The purpose of this study was to investigate the perceptions of Medicare beneficiaries regarding the quality of the care received at a comprehensive health care facility that sponsors a Healthy Aging Program in a rural Northeastern U.S. community. Based on the Modified Drain (2001) survey results, there were generally positive (Moderately Agree to Strongly Agree) average ratings associated with the four subcategories of Medicare quality questions (i.e., care provider, office visit, access to care, personal issues) among survey participants. These average ratings by subcategory were also found to be significantly different as delineated by category and demographic variables of age delineated as age <74 vs. >74 years; education =<high school diploma or > high school; Caucasian ethnicity vs. Native American ethnicity; and income =<$20,000/year. The variability of responses by survey participants, implications for standardization of healthcare processes related to the care provider, office visits, access to care, and personal issues are supported. In addition, the average rating of Medicare knowledge by survey participants averaged "somewhat familiar" with and average rating 6.3 on a scale of 0-10 leaving much room for improvement and recommendations for future improvements to the Medicare program and service provision.