PROFILES OF LONG-TERM CARE · subsection, and includes the percent of homeowners and renters paying...

2004S IXTH EDIT ION

ACROSS THE STATESPROFILES OF LONG-TERM CARE

by Mary Jo GibsonSteven R. Gregory

Ari N. HouserWendy Fox-Grage

©1994, 1996, 1998, 2000, 2002, 2004 AARP

iii

Table of Contents

INTRODUCTION .......................................................................................................................iv

HOW TO USE THIS BOOK ........................................................................................................v

OVERVIEW ..............................................................................................................................vi

STATE LONG-TERM CARE PROFILES.........................................................................................1

DemographicsNeed for Long-Term CareHome and Community-Based ServicesHome and Community-Based ResourcesNursing Facility ServicesNursing Facility ResourcesLong-Term Care Expenditures and Financing Trends

LONG-TERM CARE MAPS ....................................................................................................207

STATE DATA & RANKINGS ...................................................................................................213

DATA DOCUMENTATION .......................................................................................................251

STATE OFFICES ....................................................................................................................265

We extend our appreciation to the many individuals who contributed to this project by sharing state-level data available through their organizations. In particular, we thank Brian Burwell at MEDSTAT;Nancy J. Cox at Wake Forest University School of Medicine, C. McKeen Cowles at CowlesResearch Group; Charlene Harrington at the University of California, San Francisco; RobertMollica at the National Academy for State Health Policy; Joan Teno at Brown University; andSandra Timmermann of the MetLife Mature Market Institute.

We also thank all of our colleagues on the AARP Public Policy Institute’s (PPI’s) IndependentLiving/Long-Term Care Team, each of whom contributed to this publication. Special thanks go toMaryanne Keenan, an AARP volunteer, to Marc Freiman of PPI’s Independent Living/Long-TermCare Team, and to David Baer and Saty Verma of PPI’s Economics Team. We are also grateful forthe assistance of Barbara Coleman, as well as that of Michael Williams of the University ofMaryland Baltimore County, who assisted with data entry.

The information compiled in this document is presented for purposes of information, discussion,and debate and does not necessarily represent formal policies of AARP.

Acknowledgments

iv

Introduction

Across the States: Profiles of Long-Term Care is a compilation of data on many dimensions of long-term care in each state and the District of Columbia. Published biennially since 1992 by the AARPPublic Policy Institute, the Across the States series was developed to help inform policy discussionsamong public and private sector leaders in long-term care throughout the United States. It presentsa snapshot of each state’s long-term care landscape by providing comparable state-level and nationaldata for 85 indicators which are otherwise difficult to obtain from a single source. This 6th editionof Across the States presents the most up-to-date data available at the time of production.

(1) As in the prior edition, readers can find each state’s ranking relative to other states for allindicators in one place—in the profile for each state.

(2) Many new indicators have been added to this year’s edition.

• A new subsection on Livable Communities replaces the former Community Characteristicssubsection, and includes the percent of homeowners and renters paying 30% or more of theirincome for housing, and homeownership rates among persons age 65 and older.

• New indicators have been added to the Use of Home and Community-Based Services(HCBS) subsection: the number of Medicaid HCBS participants per 1,000 population, byprogram (home health, personal care, HCBS waivers, and aged/disabled waivers); and thenumber of Medicaid aged/disabled waiver participants as a percent of Medicaid nursinghome residents.

• A new quality indicator—nursing facilities with deficiencies for actual harm or jeopardy ofresidents—has been added to the Nursing Facilities section. Direct-care nursing hours perresident day (RNs, LPNs, and CNAs), and the number of long-term care facility beds perfull-time equivalent ombudsman were also added.

• The Long-Term Care Financing section includes new indicators for state-funded (non-Medicaid) spending for older persons, and for Medicaid HCBS waiver spending for aged/disabled participants.

(3) A new Trends section includes indicators of nursing facility use, Medicare home health care,and Medicaid spending and aged/disabled waiver participation.

(4) The Long-Term Care Maps section has been expanded. New maps show the states that haveadopted model long-term care insurance regulations, as well as patterns in the need for long-termcare and Medicaid long-term care financing.

Some of the indicators in this edition of Across the States may be found in prior editions. Pleaseexercise caution when making comparisons with information in earlier editions because of possiblechanges in the source or definition of a particular indicator.

For additional copies of Across the States 2004, please call the AARP Public Policy Institute’sIndependent Living/Long-Term Care Team at 202-434-3860, or find it online athttp://www.aarp.org/ppi.

v

How to Use Across the States 2004

Across the States consists of five sections—Overview, State Long-Term Care Profiles, Long-TermCare Maps, State Data and Rankings, and Data Documentation. Listed below are tips on using thisyear’s edition.

To find data on a particular state, consult the State Long-Term Care Profiles, organized alpha-betically by state. This section provides current and projected population estimates and state- andnational-level data on 85 indicators in eight topic areas. The topic areas are Demographics, Needfor Long-Term Care, Home & Community-Based Services, Home & Community-Based Resources,Nursing Facility Services, Nursing Facility Resources, Long-Term Care Financing, and Trends.

To find data on a particular long-term care indicator, go to the State Data and Rankings section.It organizes the state data from the Long-Term Care Profiles section by indicator. For each indicator,readers can quickly see the variation among states.

To compare how states are performing on particular measures, go to the State Data andRankings section, which also ranks the state data from highest to lowest. Readers can see where astate falls relative to others, and they can compare how states rank across several indicators. It isimportant to recognize that ranking highest does not necessarily imply “doing the best” (e.g., thehighest poverty rate). In addition, some indicators are not well-suited to being ranked. For a graphicpresentation of selected indicators, please visit the section entitled Long-Term Care Maps. Thesemaps can reveal geographic patterns in such areas as long-term care policies, the need for long-termcare, and Medicaid long-term care financing.

