Mirador Living compared all 50 US states across Alzheimer’s prevalence growth, nursing home availability, geriatric clinician access, and caregiver availability to identify where elder care conditions look strongest for families navigating memory care decisions.
The highest-ranked states tended to combine slower Alzheimer’s prevalence growth with stronger care infrastructure. Missouri led the list, while Pennsylvania, Rhode Island, Indiana, and Minnesota completed the top five.
Missouri’s leading score reflects a broad, balanced performance. The state had relatively low Alzheimer’s prevalence growth at 18.18%, 3.63 nursing homes per 10,000 older adults, 43.7 geriatric clinicians per 100,000 older adults, and 68.34 caregivers per 1,000 older adults.
That mix placed Missouri ahead of larger states that performed strongly in one area but had more uneven care conditions across the full index.
Had the lowest 10-year Alzheimer’s prevalence increase in the index at 14.29%.
Led the country for nursing home availability, with 5.82 homes per 10,000 older adults.
Had the highest geriatric clinician rate, with 73.7 clinicians per 100,000 older adults.
These states scored highest across the four equally weighted measures. Ties are kept as shown in the dataset.
Search, sort, and compare each state’s rank, score, and four underlying care-access metrics in a compact view.
| Rank | State | 10-year growth | Homes / 10K | Clinicians / 100K | Caregivers / 1K | Care score |
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Care score is the equally weighted composite score. Lower Alzheimer’s growth improves a state’s score because that metric is inverted in the index.
Mirador Living ranked all 50 US states using a composite scoring system based on four core metrics. Each metric was equally weighted. Final scores are the average of each state’s percentile ranks across all four measures.
10-year increase from 2016 to 2025 using Alzheimer’s Association figures. This metric was inverted so lower growth produced a higher percentile score.
Nursing homes per 10,000 older adults, using CMS Care Compare and older adult population data.
Geriatric clinicians per 100,000 older adults, using America’s Health Rankings and CMS NPPES underlying data.
Caregivers per 1,000 older adults, using Bureau of Labor Statistics OEWS May 2024 data.
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