For First Nations Elders and older people, food is rarely just nutrition. It is ceremony, identity, kinship, and a living relationship with Country. Yet aged care menus, even in services that pride themselves on cultural responsiveness, overwhelmingly reflect a Western dietary model that renders this relationship invisible. The consequences extend well beyond the plate: disconnection from traditional food practices is associated with poorer psychological wellbeing, reduced engagement with care, and accelerated cultural loss. This presentation examines a growing movement of First Nations food sovereignty in aged care — programs reconnecting Elders and older people with traditional foods, bush medicines, seasonal harvesting practices, and the intergenerational knowledge attached to them. Drawing on case studies from community-controlled services, it documents the nutritional, psychological, and cultural outcomes observed when Elders are supported to lead food decisions rather than receive them. Practical learnings will be shared for mainstream and community-controlled providers alike, including how to navigate supply chain challenges for traditional foods, integrate cultural food knowledge into formal nutrition assessments, and fund these initiatives under current aged care arrangements. Barriers, including risk-averse food safety frameworks and workforce knowledge gaps, are addressed directly. The presentation concludes with a practice framework for food sovereignty in aged care settings, and calls on dietitians, service designers, and policy makers to reconceive nutritional wellbeing for First Nations Elders and older people as inseparable from cultural and environmental wellbeing.