Land use changes, specifically the growth of impervious areas due to urbanization, exacerbate non-point-source pollutants in stormwater runoff, surpassing discharge from point sources in Korea. The application of nature-based solutions, such as constructed wetlands (CWs), is becoming popular for stormwater treatment, but challenges arise when background concentrations are overlooked, leading to reduced pollutant removal efficiency. This study aims to propose a plan for the sustainability of CWs by evaluating design appropriateness and utilizing existing monitoring results. The evaluation of 63 CWs reveals that meteorological factors, specifically antecedent dry days and rainfall depth, have significant impacts on urban stormwater runoff quality in various land uses, affecting the performance of CWs. Designing CWs considering land use is crucial due to the considerable concentration variations across different land uses. Improving CW performance requires proper maintenance strategies to ensure effective pollutant removal mechanisms, especially for poorly degradable organic substances post treatment. Rainfall characteristics play a pivotal role in CW design and operation, affecting capacity, efficiency estimation, and maintenance frequency. Considering various factors such as land use, watershed characteristics, and ease of maintenance is essential when utilizing CWs. This study’s findings contribute to the design and operation of future CWs, emphasizing the need for continuous performance analyses through long-term monitoring.