This study assessed the change in nutritional intake and status of 15 nursing home residents receiving a pureed diet along with commercial supplements over a 6 month period. The nutritional supplements were well accepted with a significant increase in the energy and nutrient intake after their addition. Gastrointestinal distress was measured by stool size and number. The mean number of stools increased over the 6 month period with the stool sizes remaining relatively the same. Decubitus status was monitored and seven of the ten residents who had some form of decubiti demonstrated signs of complete or partial healing. After three and six months of supplementation hematocrit and serum albumin levels significantly increased.