Page 8 of Best Nursing Homes in Connecticut

Why trust this guide? Our editorial team analyzed 77 nursing homes in CT using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in CT
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Last updated
We analyzed These are the facilities in Connecticut our team has analyzed — not a count of every nursing home provider in Connecticut.
77 homes
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Info below is compiled from CMS reports & the CT Dept. of Public Health (DPH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Connecticut average is: 68.2% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
New Haven Center for Nursing & Rehabilitation
NH
SNF
New Haven (Fair Haven Heights)
150
Facility 150
CT AVG 130
Rank #20 / 70
82.0%
Facility 82.0%
CT AVG 85.1%
Rank #52 / 67
-4%
4.14
Facility 4.14
CT AVG 3.97
Rank #22 / 65
C- +72%+4%
$61.8k
Facility $61.8k
CT AVG $43.8k
Rank #60 / 66
80
Facility 80
CT AVG 32.0
Rank #64 / 65
6.2
Facility 6.2
CT AVG 5.8
Rank #52 / 65
2123A+
45
Facility 45
CT AVG 39
Rank #26 / 77
-
$14.6MFiscal year ending 09/2023
Facility $14.6MFiscal year ending 09/2023
CT AVG $18.1M
Rank #39 / 64
$12.9MFiscal year ending 09/2023
Facility $12.9MFiscal year ending 09/2023
CT AVG $10.7M
Rank #14 / 64
88.4%Fiscal year ending 09/2023
Facility 88.4%Fiscal year ending 09/2023
CT AVG 68.2%
Rank #6 / 64
75397
Arden Care Center
NH
MC
Hamden
271
Facility 271
CT AVG 130
Rank #5 / 70
82.3%
Facility 82.3%
CT AVG 85.1%
Rank #51 / 67
-3%
3.32
Facility 3.32
CT AVG 3.97
Rank #50 / 65
D+ -21%-17%
$101.2k
Facility $101.2k
CT AVG $43.8k
Rank #64 / 66
94
Facility 94
CT AVG 32.0
Rank #65 / 65
3.9
Facility 3.9
CT AVG 5.8
Rank #19 / 65
4223-
66
Facility 66
CT AVG 39
Rank #15 / 77
Usher Egert
$25.8MFiscal year ending 09/2023
Facility $25.8MFiscal year ending 09/2023
CT AVG $18.1M
Rank #11 / 64
$13.4MFiscal year ending 09/2023
Facility $13.4MFiscal year ending 09/2023
CT AVG $10.7M
Rank #13 / 64
52%Fiscal year ending 09/2023
Facility 52%Fiscal year ending 09/2023
CT AVG 68.2%
Rank #49 / 64
75228
Mystic Healthcare
NH
SNF
Mystic
100
Facility 100
CT AVG 130
Rank #45 / 70
84.0%
Facility 84.0%
CT AVG 85.1%
Rank #48 / 67
-1%
3.65
Facility 3.65
CT AVG 3.97
Rank #36 / 65
C- +18%-8%
$38.9k
Facility $38.9k
CT AVG $43.8k
Rank #55 / 66
41
Facility 41
CT AVG 32.0
Rank #47 / 65
4.6
Facility 4.6
CT AVG 5.8
Rank #35 / 65
384-
18
Facility 18
CT AVG 39
Rank #59 / 77
-
$10.3MFiscal year ending 09/2023
Facility $10.3MFiscal year ending 09/2023
CT AVG $18.1M
Rank #54 / 64
$6.1MFiscal year ending 09/2023
Facility $6.1MFiscal year ending 09/2023
CT AVG $10.7M
Rank #53 / 64
58.7%Fiscal year ending 09/2023
Facility 58.7%Fiscal year ending 09/2023
CT AVG 68.2%
Rank #35 / 64
75271
Cassena Care at Norwalk
NH
HOS
MC
PC
RC
SNF
Norwalk
150
Facility 150
CT AVG 130
Rank #20 / 70
90.3%
Facility 90.3%
CT AVG 85.1%
Rank #34 / 67
+6%
3.45
Facility 3.45
CT AVG 3.97
Rank #40 / 65
D- -9%-13%
$198.2k
Facility $198.2k
CT AVG $43.8k
Rank #66 / 66
41
Facility 41
CT AVG 32.0
Rank #47 / 65
6.8
Facility 6.8
CT AVG 5.8
Rank #57 / 65
3136-
76
Facility 76
CT AVG 39
Rank #6 / 77
Yong Lee
$17.7MFiscal year ending 09/2023
Facility $17.7MFiscal year ending 09/2023
CT AVG $18.1M
Rank #25 / 64
$10.1MFiscal year ending 09/2023
Facility $10.1MFiscal year ending 09/2023
CT AVG $10.7M
Rank #34 / 64
56.9%Fiscal year ending 09/2023
Facility 56.9%Fiscal year ending 09/2023
CT AVG 68.2%
Rank #41 / 64
75159
Abbott Terrace Health Center-
NH
Waterbury
205
Facility 205
CT AVG 130
Rank #9 / 70
---?-----------
89
Facility 89
CT AVG 39
Rank #2 / 77
-
$21.8MFiscal year ending 09/2023
Facility $21.8MFiscal year ending 09/2023
CT AVG $18.1M
Rank #15 / 64
$16.1MFiscal year ending 09/2023
Facility $16.1MFiscal year ending 09/2023
CT AVG $10.7M
Rank #8 / 64
74.2%Fiscal year ending 09/2023
Facility 74.2%Fiscal year ending 09/2023
CT AVG 68.2%
Rank #12 / 64
75351
Hughes Health and Rehabilitation-
NH
West Hartford
170
Facility 170
CT AVG 130
Rank #14 / 70
---?-----------
68
Facility 68
CT AVG 39
Rank #10 / 77
$12.9M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$8.5M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.65.6%*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.75082
Countryside Manor of Bristol-
NH
AL
HC
HOS
Bristol
90
Facility 90
CT AVG 130
Rank #50 / 70
---?-----------
13
Facility 13
CT AVG 39
Rank #65 / 77
-
$10.6MFiscal year ending 12/2023
Facility $10.6MFiscal year ending 12/2023
CT AVG $18.1M
Rank #52 / 64
$8.4MFiscal year ending 12/2023
Facility $8.4MFiscal year ending 12/2023
CT AVG $10.7M
Rank #42 / 64
79.4%Fiscal year ending 12/2023
Facility 79.4%Fiscal year ending 12/2023
CT AVG 68.2%
Rank #7 / 64
75415