To determine the original data source, refer to the Data Documentation section in the back of thebook. Readers should use this section regularly. It identifies the sources of data, provides a detailedexplanation for each indicator, and describes any caveats or limitations that apply to the data.

To locate raw numbers (rather than percents or ratios), you may be able to find them in one ofthe data sources listed in the Data Documentation section. Because we wanted to “standardize” theindicators to account for differences in state populations, and because of space constraints, we donot present many raw numbers. For example, Medicaid spending and participants in MedicaidHCBS programs are presented per capita (per person in the state). Yet you may want to know thenumber of persons served or total dollars spent in Medicaid programs in your state. You may be ableto make a rough estimate by using the data presented. For example, if you want to know total 2003 long-term care Medicaid spending for the state, multiply the per capita value by the 2002 population estimate for the state (since the years do not match exactly, caution should be exercisedin making fine distinctions between states). If greater detail is desired, this information is typicallyavailable from the source data, which are identified in the Data Documentation section for eachindicator.

The location of each AARP State Office, including address, telephone number and fax number, isprovided at the back of the book.

vi

Overview

Across the States tells a story—or rather 51 stories—one for each state plus the District of Columbia.These long-term care stories are told through numbers, graphs, charts, and maps, instead of throughwords. The intent is to give policymakers, researchers, consumer advocates, and others a quicksnapshot of each state’s demographics, need for long-term care, long-term care services, andfinancing. Each state is compared with the other states through state rankings or with the nationalaverage. These benchmark measures for each state are necessary because every state and territorydelivers and finances long-term care services and supports differently.

Despite the great variations among the states, several interesting trends across the states haveemerged. Here are some of them.

THE AGING OF AMERICA

By 2020, roughly one out of three Americans will be age 50 or older.

The proportion of older Americans is increasing in every age bracket, including the oldest old whoare most likely to need long term care. The reasons for this are well known: 1) the aging of the“boomers” born between 1946 and 1964, and 2) increased life expectancy.

In 2002, persons age 50 and older made up 34% of the population in West Virginia, the highest ofany state. By 2020, one-half of all states are projected to exceed that figure, led by Connecticut andWest Virginia at more than 38%, and Maine, Massachusetts, Michigan, New Hampshire, NewJersey, and Pennsylvania at 37%.

Data Source: AARP Public Policy Institute calculations based on Regional Economic Models,Demographic Module; projections based on U.S. Census 2000.

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

27.9%

33.4%

50+ 65+ 85+

12.3%15.5%

1.6% 2.0%

2002 2020

Per

cent

of T

otal

Pop

ulat

ion

Older Americans by Age Group, 2002 and 2020

vii

Overview

The growing age group of people age 85 and older is the most likely to need long-term care services.The states with the highest shares of persons age 85 and older by 2020 will be Florida, NorthDakota, Hawaii, Iowa, and South Dakota.

Age is not the only indicator and may not be the best indicator of need for long-term care services.Other indicators include the number of people with limitations in self-care or mobility and thenumber of seniors living alone. Low income is an important indicator of the need for publicly fundedlong-term care services.

• Roughly one out of every ten people age 65 and older is living in poverty, and another one outof four has an income below twice the poverty threshold. Members of the latter group areoften unable to meet the financial eligibility requirements for public programs, yet cannotafford to purchase long-term care services privately.

• One out of five people age 65 and older has self-care or mobility limitations.

• One out of nine people age 65 and older has cognitive/mental limitations.

Roughly one out of every ten people age 65 and older is living in poverty, andeven more live just above the poverty line and would not able to afford long-term care services if needed. One out of five people age 65 and older has self-care or mobility limitations.

MEDICAID LONG-TERM CARE EXPENDITURES

Nearly one-third (32%) of total Medicaid spending goes to long-term care.

Out of a total Medicaid budget of $260 billion in 2003, about $84 billion was spent on long-term care.Although Medicaid long-term care spending increased 41% from 1998 to 2003, other Medicaidspending grew by 62% during this time.

Data Source: Eiken, Burwell, and Schaefer, “Medicaid Long Term Care Expenditures in FY 2003”,Medstat

Total Medicaid Spending in 2003

Total LongTerm Care32%

Nursing Facilities 53%

ICF/MR Facilities14%

Home &CommunityServices33%

Non-LTCExpenditures68%

viii

Overview

Roughly two-thirds (67%) of Medicaid long-term care funds go toward institutional care, eventhough consumers prefer to remain in their own homes and communities.

Of total Medicaid long-term care spending in 2003, only one-third (33%) went toward home andcommunity-based care. More than half (53%) of total spending went toward nursing homes, withanother 14% going to Intermediate Care Facilities/Mental Retardation. Medicaid pays at least part ofthe bill for two out of every three nursing home residents. Medicaid spending on nursing homes percapita was $154 in 2003 as compared to $95 for home and community-based services. Nursing homecare is a mandatory benefit of the Medicaid program while most home and community services arenot mandatory.

Of total Medicaid long-term care spending in 2003, only one-third (33%) wenttoward home and community-based care.

HOME AND COMMUNITY-BASED SERVICES

States can provide Medicaid home and community-based services (HCBS) through (1) medically-related home health services; (2) personal care services, an optional program provided by 29 states in2001; and (3) HCBS waivers, which give states more flexibility to raise financial eligibility thresh-olds and provide a wider range of services. Waiver services, however, can only be provided to personseligible for institutional care.

Medicaid HCBS spending increased significantly between 1998 and 2003, with most of thisspending going to HCBS waivers. While less than one quarter of waiver spending goes toaged/disabled waivers, nearly two thirds of all waiver participants are older persons and adultswith physical disabilities.

