PILLAR RANKING • November 11, 2026
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Best Access: State Rankings
Ranked by nursing home beds, home care aides and nursing workforce per 1,000 seniors.
Top 3 States
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All 51 States Ranked
Higher score = better| Rank | State | Grade | Score | Details | |
|---|---|---|---|---|---|
| #1 | District of Columbia | A | 83.9 | 26.3 beds · 135.7 home care aides per 1,000 seniors | View → |
| #2 | New York | A | 70.0 | 28.9 beds · 171.5 home care aides per 1,000 seniors | View → |
| #3 | Missouri | A | 70.0 | 40.6 beds · 76.9 home care aides per 1,000 seniors | View → |
| #4 | North Dakota | A | 66.5 | 34.2 beds · 53.4 home care aides per 1,000 seniors | View → |
| #5 | Minnesota | A | 62.5 | 21.7 beds · 115.4 home care aides per 1,000 seniors | View → |
| #6 | Nebraska | A | 61.9 | 36.8 beds · 36.8 home care aides per 1,000 seniors | View → |
| #7 | Massachusetts | A | 59.2 | 28.8 beds · 82.9 home care aides per 1,000 seniors | View → |
| #8 | Pennsylvania | A | 58.2 | 29.7 beds · 91.8 home care aides per 1,000 seniors | View → |
| #9 | Illinois | A | 57.5 | 35.8 beds · 56.3 home care aides per 1,000 seniors | View → |
| #10 | Kansas | B | 55.9 | 32.3 beds · 45.0 home care aides per 1,000 seniors | View → |
| #11 | Iowa | B | 55.1 | 39.2 beds · 39.8 home care aides per 1,000 seniors | View → |
| #12 | Louisiana | B | 53.1 | 36.7 beds · 51.3 home care aides per 1,000 seniors | View → |
| #13 | South Dakota | B | 52.4 | 32.4 beds · 23.0 home care aides per 1,000 seniors | View → |
| #14 | Indiana | B | 52.1 | 37.9 beds · 44.2 home care aides per 1,000 seniors | View → |
| #15 | Connecticut | B | 51.0 | 30.1 beds · 65.6 home care aides per 1,000 seniors | View → |
| #16 | Ohio | B | 49.9 | 33.9 beds · 44.5 home care aides per 1,000 seniors | View → |
| #17 | California | B | 48.9 | 16.6 beds · 140.5 home care aides per 1,000 seniors | View → |
| #18 | Arkansas | B | 48.3 | 40.6 beds · 33.4 home care aides per 1,000 seniors | View → |
| #19 | Texas | B | 47.7 | 28.2 beds · 69.7 home care aides per 1,000 seniors | View → |
| #20 | Rhode Island | B | 46.3 | 34.9 beds · 31.8 home care aides per 1,000 seniors | View → |
| #21 | New Jersey | C | 44.5 | 28.8 beds · 66.1 home care aides per 1,000 seniors | View → |
| #22 | Oklahoma | C | 43.8 | 37.1 beds · 27.4 home care aides per 1,000 seniors | View → |
| #23 | Kentucky | C | 39.7 | 29.2 beds · 35.9 home care aides per 1,000 seniors | View → |
| #24 | West Virginia | C | 39.3 | 26.4 beds · 47.4 home care aides per 1,000 seniors | View → |
| #25 | Mississippi | C | 37.5 | 30.3 beds · 37.8 home care aides per 1,000 seniors | View → |
| #26 | Wisconsin | C | 35.5 | 19.8 beds · 65.9 home care aides per 1,000 seniors | View → |
| #27 | Delaware | C | 30.7 | 19.5 beds · 48.9 home care aides per 1,000 seniors | View → |
| #28 | New Mexico | D | 29.1 | 15.3 beds · 86.0 home care aides per 1,000 seniors | View → |
| #29 | Maryland | D | 27.5 | 23.7 beds · 40.3 home care aides per 1,000 seniors | View → |
| #30 | Alabama | D | 27.4 | 26.1 beds · 20.6 home care aides per 1,000 seniors | View → |
| #31 | Michigan | D | 27.0 | 21.2 beds · 45.7 home care aides per 1,000 seniors | View → |
| #32 | Utah | D | 26.6 | 18.2 beds · 37.3 home care aides per 1,000 seniors | View → |
| #33 | Tennessee | D | 25.8 | 25.5 beds · 26.4 home care aides per 1,000 seniors | View → |
| #34 | Colorado | D | 25.0 | 19.2 beds · 43.4 home care aides per 1,000 seniors | View → |
| #35 | Washington | D | 24.2 | 12.9 beds · 70.7 home care aides per 1,000 seniors | View → |
| #36 | Virginia | D | 24.2 | 19.8 beds · 42.6 home care aides per 1,000 seniors | View → |
| #37 | Maine | D | 24.2 | 16.7 beds · 53.3 home care aides per 1,000 seniors | View → |
| #38 | Vermont | D | 24.1 | 19.3 beds · 49.6 home care aides per 1,000 seniors | View → |
| #39 | North Carolina | D | 24.0 | 20.5 beds · 27.6 home care aides per 1,000 seniors | View → |
| #40 | Alaska | D | 23.5 | 7.0 beds · 55.9 home care aides per 1,000 seniors | View → |
| #41 | New Hampshire | D | 22.2 | 22.6 beds · 28.9 home care aides per 1,000 seniors | View → |
| #42 | Georgia | D | 21.8 | 21.0 beds · 26.9 home care aides per 1,000 seniors | View → |
| #43 | Idaho | D | 20.4 | 15.9 beds · 54.3 home care aides per 1,000 seniors | View → |
| #44 | Wyoming | D | 19.6 | 23.3 beds · 27.1 home care aides per 1,000 seniors | View → |
| #45 | Montana | F | 17.9 | 19.8 beds · 40.5 home care aides per 1,000 seniors | View → |
| #46 | South Carolina | F | 12.2 | 16.8 beds · 34.7 home care aides per 1,000 seniors | View → |
| #47 | Oregon | F | 10.7 | 11.9 beds · 47.3 home care aides per 1,000 seniors | View → |
| #48 | Arizona | F | 10.1 | 10.2 beds · 47.4 home care aides per 1,000 seniors | View → |
| #49 | Florida | F | 6.0 | 15.8 beds · 16.9 home care aides per 1,000 seniors | View → |
| #50 | Nevada | F | 3.2 | 12.0 beds · 29.8 home care aides per 1,000 seniors | View → |
| #51 | Hawaii | F | 1.5 | 13.1 beds · 18.9 home care aides per 1,000 seniors | View → |
Scores are 0–100 relative to other states. Pillar grades are assigned by within-pillar rank position. Read methodology →