Best Nursing Homes in East Providence, RI

Why trust this guide? Our editorial team analyzed 8 nursing homes in East Providence, RI using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in RI
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Last updated
We analyzed These are the facilities in East Providence, RI our team has analyzed — not a count of every nursing home provider in East Providence, RI.
8 homes
Other senior care options in East Providence:
Avg Overall CMS Rating: 3.0/ 5The average Overall CMS Rating for all CMS-certified nursing homes in East Providence, RI. 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: 3.4/ 5The average Staffing Rating across all CMS-certified nursing homes in East Providence, RI. 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 East Providence, RI. 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

Compare Nursing Homes around East Providence

Info below is compiled from CMS reports & the RI Dept. of Health (RIDOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking 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. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. 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.
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 Rhode Island average is: 64.3% 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.
Eastgate Nursing & Rehabilitation Center
NH
HOS
PC
SNF
East Providence (Six Corners)
68
Facility 68
RI AVG 106
Rank #81 / 109
--
3.57
Facility 3.57
RI AVG 4.01
Rank #30 / 55
-17%-11%
$0
Facility $0
RI AVG $97.5k
Rank #1 / 57
14
Facility 14
RI AVG 28.1
Rank #9 / 57
2.8
Facility 2.8
RI AVG 3.5
Rank #8 / 57
-62-
81
Facility 81
RI AVG 48
Rank #15 / 117
Kevin Ryan
$7.6MFiscal year ending 12/2023
Facility $7.6MFiscal year ending 12/2023
RI AVG $11.4M
Rank #42 / 55
$4.7MFiscal year ending 12/2023
Facility $4.7MFiscal year ending 12/2023
RI AVG $7.0M
Rank #42 / 55
62.5%Fiscal year ending 12/2023
Facility 62.5%Fiscal year ending 12/2023
RI AVG 64.3%
Rank #28 / 55
415083
Hattie Ide Chaffee Home
NH
HOS
MC
RC
SNF
Riverside
69
Facility 69
RI AVG 106
Rank #80 / 109
98.6%
Facility 98.6%
RI AVG 83.7%
Rank #2 / 52
+18%
6.12
Facility 6.12
RI AVG 4.01
Rank #2 / 55
+19%+53%
$40.3k
Facility $40.3k
RI AVG $97.5k
Rank #32 / 57
19
Facility 19
RI AVG 28.1
Rank #16 / 57
3.2
Facility 3.2
RI AVG 3.5
Rank #21 / 57
168A+
36
Facility 36
RI AVG 48
Rank #71 / 117
Barry Zeltzer
$7.7MFiscal year ending 12/2023
Facility $7.7MFiscal year ending 12/2023
RI AVG $11.4M
Rank #40 / 55
$6.5MFiscal year ending 12/2023
Facility $6.5MFiscal year ending 12/2023
RI AVG $7.0M
Rank #32 / 55
83.9%Fiscal year ending 12/2023
Facility 83.9%Fiscal year ending 12/2023
RI AVG 64.3%
Rank #6 / 55
415002
Bethany Home of Rhode Island
NH
RC
SNF
Providence (Wayland)
33
Facility 33
RI AVG 106
Rank #103 / 109
81.8%
Facility 81.8%
RI AVG 83.7%
Rank #35 / 52
-2%
5.08
Facility 5.08
RI AVG 4.01
Rank #6 / 55
+4%+27%
$12.7k
Facility $12.7k
RI AVG $97.5k
Rank #22 / 57
16
Facility 16
RI AVG 28.1
Rank #12 / 57
4.0
Facility 4.0
RI AVG 3.5
Rank #36 / 57
127-
83
Facility 83
RI AVG 48
Rank #10 / 117
Bethany Home Of Rhode Island
$4.5MFiscal year ending 12/2023
Facility $4.5MFiscal year ending 12/2023
RI AVG $11.4M
Rank #53 / 55
$4.2MFiscal year ending 12/2023
Facility $4.2MFiscal year ending 12/2023
RI AVG $7.0M
Rank #48 / 55
94%Fiscal year ending 12/2023
Facility 94%Fiscal year ending 12/2023
RI AVG 64.3%
Rank #3 / 55
415096
Waterview Villa Rehabilitation and Health Care Center
NH
East Providence (Ingrams Corner)
132
Facility 132
RI AVG 106
Rank #30 / 109
93.2%
Facility 93.2%
RI AVG 83.7%
Rank #13 / 52
+11%
3.44
Facility 3.44
RI AVG 4.01
Rank #37 / 55
-20%-14%
$20.6k
Facility $20.6k
RI AVG $97.5k
Rank #26 / 57
24
Facility 24
RI AVG 28.1
Rank #22 / 57
4.0
Facility 4.0
RI AVG 3.5
Rank #36 / 57
4123-
54
Facility 54
RI AVG 48
Rank #53 / 117
Athena Health Care Systems Ri LLC
$11.3MFiscal year ending 12/2023
Facility $11.3MFiscal year ending 12/2023
RI AVG $11.4M
Rank #26 / 55
$8.4MFiscal year ending 12/2023
Facility $8.4MFiscal year ending 12/2023
RI AVG $7.0M
Rank #18 / 55
74.8%Fiscal year ending 12/2023
Facility 74.8%Fiscal year ending 12/2023
RI AVG 64.3%
Rank #14 / 55
415042
Orchard View Manor
NH
HOS
MC
RC
SNF
East Providence (Riverside)
166
Facility 166
RI AVG 106
Rank #15 / 109
75.3%
Facility 75.3%
RI AVG 83.7%
Rank #45 / 52
-10%
5.18
Facility 5.18
RI AVG 4.01
Rank #3 / 55
-20%+29%
$132.7k
Facility $132.7k
RI AVG $97.5k
Rank #45 / 57
63
Facility 63
RI AVG 28.1
Rank #55 / 57
3.0
Facility 3.0
RI AVG 3.5
Rank #15 / 57
13125-
11
Facility 11
RI AVG 48
Rank #104 / 117
Morenike Adeoye Administrator
$12.8MFiscal year ending 12/2023
Facility $12.8MFiscal year ending 12/2023
RI AVG $11.4M
Rank #19 / 55
$11.5MFiscal year ending 12/2023
Facility $11.5MFiscal year ending 12/2023
RI AVG $7.0M
Rank #4 / 55
90.1%Fiscal year ending 12/2023
Facility 90.1%Fiscal year ending 12/2023
RI AVG 64.3%
Rank #4 / 55
415059
Linn Health & Rehabilitation-
NH
AL
IL
MC
SNF
East Providence (Six Corners)
84
Facility 84
RI AVG 106
Rank #65 / 109
--------------
74
Facility 74
RI AVG 48
Rank #25 / 117
$7.6MFiscal year ending 12/2023
Facility $7.6MFiscal year ending 12/2023
RI AVG $11.4M
Rank #43 / 55
$7.2MFiscal year ending 12/2023
Facility $7.2MFiscal year ending 12/2023
RI AVG $7.0M
Rank #21 / 55
95%Fiscal year ending 12/2023
Facility 95%Fiscal year ending 12/2023
RI AVG 64.3%
Rank #2 / 55
415090

