Introduction: To clarify the gap between user satisfaction with home-visit nursing services and nurses' recognition of such satisfaction.Methods: A questionnaire survey on user satisfaction with home-visit nursing services was conducted involving 716 users and 112 nurses in charge, and the obtained data were analyzed to calculate the agreement rate between the users' satisfaction and the nurses' recognition.Results: The response rate was 61.1%. In total, 438 respondents were analyzed. Many users chose as an unsatisfactory nursing point. The percent agreement for satisfaction was 93.2%. The prevalence- and bias-adjusted kappa was 0.863. The users were satisfied and deemed so by the nurses in 92.5% of all cases, the former were not satisfied and deemed so by the latter in 0.7%, and the former were not satisfied, but they were deemed satisfied by the latter in 1.6%.Conclusion: This survey clarified nursing points not satisfying home-visit nursing service users, and the gap between users' satisfaction with these services and nurses' recognition of such satisfaction.