CUSTOMER SATISFACTION
Annual Trend Reports Submission
Please enter the scores from your facility’s Annual Resident/Family Facility Data Comparison Report
Facility name:
Date:
7/30/2010
Year Reported:
Facility Score*(%)
Overall Resident Satisfaction
Overall Family Satisfaction
Satisfaction with Nursing Care
Satisfaction with Medical Care
Quality of Life in the Facility
Willingness to Recommend the Facility
* Report total percent “satisfied” and “highly satisfied” or report total percent “agree” and “strongly agree”