Objective To explore the effect of project management based enteral nutrition care for older adults. Methods A total of 216 older adults at risk of malnutrition or with malnutrition were divided into 2 groups according to their admission time. The intervention group received enteral nutrition care based on project management method, while the control group were managed with routine enteral nutrition care.Three months after theintervention,the incidence rates of enteral nutrition complications, and the scores of Mini Nutritional Assessment Short Form （MNA-SF）, hemoglobin levels, serum albumin levels were compared between the two groups. Results The incidence rates of enteral nutrition complications in the 2 groups had no significant differences （P＞0.05）.The score of MNA-SF, hemoglobin levels and serum albumin levels in the intervention group were significantly better than those in the control group （P＜0.05,P＜0.01）. Conclusion Project management enables monitoring of nutrition care process, guarantees smooth progress of the project, and improves nutritional indicators of older adults.