River Oaks Retirement Manor
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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
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Above Satisfactory
Satisfactory
Unsatisfactory
Suppport provided from social services
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Above Satisfactory
Satisfactory
Unsatisfactory
Staff attends to the resident`s emotional needs
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Above Satisfactory
Satisfactory
Unsatisfactory
Staff is friendly when you come to visit
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Above Satisfactory
Satisfactory
Unsatisfactory
Staff treats the resident with kindess and respect
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Above Satisfactory
Satisfactory
Unsatisfactory
Assistance is available to help the resident complete his or her meal
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Above Satisfactory
Satisfactory
Unsatisfactory
There is open communication between staff and you
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Above Satisfactory
Satisfactory
Below Satisfactory
There is appropriate notification in change of condition
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Above Satisfactory
Satisfactory
Below Satisfactory
Staff respects resident`s privacy
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Above Satisfactory
Satisfactory
Below Satisfactory
Physical Aspects of Nursing Home
Hallways and public areas are kept odor free
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Above Satisfactory
Satisfactory
Below Satisfactory
The facility is clean and well maintained
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Above Satisfactory
Satisfactory
Below Satisfactory
Physical attractiveness of the facility
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Above Satisfactory
Satisfactory
Below Satisfactory
Activities Available to Residents
Meaningful activities are offered seven days a week
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Above Satisfactory
Satisfactory
Below Satisfactory
Enough outdoor activities
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Above Satisfactory
Satisfactory
Unsatisfactory
Clergy visits or religious services
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Above Satisfactory
Satisfactory
Unsatisfactory
Variety of stimulating activities
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Above Satisfactory
Satisfactory
Unsatisfactory
Personal Care Provided to Residents
Staff assures that the resident is clean
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Above Satisfactory
Satisfactory
Below Satisfactory
Laundry system gets the resident`s own clothes back to them
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Above Satisfactory
Satisfactory
Below Satisfactory
Quality of physician and specialist services meets the resident`s needs
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Above Satisfactory
Satisfactory
Below Satisfactory
Food and Meals
Food choices are provided at each meal
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Above Satisfactory
Satisfactory
Unsatisfactory
Quality food, attractive, appetizing and nutritious
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Above Satisfactory
Satisfactory
Below Satisfactory
Additional Comments:
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