The article by Morris and colleagues in this issue of JAMDA, entitled "Hearing the Voice of the Resident in Long-Term Care Facilities-an Internationally Based Approach to Assessing Quality of Life," 1 underscores the importance of including residents' perspectives regarding the care they receive. InterRAI, an international research collaborative, developed a Self-Report Quality of Life Survey for Long-Term Care Facilities (SQOL-LTCF) which assesses resident perspectives on subscales reflecting social life, personal control, food, caring staff, and staff responsiveness. The results are based on reports of more than 16,000 residents who resided in 355 LTCFs; 44% of the respondents are from Belgium (residing in 70% of the LTCFs in the study), 32% are from Canada, 21% are from the United States, and fewer than 1% are from each of Poland, Estonia, South Africa, the Czech Republic, and Australia. Based on the distributions of the data, the researchers collapsed the scores (i.e., never/rarely; sometimes; most of the time; always); established benchmark standards for subscales; and compared scores to a single item (home-likeness) that was considered to represent an overall measure of "personal quality of life." This study is valuable in its findings as well as in the issues it raises inherent to cross-cultural research: with long-term care a reality around the world, to what extent is research on care systems broadly generalizable? Obtaining perspectives directly from residents is important, and since 2010 has been a standard part of screening in the U.S. Minimum Data Set 3.0 Resident Assessment Instrument (MDS 3.0 RAI) for nursing homes. 2,3 However, not all residents are able to self-report, and in the interRAI effort, those with more severe cognitive impairment were excluded from participation. Although it may be challenging to "hear the voice" of these