The long-term stability of nursing home (NH) residents’ everyday preferences remains unknown. This study examined 1-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 NH residents (N = 161). This study examined mean differences in demographic and clinical characteristics of residents for preferences showing the change. Importance ratings of preferences were highly stable over 1-year, with 91% of items retaining the same valence of importance for the majority of the sample (<20% change). Three preferences showed greater change. More functionally able residents were more likely to change their importance on being with groups of people, and older residents were more likely to change their preferences for being involved in religious practices and around animals such as pets. Overall, annual assessments of recreational activity preferences capture an accurate representation of preferences with reassessment only needed in a few circumstances.