Background: Little Sisters of the Assumption Family Health Services(LSAFHS) provides prenatal skilled nursing home visits(PSNHV) to reduce adverse pregnancy and birth outcomes in high-risk women The East Harlem low birth weight(LBW) and preterm birth(PTB) prevalence surpasses that of New York City overall. NYC Latina women have a higher infant mortality rate compared to White women. Our project assesses the maternal/child outcomes of the population served by LSAFHS programs. Methods: Data were abstracted from charts of clients enrolled in the LSAFHS Maternity Outreach program(MOP) from 2011- 2016 who received PSNHV and those referred for postpartum visits(PPV) only, and analyzed using SAS. Results: LSAFHS MOP saw 731 clients, 309 PSNHV and 422 PPV, during 2011-2016 of which 68.5% identified as Latina. The 2011-2013 LBW/ PTB prevalence in the PSNHV group (n=193) was 4.4% / 4.9% and 10.4% /12.4% in the PPV group (n=182). For 2014-2016, the PSNHV LBW/PTB prevalence was17.5%/12.7% (n=171) compared to 27.9%/18.5% (n=247) in the PPV group. Preeclampsia(PE) and gestational diabetes(GDM) declined from 2011-2013 to 2014-2016 in the PSNHV group (14.1%/9.2% to12.1% /5.2%). In the PP group, GDM prevalence declined (9.3% to 7%) but PE increased (11.9% to 30.1%) over the two time periods. Conclusions: Home visiting programs like LSAFHS improve birth outcomes in high-risk women. The increase in LBW/PTB prevalence may suggest more high-risk pregnancies, which highlights the continued need of this program to benefit this population. The healthy people 2020 target for LBW/PTB is 7.8 %/9.4%. This research highlights the need for additional efforts to achieve this goal.