 While it is well known that older adults are at increased nutritional risk and that nutrition intervention, such as oral nutritional supplementation ONS is beneficial in this population, there is limited research on the effect of oral nutritional supplements ONS in the Meals on Wheels population. This prospective randomized controlled trial will determine the effectiveness of oral nutritional supplements ONS in addition to daily meals from Meals on Wheels on weight status, hand grip strength, quality of life, and malnutrition screening scores in MOW clients with or at-risk of malnutrition over a 3-month study period. 