Tenyudo Matsubayashi Clinic, located in Chikuhoku Village, Higashichikuma District, Nagano Prefecture, is a clinic providing community-based internal medicine care. Operated by Medical Corporation Tenyudo, it functions as a healthcare institution supporting the health of local residents with a focus on internal medicine. Notably, the clinic has an adjacent geriatric health services facility called "Nishijo," which aims to help elderly individuals requiring nursing care return to home life. The facility provides integrated services including nursing care, medical care, rehabilitation, and daily living support. The facility features "unit-type private rooms," where living support is provided in units consisting of 9-10 rooms combined with a shared living area. The facility also accommodates dementia rehabilitation and offers day rehabilitation services, ensuring a system where patients can continue receiving rehabilitation, bathing, and lunch services even after returning home. The facility is barrier-free, designed to be accessible for individuals with physical disabilities. Additionally, parking is available, enabling access by private vehicle in this mountainous area where public transportation is limited. The clinic is closed on Sundays, public holidays, during the year-end and New Year period, and during the Obon season.