Alzheimer's Report

Where state-level signs of Alzheimer’s care support look strongest

Mirador Living compared all 50 US states across four factors that can shape Alzheimer’s and memory care access: 10-year changes in Alzheimer’s prevalence, nursing homes per older adult, geriatric clinicians, and paid care workers. The score is a comparative starting point for families, not a rating of individual care communities.

Key findings

Key findings from the Alzheimer’s Report.

A quick view of the main result, plus the individual measures that shaped the state rankings.

At a glance

Missouri ranked No. 1 with an Elderly Care Score of 82.15.

Its lead came from steady performance across demand pressure, facility access, clinicians, and paid care workers, rather than one single standout measure.

82.15Elderly Care Score
Top 5Missouri, Pennsylvania, Rhode Island, Indiana, Minnesota
4Measures averaged equally
50States compared
Lowest 10-year prevalence growth

North Dakota

Had the lowest 10-year Alzheimer’s prevalence increase in the index at 14.29%.

Highest nursing home availability

Iowa

Led all states in the index for nursing home availability, with 5.82 homes per 10,000 older adults.

Highest geriatric clinician access

Rhode Island

Had the highest geriatric clinician rate, with 73.7 clinicians per 100,000 older adults.

Highest care workforce availability

New York

Had the highest paid care worker rate, with 160.69 care workers per 1,000 older adults.

US Rankings

Compare the top 10 and bottom 10 states.

Use the tabs to switch between the 10 highest and 10 lowest states in the overall index. Scores are out of 100 and compare states with one another across this specific set of indicators, not individual care communities.

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.

This tool no longer repeats the table. It only highlights a selected state so readers can use the metric buttons below to compare where that state ranks overall, for 10-year prevalence growth, nursing home availability, geriatric clinician access, or caregiver workforce.

State-level Alzheimer’s and memory care access indicators. Use the controls above to switch between the overall score and individual measures.
Methodology

How the index was calculated.

Each state was scored across four state-level care signals, then the scores were averaged equally. Higher scores suggest stronger overall access signals, not a rating of any individual community.

Quick read

Use the ranking as a starting point.

The report compares broad state-level signs that may affect Alzheimer’s and memory care access. Families should pair it with local details such as services, pricing, reviews, availability, and a loved one’s needs.

It does not measure individual care quality, open beds, waitlists, assisted living capacity, memory-care specialization, or local rural and urban differences.

1
Score four care signals

10-year prevalence growth, nursing homes per older adult, geriatric clinicians, and paid care workers.

2
Convert to percentile ranks

Each measure was ranked across the 50 states so different types of data could be compared fairly.

3
Average the four scores

All four measures were weighted equally. 10-year prevalence growth was reversed, so slower growth counted as stronger.

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

Next step

Found your state? Compare memory care options with more context.

State rankings can show broad patterns, but family decisions come down to local fit: services, pricing, reviews, availability, and the level of support your loved one needs. If the report raises questions about care where you live, Mirador Living can help you compare local senior living and memory care communities with guidance from local advisors.