This paper investigates the impact of the COVID-19 pandemic on the process of regional welfare-making in the Aso region (Kumamoto Prefecture, Japan). It demonstrates how local stakeholders such as social welfare councils have been promoting the ideal of community-based regional welfare, while adapting to the challenges posed by the COVID-19 pandemic. As the pandemic hindered social exchange and amplified longstanding processes of community decline, it further complicates the ongoing challenge of activating local communities to realize the vision of a healthy “aging in place” based on mutual support.