Data Source: Eiken, Burwell, and Schaefer, “Medicaid Long Term Care Expenditures in FY 2003”,Medstat

Medicaid Long-Term Care Spending for Homeand Community Based Services in 2003

Home Health10%

Personal Care23%

HCBS Waivers(aged/disabled)

15%HCBS Waivers

(all others)52%

Spending on home and community-based services, which increased 83% between 1998 and 2003, hasbeen the fastest growing component of the Medicaid long-term care budget, and HCBS waiverservices is the largest component of HCBS spending. Most of this spending funded services forpeople with developmental disabilities. Per capita spending on home and community-based servicewaivers in 2003 was $64; $15 of this amount went toward waivers for persons 65 and older and adultswith physical disabilities, and $48 was spent was spent on other waivers, primarily for people withdevelopmental disabilities.

For every two people receiving Medicaid nursing home services, there is only one person age 65+or adult with a physical disability getting home and community-based waiver services.

There were more Medicaid participants receiving aged/disabled waiver services than living in nursinghomes in only 8 states: Oregon, Alaska, Washington, Idaho, Colorado, South Carolina, Kansas,and Oklahoma.

Some states also fund home and community-based services with state-only (non-Medicaid) funds,generally in programs designed to complement Medicaid services. Four states—California, Illinois,Pennsylvania, and Massachusetts—accounted for nearly two-thirds of all non-Medicaid spendingon HCBS services for older persons in 2002.

Medicare is the major payer for home health care, but Medicare home health visits per userdeclined in every state between 1993 and 2002. During this period, the average number ofMedicare home health visits in the U.S. declined by 47%. In 14 states, the decline was greater than50%.

There were more Medicaid participants receiving aged/disabled waiver servicesthan living in nursing homes in only 8 states.

ix

Overview

NursingFacilities

Home andCommunityBased Waivers

HOUSING AND TRANSPORTATION

Older persons face a variety of housing and transportation challenges.

Almost one-third (32%) of persons age 75 and older in 2000 were without a driver’s license. In theDistrict of Columbia, Hawaii, Indiana, New York, and California, more than 40% of these resi-dents did not have a license. Roughly 15% of persons age 70 and older lived in households withouta vehicle in 2000.

Although 79% of people age 65 and older owned their own homes in 2002, more than two out of fivelived in older homes that were built before 1960. These homes often have higher costs for mainte-nance, repair, and utilities. Among older renters, three out of five (60%) paid a high percentage oftheir income—at least 30% or more—for housing in 2002, compared with 23% of older homeowners.

Three out of five older renters (60%) paid a high percentage of their income—30% or more—for housing in 2002, compared with 23% of older homeowners.

NURSING FACILITIES

The number of nursing home residents, the number of beds, and the occupancy rate have alldeclined in the last 5 years.

x

Overview

ME

NH

NJ

MA

CTRIPA

VA MDWV

OHIN

MI

IL

IA

MN

WI

NDMT

IDOR

WA

CA

NV UT

AZ

AK

HI

NM

CO

WY

TX

OK

KS MO

AR

LA

FL

MS AL GASC

TN NC

KY

NE

SD

DC

DE

NYVT

<80% 80-90% 90+%

Data Source: Cowles Research Group, computed from CMS Online Survey, Certification, and Reporting database as of Dec 10, 2003

NURSING HOME OCCUPANCY RATE 2003

xi

Overview

About 1.45 million Americans of all ages lived in nursing homes in 2003. Nationally, the total numberof nursing facility residents of any age declined 1% from 2001 to 2003, and 4% from 1998 to 2003.The number of nursing home beds dropped 3% and the occupancy rate declined by 1% between 1998and 2003.

The national occupancy rate was 83% in 2003, ranging from over 90% in 12 states—the highest occu-pancy rates were 94% in Hawaii and 93% in North Dakota—to less than 70% in Oklahoma,Oregon, and Missouri.

The total number of nursing facility residents of any age declined 1% from2001 to 2003, and 4% from 1998 to 2003. The number of nursing home bedsdropped 3% and the occupancy rate declined by 1% between 1998 and 2003.

Medicaid, the largest payer for nursing home care, has the lowest payment rates.

The average Medicare reimbursement rate, which covers more intensive skilled care, was more thantwice as high as the Medicaid reimbursement rate. Nursing home costs, however, vary widely acrossstates. States in the Northeast and Mid-Atlantic tended to have higher than average payment rates,while states in the South and Mountain West tended to have lower payment rates for all three payers.

Nursing home surveyors rate nursing homes on approximately 185 indicators of quality, and identifythose that are the most serious, such as avoidable pressure sores or multiple falls, which cause harmor immediate jeopardy to residents.

Nursing Home Care

Medicaid Reimbursement per Day, 2002 $118

Medicare Reimbursement per Day, 2002 $265

Private Pay Rate for semi-private room per Day, 2003 (urban average) $158

The Bottom Line

xii

Overview

Nearly one-fifth of the nursing homes were cited with one or more deficiencies for actual harmor jeopardy of residents.

About 18% of nursing homes had a deficiency for actual harm or jeopardy of the residents. Fourstates—Delaware, California, Rhode Island, and Arizona—had deficiency rates less than 5%. Thehighest rates were in Connecticut, Washington, and Idaho at more than twice the national average.In some cases, higher rates may reflect more active enforcement by surveyors, not necessarily poorerquality care.

CONCLUSION

The future of long-term care is one of the most complex health and fiscal issues facing the states. Notonly is the older population increasing in numbers, but people are living longer. States continue tobe the engines of long-term care reform and the natural laboratories for determining how to deliverand pay for care. This book is devoted to providing you with easy access to important facts aboutlong-term care both in your state and in others. The goal of these snapshots is to provide data toenhance informed decision-making and to help policymakers meet the challenge of planning andpreparing for the needs of an aging population.

