This work explores the satisfaction of a sample of 300 frail elderly from rural Russia with the support services provided by social service agency staff. The client population lives in extremely difficult conditions in terms of housing and associated communal services. They reported high levels of satisfaction with the agency provided services. The patterns identified are broadly consistent with expectations based on modeling done for the U.S. populations receiving at-home care. The results clearly indicate the value of providing such services to frail elderly in such circumstances.