Best, Worst Places to Grow Old Evaluated 13 Financial, Healthcare and Quality of Life Metrics

SAN MATEO, Calif. — Utah is the best state to grow old, according to a new report. The study ranked all 50 states in 13 financial, healthcare and quality of life categories focused on senior care. IowaSouth CarolinaWashingtonNebraskaArizona and California follow the Beehive State at the top of the list. Click here for more information:

Utah earned the #1 designation with solid scores across the board. It’s the only state to crack the top 15 in quality of life/healthcare (#7) and cost (#14). Many states exhibit an inverse relationship between quality and price. For example, Washington is tops for quality but #38 for cost. And while Alabama has the cheapest elder care, it lags in quality (#44).

The analysis found the worst states to grow old are WyomingNorth DakotaNew YorkIndiana and West VirginiaNew Yorkis a notable example of a state that fares poorly in both quality (#34) and cost (tied for #46).

“We want to use this research as a starting point for really important conversations between family members,” said vice president Tim Sullivan. “Too many people avoid thinking about senior care until it hits a crisis point. There are good options in every state, but it can take some time to sort out the best approach, so ideally you’ll get the dialogue going early to help maximize your options.”

The study incorporated statistics on senior living community reviews, nursing home costs, in-home care prices, elderly well-being assessments and more. Contrary to many “best states to retire” rankings which cater to active seniors and pursuits such as hiking, golfing and traveling, this analysis centered on America’s rapidly growing elderly population and the medical and financial supports it requires in order to thrive.


  • Nearly 150,000 consumer reviews of senior care facilities and in-home care providers (
  • 2017 Long-Term Services & Supports State Scorecard (AARP, The Commonwealth Fund and The SCAN Foundation)
  • 2016 Cost of Care Survey (Genworth)
  • 2015 and Q1 2016 State of American Well-Being (Gallup-Healthways)
  • 2015 American Community Survey (U.S. Census Bureau)


With more than three million visitors per month, is a leading senior care resource for family caregivers seeking information and support as they care for aging parents, spouses and other loved ones. A Bankrate company headquartered in San Mateo, Calif., provides helpful caregiving content, online support groups and a comprehensive Senior Care Directory for the United States, with nearly 150,000 consumer ratings and reviews and a toll-free senior living referral line at (800) 325-8591. Connect with on Facebook, Twitter, Google+, Pinterest, LinkedIn and/or YouTube.