Data Source: Harrington et al., “Nursing Facilities, Staffing, Residents, and Facility Deficiencies, 1996through 2002”, UCSF.

0%

10%

20%

30%

40%

50%

3.0% 3.1% 3.6% 4.6%

18.0%

36.6%40.0%

42.7%

California Rhode Island Arizona NationalAverage

Idaho Washington ConnecticutDelaware

Nursing Homes with Deficiency for Actual Harm or Jeopardy ofResidents in 2002

1

State Long-Term Care Profiles

2

DEMOGRAPHICS

Distribution of Population by Age, 2002 & 2020 (Projected)

NEED FOR LONG-TERM CARE

Need for Long-Term Care

Population Characteristics

StateUS

StateUS

StateUS

2002 (%)

2020 (%)

% Change inPopulation #

50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank

Minority/Ethnic Population Age 65+ (%), 2002

Rural Population Age 65+ (%), 2000

Bachelor Level Education or Higher Age 65+ (%), 2002

Household Income Age 65+ (median), 2002

Poverty Status Age 65+ (%), 2002

At/Below Poverty (%)

101-200% of Poverty (%)

Men per 100 Women Age 85+ (#), 2002

Women Age 80+ At/Below Poverty Level (%), 2002

Persons Age 85+ Living Alone (%), 2002

Persons Age 65+ with Activity Limitations (%), 2002

Self-Care Limitations (%)

Mobility Limitations (%)

Self-Care or Mobility Limitations (%)

Sensory Limitations (%)

Cognitive/Mental Limitations (%)

15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.3 7.1 4.4 1.6 13.1 4,510,464

18.1 9.1 4.7 1.9 15.7 5,438,813

33.2 55.2 26.9 48.8 44.8 20.6

Note: The highest data value within each ranking is indicated by a “1.”

*The percent change calculation is based on the total number in each age group. For example, the U.S. population age 50-64 was45,184,259 in 2002 (15.6% of 289,642,688), and was projected to be 65,873,383 in 2020 (18% of 365,963,239). Among personsage 50-64, these population numbers represent a 45.8% increase from 2002 to 2020. See data documentation for an explanation ofhow rounding affects the calculations.

Alabama

37.6

24.4

49.2

12.7

24.6

26.6

44

4

34

3

1

1

47.9

15.1

50.2

9.2

18.4

20.0 10

20.1

15.2 4

16.6

10.8

USState Rank

21.2

43.0

12.3

$21,722

14.4

28.1

13

9

44

48

4

6

17.6

21.7

16.7

$26,322

9.7

23.8

3

HOME & COMMUNITY-BASED SERVICES

Livable CommunitiesHomeownership Rate Age 65+ (%), 2002

Homeowners Age 65+ Paying 30%+ of Income for Housing (%), 2002

Renters Age 65+ Paying 30%+ of Income for Housing (%), 2002

Householders Age 65+ in Housing Built before 1960 (%), 2003

Persons Age 75+ without Driver’s License (%), 2000

Persons Age 70+ without a Vehicle in Household (%), 2002

Grandparents Age 65+ Raising Grandchildren (% of Age 65+), 2002

Use of Home and Community-Based Services (HCBS)

Medicare Beneficiaries Receiving Home Health Services (%), 2002

Medicare Home Health Visits per User (average #), 2002

Medicaid Beneficiaries Receiving Services in Residential Care Setting (%), 2002

Medicaid Home and Community-Based Services Participants per 1000 population, 2001

Home Health Participants per 1000 population

Personal Care Participants per 1000 population

HCBS Waiver Participants per 1000 population

Aged/Disabled Waiver Participants per 1000 population

Medicaid Beneficiaries: Persons in Aged/Disabled Waiver Programs as % of Persons in Nursing Homes, 2001

HOME & COMMUNITY-BASED RESOURCES

Home and Community-Based Resources Available

Medicare-Certified Home Health Agencies per 1,000 Age 65+, 2003

Adult Day Facilities per 1000 Age 65+, 2001-2002

Residential Care Beds per 1,000 Age 65+, 2002

Personal & Home Care Aides per 1,000 Age 65+, 2003

Hourly Wage (median), 2003

Home Health Aides per 1,000 Age 65+, 2003



Alabama 2

USState Rank82.6

20.0

52.336.88.1

11.1

14

32

393050

35

78.6

22.7

60.341.231.7

14.2

5.6 10 4.6

USState Rank

7.0

36

NA

4.41.8NA

16

10

NA

3825

NA

6.3

30

0.2

7.42.61.9

2.61.7

42.4

32 2.926 1.8

31 49.5

USState Rank

0.24

0.07

176

$6.99

11

17

32

323945

31

0.20

0.10

2614

$7.91

16

$7.85 46 $8.77

4

NURSING FACILITY SERVICES

Use and Quality of Nursing Facility Services

Total Nursing Facility (N.F.) Residents (#), 2003

Nursing Facility Residents (% of Age 65+)

N.F. Residents with Medicaid as Primary Payer (%), 2003

N.F. Residents with Medicare as Primary Payer (%), 2003

N.F. Residents with “Other” as Primary Payer (%), 2003

Select Nursing Facility Resident Measures, 2004

Residents with Physical Restraints (%)

“High-Risk” Residents with Pressure (Bed) Sores (%)

