Malnutrition has been reported in studies both overseas and in Australia, as affecting between 10% and 50% of hospitalised patients, with the geriatric population subject to the highest rates. Effective nutrition supplement delivery is critical to supporting adequate protein and energy intakes in older people at nutritional risk. Study aims included: determining distribution and consumption rates of oral nutrition supplements by food service staff. Three-day food and supplement intakes were recorded by nurses and dietetics students weekly over 3 weeks. Average age and gender of participants (n = 12) were 80 ᠸ.5 years and 67% male. Failed supplement distribution occurred in 21% (24/114) of deliveries. Length of stay, time of delivery, age and gender of patients were not associated with supplement delivery. When supplements were delivered, consumption was high with 71% (65/92) of patients consuming the entire supplement. In summary, the level of non-delivery of nutrition supplements was higher than anticipated. Barriers to successful supplement delivery need to be identified and combated through education, training, development of delivery and administration guidelines for food service staff and exploration of alternative modes of nutrition support provision.