Residential satisfaction has always been a crucial concern in urban planning and community management. This paper conducts a study of key factors affecting residential satisfaction in settlements with multiple build periods coexisting in old neighborhoods. This study aims to comprehensively analyze the influencing factors of residential satisfaction in order to obtain the post-occupancy evaluation of the residential environment by residents in different communities and propose sustainable design strategies based on the evaluation analysis. By constructing an evaluation system of residential satisfaction with 19 evaluation indicators and based on the questionnaire, the sample frequency analysis, reliability and validity test, IPA analysis, and evaluation factor analysis of the data, the IPA mean distribution results of residential satisfaction in the four communities are obtained. The study reveals that residents are most satisfied with the surrounding services in their communities but generally less satisfied with the internal residential environment. Among the factors, fitness facilities and space in the community have a significant impact on residents’ satisfaction; community activities and neighbor relationships are also key influencing factors, which become more prominent as the construction period of the community approaches. Additionally, community residents’ self-organizational governance will affect their satisfaction with community conventions and social capital. Therefore, this study proposes improvement suggestions, including planning community life circles to fully utilize available resources in the surrounding area, establishing community self-organization for community governance and improving the quality of community life, and implementing mobile service stations to flexibly adapt to community space and service needs. This study provides a valuable reference for urban community renewal and sustainable development. The research findings are expected to provide practical guidance for improving the residential environment within old neighborhoods and enhancing residents’ satisfaction.