N.F. with Deficiency for Actual Harm or Jeopardy of Residents (%), 2002

Medicaid Spending on Long-Term Services, by Type of Service, 2003

NURSING FACILITY RESOURCES

Nursing Facility Resources Available

Total Nursing Facilities (#), 2003

Nursing Facility Beds per 1,000 Age 65+, 2003

Long-Term Care Facility Beds per FTE Ombudsman (#), 2002

Nursing Facility Occupancy Rate (%), 2003

Direct-Care Nursing Hours per Resident Day (avg.), 2003

RN Hours per Resident Day

LPN Hours per Resident Day

CNA Hours per Resident Day

Alabama United States


Alabama 3

Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

71.6%

ICF/MRFacilities

5.1%

Home and Community

Services23.3%

USState Rank

23,564

4.0

72.4

11.9

15.8

5

23

29

9

19

42

29

1,451,672

4.0

66.3

11.3

22.4

8

12 37 14

12.8 40 18.0

USState Rank

228

45

1,925

89.4

0.3

1.0

28

31

30

15

40

1

16,323

49

2,614

82.6

0.4

2.5 6

0.8

2.2

5

LONG-TERM CARE FINANCING

Medicaid and State ExpendituresTotal Medicaid Spending (in millions), 2003Medicaid Long-Term Care Spending (% of Total Medicaid), 2003

LTC Spending per Capita Nursing Facility Spending per Capita ICF/MR Spending per CapitaHome & Community Based (HCBS) Spending per Capita

Home Health Spending per CapitaPersonal Care Spending per CapitaHCBS Waiver Spending per Capita

HCBS Waiver Spending for Aged/Disabled per Capita

Medicaid HCBS Spending (% of Medicaid LTC Spending), 2003State-Funded HCBS Program Spending for Older People

(in millions), FY 2002

TRENDS

Long-Term Care Trends*Nursing Facility Residents (% change), 1998-2003Nursing Facility Beds (% change), 1998-2003Nursing Facility Occupancy Rate (% change), 1998-2003Medicare Home Health Visits per User (% change), 1993-2002Medicaid Beneficiaries in Aged/Disabled Waiver Programs

(% change), 1996-2001Medicaid Total LTC Spending (% change), 1998-2003

Medicaid Nursing Facility Spending (% change), 1998-2003Medicaid ICF/MR Facility Spending (% change), 1998-2003Medicaid HCBS Spending (% change), 1998-2003

Medicaid Spending Other Than LTC (% change), 1998-2003

Public and Private Payment RatesMedicaid Reimbursement per day for Nursing Facility Care

(average), 2002Medicare Reimbursement per day for Nursing Facility Care

(average), 2002Private Pay Rate per day in Nursing Facility (urban average), 2003Medicare Reimbursement per Home Health Visit (average), 2002Private Pay Hourly Rate for Home Health Aide (urban average),

2003


Alabama 4

*Percent change figures are cumulative for the entire time period. Changes may appear especially large when the absolute valuefor the indicator is relatively low.

USState Rank$3,505

30.6$238 $171 $12 $55

263135183840

$259,565 32.3$288 $154 $39 $95

$9 16 $10NA NA $22$47 36 $64

$13 32 $1523.3 41 33.1

$0.0 42 $1,411.9

USState Rank

$127

$223 $125

$115

$13.77

17

4741

35

50

$118

$265 $158

$124

$18.12

USState Rank1.85.4

-3.4-65.0

10.046.2

74

3750

4623

-4.0-3.1-1.1

-47.4

74.041.4

44.4 15 30.6-3.7 36 14.772.5 33 83.052.3 40 62.2

6

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.2 3.7 1.8 0.5 5.9 651,811

15.1 8.2 2.7 0.9 11.8 953,775

45.6 225.3 125.0 181.5 191.7 46.3



41.4

7.6

16.0

8.5

19.8

20.9

37

51

51

28

14

15

47.9

15.1

50.2

9.2

18.4

23.1 3

20.1

8.3 41

16.6

10.8

USState Rank

27.0

34.9

23.9

$44,930

3.2

13.0

6

19

2

1

51

51

17.6

21.7

16.7

$26,322

9.7

23.8

Alaska 2.

7





























USState Rank80.7

15.0

48.817.933.7

14.7

25

49

454819

12

78.6

22.7

60.341.231.7

14.2

6.7 4 4.6

USState Rank

3.7

21

0.5

7.80.43.0

48

45

10

20487

6.3

30

0.2

7.42.61.9

4.32.9

335.0

13 2.914 1.8

2 49.5

USState Rank

0.37

0.28

3836

$10.66

30

8

2

722

2

0.20

0.10

2614

$7.91

16

$12.17 1 $8.77

Alaska 2.

8























Alaska United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

39.0%

ICF/MRFacilities

0%

Home and Community

Services61.0%

USState Rank

619

1.5

83.7

7.4

8.9

2

51

51

1

45

51

50

1,451,672

4.0

66.3

11.3

22.4

8

16 7 14

8.3 45 18.0

USState Rank

14

20

584

76.8

1.0

0.8

51

51

51

39

1

18

16,323

49

2,614

82.6

0.4

3.8 1

0.8

2.2

Alaska 3.

9








TRENDS








2003



USState Rank$836 30.5$392 $153

$0 $239

43331225503

$259,565 32.3$288 $154 $39 $95

$1 41 $10$68 2 $22

$170 4 $64

$62 2 $1561.0 3 33.1

$2.9 33 $1,411.9

USState Rank

NA

$288 $420

$198

$24.15

NA

101

1

2

$118

$265 $158

$124

$18.12

USState Rank0.0

-0.60.6

-40.0

558.8200.8

14171519

31

-4.0-3.1-1.1

-47.4

74.041.4

101.6 1 30.6-100.0 50 14.7342.5 2 83.0103.7 3 62.2

Alaska 4.

10

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

14.5 6.8 4.6 1.4 12.8 5,563,631

14.7 7.8 4.6 1.9 14.2 9,059,569

64.4 85.2 62.1 121.5 80.8 62.8



55.9

15.7

43.6

7.2

14.6

16.2

8

24

44

39

44

44

47.9

15.1

50.2

9.2

18.4

16.8 25

20.1

8.8 37

16.6

10.8

USState Rank

14.1

12.1

18.9

$28,299

8.6

23.1

20

42

16

14

32

34

17.6

21.7

16.7

$26,322

9.7

23.8

Arizona 2.

