Background: Tele-rehabilitation" means delivery of rehabilitation care services via a number of technologies to older adults Post COVID which characterized with lung impairment, decrease activities of daily living, risk of depression, anxiety, and poor quality of life. Aim: The study aimed to evaluate the effectiveness of tele-rehabilitation program for older adults post COVID-19. Study design: A quasi-experimental design was used to conduct this study. Subject: A purposeful sample consisting of 112 older adult posts COVID-19. Setting: This study was conducted in the Ain Shams University Specialized Hospital El Obour, Egypt. Tools: Self-reported electronic questionnaire was designed in Arabic language to collect data through Microsoft form which consisted of 5parts to assess demographic data, activities of daily living, quality of life, depression, and anxiety level. Results:41.1% of the studied sample ranged between 65: ˂ 70 years, 93.8% of them suffered of comorbidity, 87.5% suffered of breathlessness, 50.9% were dependent, 63.4% experienced poor quality of life, 18.8% of them suffered from severe depression and 22.3% severe anxiety, preprogram intervention which significantly improved post program implementation. Also, there were positive correlation between rehabilitative care practices post COVID-19 and activities of daily living, and quality of life while negative correlation with depression and anxiety level with p value < .001. Conclusion: The study proved that the tele- rehabilitation program for older adult post COVID-19 was effective to optimize functioning of activities of daily living and which lead to improve independence level, and maximize quality of life, further, to relieve anxiety and depression. Significantly with p value ˂ 0. 001. Recommendation: Further research to identify obstacles that have been associated with applications of tele-communication technology, more home-based programs, and enhancing the resilience of older adults to cope with stresses of COVID-19.