Aim: To assess continuity of medication management during transition from hospital to residential care facilities (RCFs). Method: Telephone interviews with RCF staff were performed 24 hours after patient transfer to determine the proportion of patients with: missed or significantly delayed doses; RCF medication chart not written/updated in time for the first dose; suitably packed medications not available for the first dose; and RCF medication chart written/updated by a locum doctor. Retrospective audit was used to identify discharge summary discrepancies. Results: Seventy-five doses for 37/202 (18.3 ) patients were missed or significantly delayed in the 24 hours after discharge. One hundred and twenty-five (61.9 ) patients did not have their medication chart written/updated and 77 (38.1 ) did not have suitably packed medications available for the first dose. Locum doctors wrote RCF medication charts for 66 (32.7 ) patients. One hundred and ninety-seven of 392 (50.3 ) changes to regularly scheduled medications were communicated. Conclusions: Strategies are needed to address gaps in the continuity of medication management.