11





























USState Rank84.4

20.7

66.311.626.3

8.5

6

30

45036

51

78.6

22.7

60.341.231.7

14.2

3.8 25 4.6

USState Rank

3.3

20

0.3

7.17.1NA

50

47

15

285

NA

6.3

30

0.2

7.42.61.9

NANA

NA

NA 2.9NA 1.8

NA 49.5

USState Rank

0.09

0.03

34NA

$8.45

14

46

46

13NA17

24

0.20

0.10

2614

$7.91

16

$8.68 27 $8.77

Arizona 2.

12























Arizona United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

81.3%

ICF/MRFacilities

0%

Home and Community

Services18.7%

USState Rank

13,245

1.9

65.5

10.8

23.7

9

33

48

25

27

21

10

1,451,672

4.0

66.3

11.3

22.4

8

13 28 14

4.6 48 18.0

USState Rank

135

23

2,729

80.5

0.4

0.8

35

49

18

36

25

18

16,323

49

2,614

82.6

0.4

2.1 34

0.8

2.2

Arizona 3.

13








TRENDS








2003



USState Rank$4,175

0.7$5 $4 $0 $1

215151515051

$259,565 32.3$288 $154 $39 $95

$0 46 $10$1 29 $22

NA NA $64

NA NA $1518.7 48 33.1

$10.5 19 $1,411.9

USState Rank

$114

$269 $141

$137

$16.89

25

1830

12

36

$118

$265 $158

$124

$18.12

USState Rank-3.5-7.13.9

-60.0

NA57.8

22396

47

NA14

-4.0-3.1-1.1

-47.4

74.041.4

39.0 20 30.6NA NA 14.7NA NA 83.0

125.3 2 62.2

Arizona 4.

14

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.3 7.3 4.8 1.7 13.8 2,742,542

17.3 8.9 4.8 1.9 15.6 3,511,349

36.1 56.2 28.1 42.9 44.8 28.0



42.6

21.8

54.8

12.8

22.5

25.5

34

6

17

2

6

5

47.9

15.1

50.2

9.2

18.4

23.3 2

20.1

14.9 6

16.6

10.8

USState Rank

11.1

47.8

11.8

$22,392

11.1

29.7

26

6

46

45

13

3

17.6

21.7

16.7

$26,322

9.7

23.8

Arkansas 2.

15





























USState Rank80.7

16.8

61.331.421.8

11.9

25

44

134443

26

78.6

22.7

60.341.231.7

14.2

4.3 19 4.6

USState Rank

6.1

36

0.6

15.33.18.0

29

10

7

3141

6.3

30

0.2

7.42.61.9

4.33.5

66.1

13 2.99 1.8

15 49.5

USState Rank

0.46

0.09

127

$6.50

10

3

26

413749

36

0.20

0.10

2614

$7.91

16

$7.57 47 $8.77

Arkansas 2.

16























Arkansas United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

72.2%

ICF/MRFacilities

2.4%

Home and Community

Services25.4%

USState Rank

17,997

4.8

72.8

8.2

19.0

17

28

16

7

42

37

1

1,451,672

4.0

66.3

11.3

22.4

8

13 28 14

14.2 37 18.0

USState Rank

242

66

4,171

72.6

0.2

0.9

27

12

10

46

47

2

16,323

49

2,614

82.6

0.4

2.4 10

0.8

2.2

Arkansas 3.

17








TRENDS








2003



USState Rank$2,370

31.6$274 $198

$6 $70

302925124333

$259,565 32.3$288 $154 $39 $95

$9 16 $10$21 15 $22$40 41 $64

$17 24 $1525.4 38 33.1

$7.7 21 $1,411.9

USState Rank

$94

$216 $106

$98

$15.65

42

5048

50

46

$118

$265 $158

$124

$18.12

USState Rank-11.2-4.3-7.3

-43.8

19.938.1

45294826

4234

-4.0-3.1-1.1

-47.4

74.041.4

77.4 3 30.6-83.8 47 14.748.5 46 83.085.4 14 62.2

Arkansas 4.

18

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

14.4 5.5 3.8 1.3 10.6 35,141,168

17.4 8.6 4.2 1.9 14.7 45,488,551

56.8 102.8 43.0 88.1 79.5 29.4



55.3

10.4

43.2

9.8

19.2

20.9

9

48

46

13

17

15

47.9

15.1

50.2

9.2

18.4

16.9 24

20.1

12.1 14

16.6

10.8

USState Rank

32.7

7.1

22.4

$31,671

7.4

22.0

4

48

4

6

46

38

17.6

21.7

16.7

$26,322

9.7

23.8

California 2.

19





























USState Rank75.0

24.0

67.337.940.4

13.5

44

16

3275

15

78.6

22.7

60.341.231.7

14.2

8.2 2 4.6

USState Rank

4.9

28

NA

9.42.15.9

36

19

NA

13233

6.3

30

0.2

7.42.61.9

1.50.4

18.6

44 2.944 1.8

42 49.5

USState Rank

0.16

0.13

409

$8.50

10

35

17

42915

36

0.20

0.10

2614

$7.91

16

$8.90 21 $8.77

California 2.

20























California United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

51.5%

ICF/MRFacilities

10.3%

Home and Community

Services38.2%

USState Rank

107,578

2.9

66.0

10.3

23.7

16

2

42

23

31

21

2

1,451,672

4.0

66.3

11.3

22.4

8

14 19 14

3.1 50 18.0

USState Rank

1,342

34

2,221

83.0

0.5

0.8

1

43

26

31

10

18

16,323

49

2,614

82.6

0.4

2.4 10

0.8

2.2

California 3.

