Economic development has improved people’s daily diets in China, but food waste has increased significantly. China faces severe natural resource constraints, and reducing food waste is important for ensuring national food security. Based on 1634 survey samples from 28 provinces in China, this study assessed food waste in rural China and empirically analyzed the main factors affecting rural household food waste. The results showed that, on average, 1.67% of food is wasted per household each day in rural China. Food waste is greater in economically developed areas, such as East China. Empirical analysis showed that cooking utensils, preparing the right amount of food, religious beliefs, number of family members, average weight of family members, percentage of purchased grain in the total food consumption in 1 year, and total grain output are significantly related to rural household food waste.