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Alzheimer's Report

Which states are best placed for Alzheimer’s care support?

Mirador Living ranked all 50 states across four care-access signals, from Alzheimer’s prevalence growth to nursing homes, geriatric clinicians, and caregivers.

Explore the rankings Read methodology
Key findings

Missouri ranks first overall, with four states leading individual measures.

Overall leader

Missouri

Its lead came from steady performance across all four measures, ranking between 5th and 15th on each rather than relying on one standout metric. Lower prevalence growth is stronger, while higher rates are stronger for nursing homes, clinicians and caregivers.

No. 1 overall 82.15 Alzheimer’s Care Score
18.18%Prevalence growth#5, lower is better
3.63Nursing homes per 10K#9
43.7Clinicians per 100K#15
68.34Caregivers per 1K#10
Individual measures

Leaders by measure

Lowest prevalence growth

North Dakota

14.29%10-year increase

Most nursing homes

Iowa

5.82per 10K older adults

Most geriatric clinicians

Rhode Island

73.7per 100K older adults

Most caregivers

New York

160.69per 1K older adults

Why care support matters

See how Alzheimer’s may affect the perception of a familiar room.

Drag the slider left and right to compare an everyday room with an illustrative view of possible visual and recognition challenges associated with Alzheimer’s.

This is an illustrative example, not a universal experience. Alzheimer’s affects people differently.

Everyday view Possible challenges
US Rankings

Compare the top 10 and bottom 10 states.

See the states with the highest and lowest overall scores, with all four underlying measures shown for every state.

Alzheimer’s Care Score, out of 100

Lower prevalence growth is stronger. Higher values are stronger for nursing homes, clinicians and caregivers.

Full data table

Compare all 50 states.

Use the selector to highlight a state in the table, then switch between the overall ranking and each metric ranking.

Find your state

Jump to one state in the rankings.

Choose a state to keep its row easy to find while you move between ranking views. It’s a quick way to see which care-access signals shape that state’s overall position.

State-level Alzheimer's and memory care access indicators. Use the controls above to switch between the overall score and individual measures. Scroll to view all 50 states.

Find local care options for a loved one with Alzheimer's.

State rankings show broad patterns. Mirador Living helps families compare local communities by services, pricing, reviews, availability, and support needs.

Explore local care options
Methodology

How the states were ranked.

This study ranks all 50 US states to identify those with the best elder care conditions for people living with Alzheimer’s disease.

What we measured

Prevalence growth

Alzheimer’s prevalence, 2016 to 2025

↓ Lower growth scores better

Nursing homes

Per 10,000 older adults

↑ Higher availability scores better

Geriatric clinicians

Per 100,000 older adults

↑ Higher availability scores better

Caregivers

Per 1,000 older adults

↑ Higher availability scores better

The metrics are equally weighted. Final scores are based on the average of each state’s percentile ranks across all four metrics. The Alzheimer’s increase metric is specifically inverted so that a lower growth in disease burden yields a higher percentile score.

Sources: Alzheimer’s Association, CMS Care Compare, America’s Health Rankings and CMS NPPES underlying data, and Bureau of Labor Statistics OEWS May 2024.