More than 100 years have passed since the 1896 Meiji-Sanriku Earthquake and Tsunami, which killed more than 20,000 people, the number of victims however still exceeded 20,000 in the Great East Japan Earthquake in 2011. Thus, the government had opened up a “new era of disaster prevention and mitigation and national resilience” with the determination to drastically reduce the lives lost due to major natural disasters. The site is located in Sumida which is determined one of the riskiest areas in Tokyo, Japan, and citizens frequently suffer from natural disasters such as earthquakes and fire. The proposal aims to demolish the vulnerable buildings which contained combustible materials and non-seismic resistance structures; then to rebuild residential blocks that can accommodate double the population from where has been demolished. By using a modular structure, the new elderly accommodation demonstrates a “dentistry” redevelopment strategy responding to the seismic principle featuring the firmly standing Japanese Pagoda: offsetting vertical structure and flexible sideways joints, that allows “sneak dance movement” during earthquakes, while the idea of human-centred design focuses on enhancing occupances’ quality of life and fostering a sense of community and belonging. Especially for elderly residentials, it is important to explore an architectural solution that is comfortable, accessible, healthy, and safe. Design specifications on the elderly’s needs and their daily habits are mainly considered, regarding the home is where the elderly spend most of their time in. In Japan, creating an environment that contributes positivity toward emotional and psychological needs widely depends on serval factors. 1. Structural resilience 2. Evacuation planning 3. Psychological well-being needs.