In this study, we evaluated the nutrition status of elderly home care patients, and defined “eating difficulties” as patients with malnutrition or suspected malnutrition, and with feelings of obligation to eat. We investigated the association between “eating difficulties” and attributes/physical parameters of the patients and self-evaluation on nutrition/diet. We included 28 patients 65 years or older with at least once a month of home care visits by clinic B in city A. Based on MNA^®-SF, 21 patients (75%) were classified as having malnutrition or suspected malnutrition and 7 patients (25%) were classified as having good nutrition. Among patients with malnutrition/suspected malnutrition, 10 patients had “feelings of obligation to eat” and were considered to have eating difficulties, and 11 patients (39.3%) had “no feelings of obligation to eat” and were considered not to have eating difficulties. Although there was no significant difference in the average ages of the 3 groups, the average age of patients with eating difficulty (78.5±7.1) was significantly lower than that of patients with no eating difficulty (86.3±7.5) (p = 0.025). BMI and %AMC were significantly different among the 3 groups (p=0.043 and p=0.027, respectively), and the eating difficulty group showed significantly lower values compared to the good nutrition group. This study showed that home care patients have a higher risk of malnutrition. Also, the feeling of obligation to eat of patients with eating difficulty was associated with younger age elderly home care patients.