The essence of healthcare reform is to shift the paradigm of Western medicine from a treatment model to a prevention model. The inherent benefits of different healthcare interventions for the prevention of disease are debatable. To prioritize the value of different preventive services, the Agency for Healthcare Research and Quality published a technical report titled Common Syndromes in Older Adults Related to Primary and Secondary Prevention, in which they identify eight modifiable syndromes in older adults that frequently lead to institutionalization. The paper focuses on the role of declining nutritional status as a precursor to these syndromes, and outlines nutritional strategies for promoting quality of life in elderly patients. Although the etiology of many of these common geriatric syndromes may not be tied directly to inadequate diet, suboptimal nutrient intake and involuntary weight loss can exacerbate these conditions. Systems that track the effectiveness of nutritional prevention strategies in older adults will facilitate a closer relationship between best practices and the impact of these common syndromes on patient well-being.