PURPOSE: This article reports baseline data from a randomized controlled trial investigating the impact of a specialist cardiometabolic healthcare nurse on physical health care. DESIGN AND METHODS: Survey of community-based mental health consumers randomized to a cardiometabolic health nurse intervention. FINDINGS: Findings show a high prevalence of respiratory conditions, hypercholesterolemia, hypertension, and low quality of life. Participants reported regular blood pressure but infrequent cholesterol and blood glucose testing. Few received advice about smoking cessation, diet, or physical activity. Participants were mostly satisfied with physical healthcare provision; however, positive health behaviors are lacking. PRACTICE IMPLICATIONS: An individualized intervention based on knowledge and attitudes may be necessary.