This study identifies preferences that are most important to older adults receiving long-term services and supports. Preference assessment interviews were conducted with 255 nursing home (NH) residents and 528 home care (HC) clients, using the Preferences for Everyday Living Inventory-Nursing Home (PELI-NH) and PELI-HC respectively. Analysis focused on 41 items shared by both versions. Ten preferences were rated as important or very important by HC and NH clients. Providers may wish to target the top areas for preference-based, person-centered care quality improvement efforts.