Here's what I can recommend. I once got my Vet Clinic to 4.5 stars due to this. I am sure this will help, as it's helped me to nearly get to 5 stars.
1. Make your clinic on a small lot, that way it's easier to keep clean and tidy. I've noticed that, with bigger lots, it's a lot harder to keep clean, because of pet litter, and a dirty clinic will decrease the star rating of your customers, and your clinic.
2. Add at least 4 exam tables for your employees to help you examine animals. If you just have one exam table, and one vet, it'll be more harder to keep up with the bustle of patients that will come in as you increase in star ratings.
3. Before your patients arrive, and all of your employees are at your clinic, take extra time to give them training, check up on them, and/or give them an inspirational speech. I recommend trying to do all of these with your employees before customers come so that your employees can become Extremely Satisfied quicker. The more satisfied they are with their workplace, they harder they will work. So make sure they are satisfied!
4. An employee's satisfaction revolves around many things. Such as their energy. After some time working in the clinic, you will possibly very likely get a notification that one of your employees is starting to get tired. What I do in this situation, because I do not want to leave any customers waiting, is I click on the patient check-in, and I select Disallow New Customers. This will not allow new customers to come into the clinic until your next shift. I find this EXTREMELY helpful, because after your vets are done with their last patients, they can take a quick nap, until everyone is finished, and you close the clinic. It's important to make sure you're not overexerting your employees, otherwise their satisfaction will suffer!
5. If you're struggling with keeping your clinic clean, I recommend getting a bunch of pet vacuum cleaners, and upgrade each of them completely, and adjust their settings so that the vacuum cleaners are automatically cleaning every hour, so that you aren't having to take time away from treating patients just to turn on the vacuum cleaner.
I hope this helps you reach 5 stars! - Lizzie