Rank badges are statewide: each community is ranked against every RI community we track that reports that metric, not just the 8 analyzed for East Providence.

Overview of Eastgate Nursing & Rehabilitation Center

Eastgate Nursing and Rehabilitation Center is one of the trusted nursing homes in East Providence. The dedicated team of professionals approaches their service with the understanding that their residents need a sense of safety and wellness– both physically and emotionally. A rehabilitation, short-term care, and long-term nursing home, the community inspires residents to grow as better individuals through their enhanced lifestyle in a vibrant and positive environment.

Eastgate’s recovery experience is centered on skilled nursing, wellness, and therapy. Residents can feel confident knowing it is filled with safe, comfortable, and therapeutic service. Seniors are encouraged to maintain independence and individuality by staying active and engaged with social, recreational, and stimulating activities.

Contact Eastgate Nursing & Rehabilitation Center

Overview of Hattie Ide Chaffee Home

Hattie Ide Chaffe is where a vibrant lifestyle surrounds its residents. The non-profit skilled nursing community creates an open space for seniors to live on their terms and where dedicated professionals are more than willing to follow through with the resident’s needs– whatever they may be. Seniors are encouraged to maintain an active lifestyle where endless possibilities await exploring.

Hattie Ide’s results-driven approach is centered on meeting the holistic wellness of each resident. Seniors can immerse themselves in comprehensive services that help with recovery and relaxation– specialized programs, social activities, and professional rehabilitative services for short-term respite stays. 

Contact Hattie Ide Chaffee Home

Overview of Bethany Home of Rhode Island

Bethany Home of Rhode Island is the ideal place for residents to experience an active lifestyle where seniors can fulfill independence and support, regardless of their housing options. With an emphasis on skilled nursing and rehabilitation, the nursing home understands the importance of happiness and serenity, ensuring that each resident can receive only the best care. For 125 years, Bethany Home has provided quality expert care and gracious service that many families have trusted over the decades.

The tightly-knot nursing home provides a personal care plan tailored for each individual. Other community features that maintain independence include wellness programs, ADLs, engaging programs, housekeeping, and transportation services. Specialized programs include pulmonary management, wound care, IV therapy, medication management, and restorative nursing care.

Contact Bethany Home of Rhode Island

Overview of Waterview Villa Rehabilitation and Health Care Center

Waterview Villa Rehabilitation and Health Care offers a sanctuary where seniors can reclaim their well-being and relish life’s joys in East Providence. Their comprehensive services include expertise in short-term or long-term care and memory care services. Additionally, they extend their support to home health care and hospice care, ensuring that individuals receive the care they need at every stage of their journey.

