 
 <script setup lang="ts">
-import { ref } from 'vue'
+import { onMounted, reactive, ref, watch } from 'vue'
 import { ElMessage } from 'element-plus'
-import type { CrudAction, JsonSchema, PageQuery, TableColumn } from '@/types/crud'
+import type { JsonSchema, TableColumn } from '@/types/crud'
 import { showDialog } from '@/utils/dialog'
+import { useRequest } from '@/composables/useRequest'
 import { createElder, listElders, type ElderCreateData, type ElderListQuery } from '@/api/elder'
 import { CARE_LEVEL_OPTIONS, GENDER_OPTIONS, TREAT_STATUS_OPTIONS, TREAT_STATUS_TAG_MAP, formatDate, labelOf } from './constants'
-import ElderForm from './components/elder-form.vue'
-import ElderDetail from './components/elder-detail.vue'
+import ElderForm from '@/components/elder-form.vue'
+import ElderDetail from '@/components/elder-detail.vue'
 
 defineOptions({ name: 'elder' })
 
@@ -38,6 +44,8 @@ const columns: TableColumn[] = [
   { prop: 'careLevel', label: '护理等级', minWidth: 150, formatter: (v) => labelOf(CARE_LEVEL_OPTIONS, v) },
   { prop: 'treatStatus', label: '待遇状态', width: 120, align: 'center', type: 'tag', tagMap: TREAT_STATUS_TAG_MAP },
   { prop: 'birthDate', label: '出生日期', width: 120, formatter: (v) => formatDate(v) },
+  // 下次服务为占位列，本期无数据，统一显示「—」
+  { prop: 'nextService', label: '下次服务', width: 120, formatter: () => '—' },
 ]
 
 const searchSchema: JsonSchema = {
@@ -54,27 +62,37 @@ const searchSchema: JsonSchema = {
   },
 }
 
-// ty-crud 要求 formSchema，但建档走自定义表单（含日期/上传），此处仅为满足组件契约，不会被使用。
-const formSchema: JsonSchema = { type: 'object', properties: {} }
+const query = reactive<Record<string, any>>({ name: '', treatStatus: '' })
+const list = ref<Record<string, any>[]>([])
+const total = ref(0)
+const page = ref(1)
+const pageSize = ref(10)
 
-function toListQuery(query: PageQuery): ElderListQuery {
-  const str = (v: unknown): string | undefined => (typeof v === 'string' && v !== '' ? v : undefined)
-  return { page: query.page, pageSize: query.pageSize, name: str(query.name), treatStatus: str(query.treatStatus) }
+const str = (v: unknown): string | undefined => (typeof v === 'string' && v !== '' ? v : undefined)
+
+function toListQuery(): ElderListQuery {
+  return { page: page.value, pageSize: pageSize.value, name: str(query.name), treatStatus: str(query.treatStatus) }
 }
 
-const list = async (query: PageQuery, signal?: AbortSignal) => {
-  const result = await listElders(toListQuery(query), signal)
-  return { ...result, list: result.list.map((e) => ({ ...e })) }
+const { loading, run: fetchList } = useRequest((signal: AbortSignal) => listElders(toListQuery(), signal), {
+  manual: true,
+  onSuccess: (result) => {
+    list.value = result.list.map((e) => ({ ...e }))
+    total.value = result.total
+  },
+})
+
+watch([page, pageSize], () => fetchList())
+
+function handleSearch(): void {
+  if (page.value === 1) fetchList()
+  else page.value = 1
 }
 
-// 建档/编辑/删除均不走 ty-crud 内置流程（建档走工具栏「建档」自定义表单），此处仅为满足组件契约，不会被调用。
-const create = () => Promise.reject(new Error('建档请使用工具栏「建档」按钮'))
-const update = () => Promise.reject(new Error('服务对象不支持编辑'))
-const remove = () => Promise.reject(new Error('服务对象不支持删除'))
-
-const actions: CrudAction[] = [{ label: '查看', type: 'primary', permission: 'elder:detail', onClick: (row) => openDetail(row) }]
-
-const crudRef = ref()
+function handleReset(): void {
+  if (page.value === 1) fetchList()
+  else page.value = 1
+}
 
 async function openCreate(): Promise<void> {
   const data = await showDialog({
@@ -85,7 +103,7 @@ async function openCreate(): Promise<void> {
   if (data == null) return
   await createElder(data as ElderCreateData)
   ElMessage.success('建档成功')
-  crudRef.value?.reload()
+  fetchList()
 }
 
 async function openDetail(row: Record<string, any>): Promise<void> {
@@ -94,7 +112,23 @@ async function openDetail(row: Record<string, any>): Promise<void> {
     props: { elderId: String(row.id) },
     title: `服务对象详情（${row.name}）`,
     width: '840px',
-    showFooter: false,
+    confirmText: '关闭',
   })
 }
+
+onMounted(() => fetchList())
 </script>
+
+<style scoped lang="scss">
+.elder-page {
+  @apply flex h-full flex-col;
+}
+
+.elder-page__table {
+  @apply flex min-h-0 flex-1 flex-col;
+
+  :deep(.el-card__body) {
+    @apply flex min-h-0 flex-1 flex-col;
+  }
+}
+</style>