21








TRENDS








2003



USState Rank$25,307

22.3$159$82$16$61

24647473536

$259,565 32.3$288 $154 $39 $95

$4 31 $10$38 5 $22$18 48 $64

$3 46 $1538.2% 19 33.1

$332.5 1 $1,411.9

USState Rank

$114

$322 $161

$148

$18.03

25

120

6

24

$118

$265 $158

$124

$18.12


-28.2

50.067.3

1627108

328

-4.0-3.1-1.1

-47.4

74.041.4

39.9 18 30.648.6 4 14.7

138.1 11 83.052.7 38 62.2

California 4.

22

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.2 5.1 3.3 1.1 9.5 4,570,488

16.7 8.3 3.5 1.5 13.3 6,639,723

59.7 136.4 56.8 86.6 103.2 45.3



43.3

16.6

48.9

7.1

14.9

16.1

32

20

35

42

43

45

47.9

15.1

50.2

9.2

18.4

18.0 19

20.1

9.9 26

16.6

10.8

USState Rank

13.5

15.9

21.3

$27,631

9.3

22.7

22

37

7

15

26

35

17.6

21.7

16.7

$26,322

9.7

23.8

Colorado 2.

23





























USState Rank79.5

22.1

67.627.716.6

11.1

29

23

24748

35

78.6

22.7

60.341.231.7

14.2

3.2 35 4.6

USState Rank

4.8

26

1.2

7.41.9NA

38

23

3

2424

NA

6.3

30

0.2

7.42.61.9

5.43.3

138.7

8 2.912 1.8

5 49.5

USState Rank

0.29

0.10

3316

$8.42

NA

14

24

141019

NA

0.20

0.10

2614

$7.91

16

NA NA $8.77

Colorado 2.

24























Colorado United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%Nursing

Facilities46.5%

ICF/MRFacilities

3.7%

Home and Community

Services49.8%

USState Rank

16,344

3.7

59.5

9.2

31.3

7

29

33

43

38

7

17

1,451,672

4.0

66.3

11.3

22.4

8

12 37 14

23.5 14 18.0

USState Rank

215

46

1,444

81.2

0.5

0.7

30

29

37

34

10

26

16,323

49

2,614

82.6

0.4

2.1 34

0.8

2.2

Colorado 3.

25








TRENDS








2003



USState Rank$2,532

34.7$193 $90 $7

$96

292043434223

$259,565 32.3$288 $154 $39 $95

$18 7 $10NA NA $22$79 23 $64

$21 16 $1549.8 8 33.1

$2.7 35 $1,411.9

USState Rank

$123

$266 $140

$131

$25.57

21

2031

19

1

$118

$265 $158

$124

$18.12


-36.6

66.240.7

27183512

2331

-4.0-3.1-1.1

-47.4

74.041.4

21.3 36 30.645.7 5 14.764.9 36 83.071.2 19 62.2

Colorado 4.

26

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.7 6.6 5.0 2.0 13.6 3,466,907

20.8 10.4 5.1 2.4 18.0 3,971,201

43.0 82.5 16.8 38.5 51.7 14.5



51.2

8.8

50.3

8.8

16.3

17.9

18

50

29

23

37

37

47.9

15.1

50.2

9.2

18.4

13.7 50

20.1

8.3 41

16.6

10.8

USState Rank

9.4

10.1

19.0

$30,838

5.8

19.3

28

43

15

7

49

44

17.6

21.7

16.7

$26,322

9.7

23.8

Connecticut 2.

27





























USState Rank75.6

28.5

56.354.531.6

11.7

42

5

286

21

29

78.6

22.7

60.341.231.7

14.2

4.8 16 4.6

USState Rank

9.1

37

NA

12.47.8NA

2

8

NA

63

NA

6.3

30

0.2

7.42.61.9

4.63.1

53.2

12 2.913 1.8

23 49.5

USState Rank

0.18

0.14

69

$9.52

21

29

14

46296

8

0.20

0.10

2614

$7.91

16

$11.54 2 $8.77

Connecticut 2.

28























Connecticut United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

53.4%

ICF/MRFacilities

13.2%

Home and Community

Services33.4%

USState Rank

28,622

6.1

67.0

13.5

19.5

8

19

4

21

8

35

16

1,451,672

4.0

66.3

11.3

22.4

8

14 19 14

42.7 1 18.0

USState Rank

252

66

2,359

91.6

0.5

0.6

25

12

25

9

10

39

16,323

49

2,614

82.6

0.4

2.2 26

0.8

2.2

Connecticut 3.

29








TRENDS








2003



USState Rank$3,658

51.1$537 $286 $71

$179

2322478

$259,565 32.3$288 $154 $39 $95

$51 2 $10NA NA $22

$128 9 $64

$25 11 $1533.4 26 33.1

$24.3 10 $1,411.9

USState Rank

$165

$289 $275

$103

$23.91

2

82

48

3

$118

$265 $158

$124

$18.12


-42.2

100.327.3

28332022

1845

-4.0-3.1-1.1

-47.4

74.041.4

16.8 43 30.620.9 15 14.752.4 44 83.025.4 49 62.2

Connecticut 4.

30

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.9 7.1 4.5 1.4 13.0 813,331

18.8 9.4 5.2 2.3 16.8 994,476

44.8 62.1 39.4 99.3 58.2 22.3



47.6

12.3

52.9

7.0

15.2

16.3

26

40

24

44

42

43

47.9

15.1

50.2

9.2

18.4

14.1 48

20.1

9.2 35

16.6

10.8

USState Rank

13.6

20.1

15.5

$29,729

7.7

20.4

21

35

24

9

42

41

17.6

21.7

16.7

$26,322

9.7

23.8

Delaware 2.

