In this study an exploration was done of the management and perceived difficulties of emergency room nurses and caregivers in long-term care facilities, as they relate to the transition of care of elderly residents from the facilities to the emergency room. Methods: A qualitative descriptive study using focus groups was conducted with 20 caregivers from emergency rooms and long-term care facilities. Data were collected between April 1 and April 29, 2013, and were analyzed using qualitative content analysis. Results: Four themes emerged: (1) emergency situations and their management in long-term care facilities, (2) rapid reporting and transferring system, (3) lack of patient information during emergency room admission and readmission to the long-term care facility, and (4) burden of caregivers working in the emergency rooms and long-term care facilities. The caregivers emphasized the importance of sharing essential patient information when transferring patients to the emergency room or returning them to the long-term care facility. Conclusion: The results indicate a need for education for caregivers of elderly residents regarding potential emergencies and their management, as well as the importance of sharing essential patient information when transferring a patient to the emergency room or back to the long-term care facility.