Rank badges are statewide and care-type specific: each nursing home is ranked against every other CT nursing home we track that reports that metric, not just the 77 on this page. See how we rank facilities

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Overview of The Inn

The Inn is a 2-story residential community located at 73 Oenoke Ridge in New Canaan, Connecticut. The community offers studio and one-bedroom housing options for older adults and their families seeking residential services in a neighborhood setting.

The location scores 54 on the Walk Score scale, indicating moderate walkability. Some daily errands can be accomplished on foot, though most trips will require a short drive to nearby amenities, shopping, and services. The quiet residential neighborhood appeals to families who value a calm, accessible community environment close to town services.

The property’s modest footprint and housing mix make it suitable for residents seeking a smaller, more intimate setting compared to larger senior living communities. The single-building layout simplifies navigation and encourages a cohesive residential experience.

For families interested in The Inn, an in-person tour is the best way to evaluate the available floor plans, see the community spaces, and understand the daily living environment firsthand. Visiting in person will also allow you to discuss available services and support options directly with the community team.

Contact The Inn

Overview of Brookdale Gables Farmington

Awarded #1 in Customer Satisfaction, Brookdale Gables Farmington provides exceptional service for independent living and assisted living seniors. The home strives to offer a dedicated approach to enhancing the quality of life for seniors needing quality assistance by providing options that cater to each individual’s needs while maintaining independence and individuality. The community is guaranteed to give a resident-centered atmosphere for its seniors, promoting a comfortable and secure living situation.

The lifestyle at Brookdale Gables Farmington is designed to make lives safe and convenient for everyone. All-inclusive amenities and services include spacious common areas, recreational rooms, housekeeping, and transportation services; management pride itself on its approach to modern assisted living care, unparalleled by its remarkable care staff that offers compassionate care with their service. 

Contact Brookdale Gables Farmington

Overview of Mozaic Concierge Living

Mozaic Concierge Living is a continuing care retirement community in Stamford, Connecticut, with independent living, assisted living, memory care, nursing home care, and skilled nursing. Independent living offers private living with community services and no daily care, while assisted living helps with tasks such as dressing, bathing, and taking medication.

Memory care is provided in a secured setting with supervision. Skilled nursing and nursing home care include licensed nursing care on site around the clock, giving residents access to that level of support within the community.

Because several care levels are available, Mozaic Concierge Living may suit a resident whose needs could increase over time without requiring a move to another community. Housing includes one bedroom and two bedroom residences, with the two bedroom layout also accommodating a couple moving together.

Rehabilitation services are available for residents who need therapy during recovery. The community is in the Ridgeway Bulls Head neighborhood and has a Walk Score of 62 out of 100, so some errands can be completed on foot. A wellness center and health club provide places to exercise, while three restaurants offer dining venues and social clubs provide organized activities with others.

