Inadequate nutrition is a major problem facing the elderly today. Despite seemingly appropriate meal standards and dietary supervision, patients in long-term care facilities remain at risk for developing malnutrition. Various nutritional parameters including weight loss, percentage average body weight, serum albumin levels, anthropometrics, and skin testing were examined in 130 patients in an academic nursing home, two thirds of whom were over the age of 65 years. Functional status including type of feeding and associated diseases was also determined. The data show that nutritional risk factors are similar among different age-groups in nursing home patients. A significant proportion of our patients lost weight while maintaining their serum albumin levels. Despite this, there appears to be less evidence of malnutrition among patients in the academic nursing home compared with other nursing home settings studied.