Abstract Background Nutrition issues can occur in all stages of cognitive impairment, but individual needs may not always be promptly identified. Aim To evaluate dietetic needs of this cohort. Methods Retrospective service evaluation of first 50 referrals to a MASS Senior Dietitian, including comparison of nutrition-screening tools validated for older persons: Mini Nutritional Assessment-Short Form (MNA-SF)1 and Malnutrition Universal Screening Tool (MUST)2. Results The first 50 dietetics referrals (total 126 consults) representing 16% of MASS clients in this period. Nutrition screening: MNA-SF MUST ≤ 7 18% malnourished/high risk ≥ 2 34% 8-11 72% at risk of malnutrition 1 32% 12-14 10% not nutritionally at risk 0 34% So MNA-SF identified 90% as malnourished or at risk, while this was 66% with MUST. Individually tailored advice included: Resolution of key issue and discharged (17), 2 clients deceased. Remainder (31) ongoing dietetic follow-up. Conclusion For those with memory impairment early and regular nutrition assessment is important, and the MNA-SF tool is appropriate. Expert Dietetic advice is necessary at all stages of memory impairment.