Over 10% of Taiwanese population is aged over 65, which indicating Taiwan has become an aging society. In addition, aging population is projecting up to 20% within 20 years. Taiwan is one of the fastest aging societies in the world. Hence, the health needs of those elderly and the health delivery system would encounter challenges, since the majority of the aging population would live with their chronic diseases and limited functional status. On the other hand, because nursing home elderly residents are older, frailer, and having more multiple chronic diseases, as a result, they may have poor appetite, difficulty in swallowing and limited choice for diet. This research recruits 30 elderly people living at nursing home in Taoyuan area. Personalized diets intervention according to each participant’s dietary history and risk factor for 30 days. 150 sets of innovation diet were developed and tested, including normal diet, soft diet, liquid diet and therapeutic diet. The results of this study showed that anthropometric and blood pressure data of nursing home elderly residents were similarly than before. However the biochemical examination of blood showed that serum total cholesterol and fasting plasma glucose were reduced. Appetite questionnaire score were dominant after healthy diets intervention. Healthy eating diets including physiological and psychological foundations of sensory. In conclusion, both nutritional status and appetites of the residents were improved. Furthermore how we can help elderly people eat healthy diets will take more effort on the part of industry, government, and academia.