The purpose of this study was to evaluate the effectiveness of health promotion programming created specifically for older adults residing in congregate and assisted living facilities. Extending community health programming to this population is essential in meeting Healthy People 2010’s goal to increase from 12 to 90% the proportion of older adults who have participated in at least one organized health promotion activity annually. Residents of six congregate and assisted living facilities were invited to participate in a cholesterol education program. Facilities were randomly assigned to experimental and control groups. Participants completed a pre-test that assessed readiness to decrease dietary fat based on the Transtheoretical Model, as well as demographic and health information. Total blood cholesterol was drawn. The experimental group received a 30-minute educational intervention and a challenge to implement lifestyle changes. Design of the intervention reflected the results of a pilot test demonstrating the need to address sensory and attention deficits in this population. Thirty and 90-day post-tests assessed readiness to change and total blood cholesterols were drawn on both groups at 90 days. Following the 90-day post-test the control group received the same intervention. Data were analyzed with SPSS utilizing descriptive statistics and t-tests to determine statistical significance (p=.05). Ages ranged from 58 to 90 (M=78). Twenty-five percent of the experimental group (N=24) reported using cholesterol-lowering medications and being warned to decrease fat intake. Thirty-one percent of the control group (N=16) reported using cholesterol-lowering medications, 50% had been warned to decrease fat consumption. At the start of the program, 66% of experimental and 81% of control participants reported being in the maintenance stage of the Transtheoretical Model. Means (with standard deviations in parentheses) for readiness to decrease dietary fat for pre and post-tests were: experimental 0.88 (1.33), 0.35 (.77), and 0.48 (.88) and control 0.38 (0.88), 0.31 (0.79) and 0.78 (1.32). Mean cholesterol levels for pre and post-tests were experimental 184 (36.84) and 193 (39.17) and control 190.31 (31.53) and 174.19 (26.50). Utilizing the pre-test and final post-test, the increased readiness to decrease dietary fat reported by the experimental group was not statistically significant (t (23)=1.58, p=.05). The lack of statistical significance of the demonstrated progress along the Transtheoretical Model may be explained in part by the high percentage of participants (experimental=66% and control=81%) reporting maintenance level on the pre-test. Positive change with the Transtheoretical Model was not possible for these participants.