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PILLAR RANKING • May 3, 2026
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Best Access: State Rankings

Ranked by facilities per 10,000 seniors — infrastructure density for the 65+ population.

Top 3 States

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All 51 States Ranked

Higher score = better
Rank State Grade Score Details
#1 North Dakota A 66.2 6.3 facilities per 10k seniors View →
#2 Kansas A 53.8 6.2 facilities per 10k seniors View →
#3 South Dakota A 52.4 6.2 facilities per 10k seniors View →
#4 Iowa A 52.2 7.0 facilities per 10k seniors View →
#5 New York A 51.8 1.8 facilities per 10k seniors View →
#6 Minnesota A 50.3 3.5 facilities per 10k seniors View →
#7 District of Columbia A 49.8 1.8 facilities per 10k seniors View →
#8 Nebraska A 49.3 5.6 facilities per 10k seniors View →
#9 Missouri A 46.0 4.4 facilities per 10k seniors View →
#10 Massachusetts B 41.7 2.9 facilities per 10k seniors View →
#11 Indiana B 37.5 4.6 facilities per 10k seniors View →
#12 Ohio B 37.5 4.5 facilities per 10k seniors View →
#13 Pennsylvania B 37.3 2.7 facilities per 10k seniors View →
#14 California C 34.7 1.8 facilities per 10k seniors View →
#15 Wisconsin C 34.0 3.1 facilities per 10k seniors View →
#16 Rhode Island C 33.1 3.7 facilities per 10k seniors View →
#17 Louisiana C 32.1 3.5 facilities per 10k seniors View →
#18 Illinois C 31.8 3.2 facilities per 10k seniors View →
#19 Mississippi C 31.5 4.2 facilities per 10k seniors View →
#20 Texas C 30.8 2.8 facilities per 10k seniors View →
#21 Connecticut C 30.7 2.9 facilities per 10k seniors View →
#22 Oklahoma C 29.8 4.4 facilities per 10k seniors View →
#23 Arkansas C 27.2 3.9 facilities per 10k seniors View →
#24 West Virginia C 26.6 3.2 facilities per 10k seniors View →
#25 Kentucky C 26.4 3.4 facilities per 10k seniors View →
#26 New Jersey C 26.1 2.3 facilities per 10k seniors View →
#27 Alaska C 25.0 2.0 facilities per 10k seniors View →
#28 Maine C 24.4 2.5 facilities per 10k seniors View →
#29 Vermont C 24.2 2.6 facilities per 10k seniors View →
#30 Delaware C 24.1 2.2 facilities per 10k seniors View →
#31 Utah C 23.3 2.5 facilities per 10k seniors View →
#32 Wyoming C 22.2 3.4 facilities per 10k seniors View →
#33 New Mexico C 21.8 1.7 facilities per 10k seniors View →
#34 New Hampshire D 21.0 2.7 facilities per 10k seniors View →
#35 North Carolina D 20.8 2.3 facilities per 10k seniors View →
#36 Michigan D 20.4 2.3 facilities per 10k seniors View →
#37 Washington D 20.3 1.5 facilities per 10k seniors View →
#38 Colorado D 19.7 2.3 facilities per 10k seniors View →
#39 Montana D 19.1 2.8 facilities per 10k seniors View →
#40 Idaho D 19.0 2.4 facilities per 10k seniors View →
#41 Virginia D 17.9 2.0 facilities per 10k seniors View →
#42 Tennessee D 16.8 2.5 facilities per 10k seniors View →
#43 Alabama D 16.2 2.4 facilities per 10k seniors View →
#44 Georgia D 15.5 2.1 facilities per 10k seniors View →
#45 Maryland D 14.9 2.1 facilities per 10k seniors View →
#46 Oregon F 14.0 1.6 facilities per 10k seniors View →
#47 South Carolina F 13.8 1.9 facilities per 10k seniors View →
#48 Arizona F 10.1 1.1 facilities per 10k seniors View →
#49 Nevada F 6.7 1.2 facilities per 10k seniors View →
#50 Hawaii F 5.5 1.5 facilities per 10k seniors View →
#51 Florida F 4.5 1.4 facilities per 10k seniors View →
Scores are 0–100 relative to other states. Pillar grades are assigned by within-pillar rank position. Read methodology →