Contact Mozaic Concierge Living

Overview of Covenant Living of Cromwell

Covenant Living of Cromwell offers nursing home, assisted living, continuing care retirement community, memory care, respite care, and skilled nursing services in Cromwell, Connecticut. Located in the Main Street Historic District, it brings several care levels together, so a resident’s needs can change over time without requiring a move to another community.

Assisted living provides help with daily tasks while preserving a private living space. Memory care offers a secured setting with supervision, skilled nursing provides licensed nursing care, and respite care gives someone a short stay when their usual caregiver needs time away. Rehabilitation services are also available for residents who need therapy during recovery.

Housing includes studios, one bedroom homes, and two bedroom homes. A studio offers one private space, while a two bedroom layout can work for a couple moving together. Residents can also use the wellness center, gardens, and walking paths, with cultural, dining, and shopping offerings nearby.

The area has a Walk Score of 40 and depends on cars, so most errands require a car or a ride. Planning for car based errands or rides will matter for a resident whose care needs may change over time. This may be a good fit for someone who needs the flexibility of several care levels and whose household can arrange that transportation.

Contact Covenant Living of Cromwell

Overview of The Mercy Community

Make every moment count at The Mercy Community, an idyllic retreat in West Hartford, CT, offering independent living. Purposely built and spacious studio to two-bedroom floor plans are provided in a vibrant and welcoming environment, ensuring residents can feel at ease during their stay. The community strives to maintain residents’ independence without hassles, helping them with chores and maintenance.

Residents can spend their days as they please with fun recreational activities and engaging programs that aim to keep them active and socially connected. With plenty of convenient local amenities nearby, residents have easy access to their needs. The community also provides shuttle services for residents’ convenience. With its extensive amenities and top-notch services, residents are guaranteed to thrive in their golden years.

Contact The Mercy Community

Overview of Holiday Retirement Community

Holiday Retirement – Senior Independent Living & Retirement Community is a distinguished assisted living community in Hartford, Connecticut. This senior living community promotes independent living and offers retirement homes to senior residents. Here, the paramount focus is on the health, safety, and comfort of seniors in the area.
Holiday’s residents can connect with others from various corners of Connecticut, Boston, and New York, fostering a vibrant and diverse community. A dedicated and well-trained staff is at the core of this commitment, ensuring the well-being of residents around the clock. This unwavering dedication offers families great peace of mind, knowing their loved ones receive exceptional care and attention. 

Contact Holiday Retirement Community

Mozaic Senior Life (Jewish Senior Services)

The Harry And Jeanette Weinberg Campus Mozaic Senior Life 4200 Park Avenue, Bridgeport, CT 06604
Overview of Mozaic Senior Life (jewish Senior Services)

Mozaic Senior Life, formerly Jewish Senior Services, is at 4200 Park Avenue in Bridgeport, Connecticut, on the Harry and Jeanette Weinberg Campus. Eight care designations are listed on the profile: nursing home, assisted living, independent living, memory care, adult day care, home care, hospice care, and nursing care. That is the kind of list that signals a large, multi-service organization rather than a single building offering one type of care. For families who want to stay within one system as a person’s needs change over time, that breadth is worth paying attention to.

The campus sits in a somewhat walkable area (Walk Score 36), which in practice means most trips require a car. Bridgeport Hospital is 3.71 miles away. Larry Condon serves as Senior Vice President and Administrator.

The program list here goes well beyond what most nursing home profiles show. Alongside inpatient and outpatient rehabilitation, the organization offers in-home therapy, medical and non-medical home care, adult day programs, a Memory Workshop, ElderCare Navigation, Geriatric Assessment and Physician Services, an Aging Technology program, Adult Family Living, Long-term Care Planning and Asset Protection, and a Center for Elder Abuse Prevention. That last one is unusual enough to be worth noting: it signals that elder advocacy is a stated organizational focus, not just a service add-on.

For adults and families navigating the full arc of aging, from outpatient support through residential memory and nursing care, Mozaic Senior Life operates at a scale that makes multi-stage care within a single system a realistic option in Bridgeport.

Contact Mozaic Senior Life (Jewish Senior Services)

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Nursing Homes in Connecticut at a glance

Avg Overall CMS Rating: 3.0/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Connecticut. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 3.2/ 5The average Staffing Rating across all CMS-certified nursing homes in Connecticut. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Connecticut. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5
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Frequently Asked Questions about Nursing Homes in Connecticut

What's the difference between assisted living and a nursing home in Connecticut?

Assisted living in Connecticut is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Connecticut Medicaid cover nursing home care?

Yes — Connecticut Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 77 nursing homes in Connecticut. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Connecticut?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Connecticut, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Connecticut?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.