Long-term stability of nursing home residents’ everyday preferences remains unknown. This study examined one-year stability in reports of importance of 34 recreational activity preferences (8-MDS 3.0 Section F items; 26-Preferences for Everyday Living Inventory-NH items) by nursing home residents (n = 161). Preference importance ratings were highly stable over one year, with 91% of items retaining the same valence of importance for most of the sample (<20% change). Three preferences showed greater change. Overall, annual assessments of recreational activity preferences capture an accurate representation of preferences with reassessment only needed in a few circumstances