Regency Nursing - Satisfaction Survey

Regency Nursing and Rehabilitation Centers

HOME

SERVICES

101 West Goodwin
Suite 600
Victoria, TX 77901
361.576.0694
800.850.2620
Fax: 361.576.5484

Satisfaction Survey

home » satisfaction survey

Survey Instructions Please answer each question by choosing the answer that best describes your experience and/or your loved ones experience while under our care. Answer all the questions that apply to you or your loved one by checking the box to the left of your answer. There is a space for comments at the bottom.

Facility:
Name:
Email:

Admission
How would you rate your satisfaction with the admissions process?
Excellent	Very Good	Good	Fair	Poor
Was the admission paperwork and services explained clearly?
Yes	No
Room
How would you rate the cleanliness of your room?
Excellent	Very Good	Good	Fair	Poor
Was everything provided by the facility in your room operational?
Yes	No
Maintenance
How would you rate the skill and promptness of the maintenance staff?
Excellent	Very Good	Good	Fair	Poor
Is the maintenance staff friendly and courteous?
Yes	No
Nurses
Has the nursing staff been able to explain care procedures clearly?
Yes	No
Has the nursing staff responded to concerns and ideas and treated you with dignity?
Yes	No
Nurses Aides
Have the nurse's aides and staff been able to explain care procedures clearly?
Yes	No
Have the nurse's aides responded to concerns and ideas and treated you with dignity?
Yes	No
Housekeeping
Level of odor control in the facility:
No odor	Sometimes there is an odor		There is always an odor
Quality of your laundry services:
Excellent	Very Good	Good	Fair	Poor
Activities
Are there a large variety of recreational, educational, and religious activities available to you?
Yes	No
Is the staff responsive to you, your loved ones, and other residents when participating in activities?
Yes	No
Dietary
How would you rate the quality of our dietary services?
Excellent	Very Good	Good	Fair	Poor
Food is served hot and fresh?
Yes	No
Finances
Has there been a clear explanation of fees and procedures?
Yes	No
How would you rate the services of the business office?
Excellent	Very Good	Good	Fair	Poor
Miscellaneous
How have the staff treated your visitors?
Excellent	Very Good	Good	Fair	Poor
How did you hear about us?
Website	Hospital Physician		Family/Friend
Other:
Additional Comments:

The nursing and rehabilitation facilities listed on this web site are independently owned. Regency Nursing and Rehabilitation Centers, Inc., or its affiliate, Windsor Nursing and Rehabilitation Centers, Inc., is independently contracted by the respective facility owners to serve as the managing agent for the applicable facility. All personnel employed at each facility are employees of the respective facilities. Each facility is an independently licensed and certified nursing facility and Medicare/Medicaid Provider.

Professional Website Design provided by DE Web Works