The home boasts a tranquil setting for residents to unwind and reconnect with nature. Private and intimate rooms await within the center, offering a personal retreat where residents can find solace and comfort. The dining experience is nothing short of exceptional as well. A spacious and inviting dining area sets the stage for culinary delights, where residents can savor delicious, carefully crafted meals. Additionally, comfortable lounges throughout the facility provide a cozy setting for relaxation and socialization.

Contact Waterview Villa Rehabilitation and Health Care Center

Overview of Orchard View Manor

Orchard View Manor offers the highest quality of senior living care. Athena Health Care Systems proudly manage this assisted living community. It is focused on their continuum of care philosophy, ensuring residents can breathe easily, knowing they will not have to move as their care needs change. Orchard View Manor is designed to provide all residents with a compassionate, safe, and dignified environment for seniors in hospice, rehabilitation, and memory care living.

With spacious private and semi-private rooms, a large dining area, comfortable lounges, a beautiful outdoor landscape, and top-notch healthcare, this community is committed to improving the quality of life of its residents. Other specialty services include wound care, 24/7 skilled nursing, and physical and occupational therapies.

Contact Orchard View Manor

Overview of Tockwotton on the Waterfront

Tockwotton on the Waterfront is a nonprofit senior living and healthcare community located in East Providence, Rhode Island, that provides skilled nursing care, assisted living, memory support, short-term rehabilitation, and respite services. The community has 117 licensed beds, serving a significant number of short-term rehabilitation residents recovering after hospitalization, surgery, or illness, with an average stay of approximately 85 days. Medicare and Medicaid are also accepted.

The community performs well above Rhode Island averages in several key staffing categories, maintaining a 4-star overall rating from the Centers for Medicare & Medicaid Services. Nursing staff provides more than five hours of direct care per resident each day, placing the community among the top staffing performers in the state. Registered nurse coverage and nurse aide staffing levels also significantly exceed statewide averages, reflecting strong clinical support and resident supervision. Occupancy rates remain high, with 97%, indicating consistent demand and a stable resident population but limited availability.

A wide range of amenities and lifestyle features designed to support comfort, wellness, and social engagement are provided, including a theater room, fitness center, salon, library, gardens, media spaces, and multiple dining venues such as Sculler’s Pub and outdoor terrace dining. Assisted living accommodations are also wheelchair accessible and equipped with emergency response systems to enhance resident safety and accessibility.

Since 2021, inspection history reflects a mixture of strong operational capacity and recurring compliance concerns. State investigations identified deficiencies involving delayed reporting of suspected abuse, memory care safety issues with a prior elopement incident, incomplete resident assessments, medication documentation concerns, and environmental safety risks such as inadequate fall precautions and loose grab bars. While follow-up inspections have addressed several previously cited issues, the recent inspection in September 2025 indicates that documentation and reporting challenges have continued in some areas. The community has also received one federal monetary penalty totaling $9,000 and no Medicare payment denials.

As a nonprofit community known for strong staffing levels, extensive amenities, and a long-established presence, Tockwotton on the Waterfront is well suited for older adults and post-hospital patients seeking short-term rehabilitation, assisted living, or skilled nursing support in the East Providence area.

Contact Tockwotton on the Waterfront

Overview of Linn Health & Rehabilitation

Linn Health and Rehabilitation is a nursing home that costs at an affordable rate. Tranquility surrounds your environment with a family-like atmosphere, contributing to an inspiring and relaxing experience in the nurturing home. Professionalism and compassion cover the background with a family-like atmosphere, contributing to an inspiring and comfortable experience in the nurturing, home-like surroundings.

Linn Health and Rehab offers life enrichment activities to personal care services delivered by their professional caregivers and 24/7 nurse staff, seniors experience the compassionate care given to them. Other benefits include housekeeping, ADLs, medication management, social activities, and specialized programs.

Contact Linn Health & Rehabilitation

Overview of Saint Elizabeth Assisted Living

Saint Elizabeth Assisted Living is a vibrant and modern senior community located in the heart of Providence, Rhode Island, where seniors can enjoy beautifully designed living spaces and exceptional care from a team of registered nurses, certified nursing assistants, and culinary professionals at an affordable cost.

Their respite stays in fully furnished apartments offer temporary relief for caregivers. At the same time, their amenities include hairdressing services, a gorgeous courtyard, daily refreshments, and weekly shopping trips in their comfortable passenger bus. The community also offers a wide range of activities, such as spiritual care, pet therapy, craft classes, live musical performances, and more. The culinary department also hosts various events like bacon club, summer cookouts, wine and cheese hour, and other exciting activities.

Contact Saint Elizabeth Assisted Living

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.

  • 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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Frequently Asked Questions about Nursing Homes in East Providence, RI

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

Assisted living in Rhode Island 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 Rhode Island Medicaid cover nursing home care?

Yes — Rhode Island 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 8 nursing homes in East Providence, RI. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in East Providence, RI?

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 East Providence, RI, 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 East Providence, RI?

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.