With an A grade and a rank of #2 nationally, North Dakota is among the best states for elder care. Its best showing is in affordability, where families pay significantly less than most of the country — while nursing home staffing pulls the overall grade lower, as nursing homes here are stretched thinner on staffing than most states. North Dakota combines Midwest affordability with above-average quality scores — a rare combination that earns it the top overall ranking.
Affordability Rank: #2 of 51