This study used cognitive interviewing to adapt the PELI, originally designed for home care clients, for use with nursing home (NH) residents. Content validity was initially established using a panel of long-term care experts. Preference for Everyday Living Inventory (PELI) items were cognitively interviewed with 31 Veteran and 39 non-Veteran participants. Responses guided revisions of the PELI to include language that NH residents use and understand, reducing potential measurement error and ensuring the preferences assessed are relevant to NH residents. Using the PELI in the nursing home setting helps clinical teams provide person-centered care informed by resident preferences.