This cross-national study of 306 nursing home residents in the United
States and the United Kingdom examines the similarities and difference
s in their evaluation of service quality. Service quality was defined
as the differences between expectations about the service and actual p
erceptions of the service delivered in terms of five dimensions: tangi
bles, assurance, empathy, reliability and responsiveness. The SERVQUAL
instrument was used to measure service quality. The two groups differ
ed in their expectations for quality and their perceptions of service
quality: US residents' ratings were lower in all respects.