River Oaks Retirement Manor

Satisfaction Survey Form

Please take an opportunity to fill out our survey form below. Select responses from the drop down menus below.

We appreciate your feedback!

Staff and Administration

Help available for filling out the resident`s paperwork

Suppport provided from social services

Staff attends to the resident`s emotional needs

Staff is friendly when you come to visit

Staff treats the resident with kindess and respect

Assistance is available to help the resident complete his or her meal

There is open communication between staff and you

There is appropriate notification in change of condition

Staff respects resident`s privacy

Physical Aspects of Nursing Home

Hallways and public areas are kept odor free

The facility is clean and well maintained

Physical attractiveness of the facility

Activities Available to Residents

Meaningful activities are offered seven days a week

Enough outdoor activities

Clergy visits or religious services

Variety of stimulating activities

Personal Care Provided to Residents

Staff assures that the resident is clean

Laundry system gets the resident`s own clothes back to them

Quality of physician and specialist services meets the resident`s needs

Food and Meals

Food choices are provided at each meal

Quality food, attractive, appetizing and nutritious

Additional Comments:

�Please provide any additional comments

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