Resident satisfaction is widely recognized as a critical dimension in assessing quality of nursing home care. Although many factors are associated with satisfaction, little is known about the relative importance of these factors in predicting satisfaction. The purpose of this study was to identify the demographic, physiological, psychological, and social predictors of satisfaction in a convenience sample of 175 nursing home residents in Hong Kong. Seventeen resident variables were investigated. Variables that showed significant bivariate associations with satisfaction were entered into the stepwise regression model. Health-related quality of life (mental component), state self-esteem, and social support satisfaction, significantly accounted for 31% of the variance of satisfaction. These findings suggest approaches to tailor care plans to increase resident satisfaction. © 2005 Wiley Periodicals, Inc. Res Nurs Health 28: 376–387, 2005.