The aging global population presents increasing demand for effective, accessible, and personalized rehabilitation services. Technological innovations—particularly virtual reality (VR) and telehealth—are reshaping geriatric rehabilitation by enabling remote therapy, improving engagement, and enhancing clinical outcomes. This review examines the integration of VR and telehealth into rehabilitation programs for older adults, focusing on their roles in mobility training, balance improvement, cognitive enhancement, and chronic disease management. Evidence suggests that immersive VR environments can motivate elderly patients and provide real-time feedback, while telehealth platforms facilitate remote monitoring, continuity of care, and interdisciplinary collaboration. Despite promising results, challenges persist in digital accessibility, user adaptability, and system interoperability. The review also highlights recent advancements and outlines future directions aimed at maximizing the effectiveness and inclusivity of these technologies in geriatric care.