Recognition and management of weight conditions is suboptimal in primary care. This quality improvement project assessed the feasibility of using nurses and staff in a patient-centered medical home to implement the National Institutes of Health evidence-based weight management guidelines. The goal was to increase the percentage of adults receiving proper documentation of weight diagnosis and weight management plan during their annual exam. A retrospective analysis detected a significant increase in the documentation of correct weight diagnosis and weight management plan for overweight or obese patients after implementation of the guidelines. Results support the use of patient-centered medical home nurses and staff to address the epidemic of adult obesity.