31





























USState Rank83.0

14.6

53.036.626.7

11.9

12

50

373234

26

78.6

22.7

60.341.231.7

14.2

4.3 19 4.6

USState Rank

7.7

26

NA

3.91.4NA

10

23

NA

4128

NA

6.3

30

0.2

7.42.61.9

2.61.3

44.3

32 2.933 1.8

30 49.5

USState Rank

0.13

0.14

14NA

$7.10

NA

42

14

39NA43

NA

0.20

0.10

2614

$7.91

16

$9.85 7 $8.77

Delaware 2.

32























Delaware United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

61.1%ICF/MRFacilities

11.4%

Home and Community

Services27.5%

USState Rank

3,962

3.7

58.6

16.5

24.9

3

46

33

46

2

18

43

1,451,672

4.0

66.3

11.3

22.4

8

15 11 14

3.0 51 18.0

USState Rank

42

44

1,254

84.7

0.6

0.8

48

34

43

27

3

18

16,323

49

2,614

82.6

0.4

2.4 10

0.8

2.2

Delaware 3.

33








TRENDS








2003



USState Rank$719 34.7$306 $187 $35 $84

452019132230

$259,565 32.3$288 $154 $39 $95

$8 19 $10NA NA $22$76 24 $64

$15 27 $1527.5 35 33.1

$0.6 41 $1,411.9

USState Rank

$160

$275 $170

$133

$17.65

3

1414

15

26

$118

$265 $158

$124

$18.12

USState Rank2.8

-9.313.4

-40.9

170.061.6

5431

21

159

-4.0-3.1-1.1

-47.4

74.041.4

81.2 2 30.6-12.4 42 14.781.6 25 83.075.4 17 62.2

Delaware 4.

34

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.5 5.9 4.2 1.6 11.8 588,279

15.2 7.8 3.6 1.7 13.2 740,196

23.0 66.0 7.7 33.2 40.5 25.8



39.7

21.0

47.9

8.6

20.3

22.2

41

9

39

27

11

11

47.9

15.1

50.2

9.2

18.4

14.0 49

20.1

10.3 23

16.6

10.8

USState Rank

74.9

0.0

28.9

$29,315

17.0

16.4

2

51

1

10

2

49

17.6

21.7

16.7

$26,322

9.7

23.8

District of Columbia 2.

35





























USState Rank61.6

26.5

61.374.658.2

37.4

51

8

1311

1

78.6

22.7

60.341.231.7

14.2

5.3 12 4.6

USState Rank

6.6

24

NA

7.54.12.9

24

36

NA

23129

6.3

30

0.2

7.42.61.9

0.50.2

5.2

50 2.948 1.8

47 49.5

USState Rank

0.22

0.13

NANA

$8.51

13

22

17

NANA14

25

0.20

0.10

2614

$7.91

16

$9.61 11 $8.77


36























District of Columbia United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

64.0%

ICF/MRFacilities

26.3%

Home and Community

Services9.7%

USState Rank

2,861

4.2

81.6

8.4

10.0

3

49

26

2

40

50

43

1,451,672

4.0

66.3

11.3

22.4

8

22 1 14

30.0 4 18.0

USState Rank

21

46

981

91.9

0.6

0.9

50

29

48

8

3

2

16,323

49

2,614

82.6

0.4

2.7 3

0.8

2.2


37








TRENDS








2003



USState Rank$1,087

27.6$532 $341 $140 $52

4038321

41

$259,565 32.3$288 $154 $39 $95

$22 4 $10$19 17 $22$11 50 $64

$5 42 $159.7 51 33.1

$14.7 15 $1,411.9

USState Rank

NA

$289 $225

$146

$16.95

NA

85

8

35

$118

$265 $158

$124

$18.12

USState Rank-2.60.7

-3.3-27.3

NA26.6

1913366

NA47

-4.0-3.1-1.1

-47.4

74.041.4

24.5 33 30.614.0 22 14.7

116.3 15 83.056.0 36 62.2


38

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.1 8.7 6.5 2.1 17.3 16,802,961

17.2 9.7 6.2 2.9 18.8 23,376,025

48.3 54.9 33.6 86.9 50.9 39.1



63.8

12.8

43.8

7.7

16.2

17.8

6

38

43

37

38

38

47.9

15.1

50.2

9.2

18.4

14.8 42

20.1

9.7 28

16.6

10.8

USState Rank

18.6

9.5

19.4

$27,108

10.0

22.6

15

44

12

17

21

37

17.6

21.7

16.7

$26,322

9.7

23.8

Florida 2.

39





























USState Rank84.4

24.2

70.714.618.8

10.8

6

11

14945

38

78.6

22.7

60.341.231.7

14.2

3.8 25 4.6

USState Rank

7.6

30

0.6

4.00.9NA

11

16

7

4038

NA

6.3

30

0.2

7.42.61.9

3.11.1

41.9

28 2.936 1.8

32 49.5

USState Rank

0.15

0.06

274

$8.42

10

37

37

194219

36

0.20

0.10

2614

$7.91

16

$8.49 32 $8.77

Florida 2.

40























Florida United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

64.5%

ICF/MRFacilities

9.6%

Home and Community

Services26.0%

USState Rank

71,987

2.5

61.4

16.6

22.0

9

7

46

40

1

27

10

1,451,672

4.0

66.3

11.3

22.4

8

15 11 14

9.9 43 18.0

USState Rank

693

28

8,394

87.2

0.4

0.9

6

46

2

24

25

2

16,323

49

2,614

82.6

0.4

2.7 3

0.8

2.2

Florida 3.

41








TRENDS








2003



USState Rank$11,055

29.8$194 $125 $19 $50

53542323343

$259,565 32.3$288 $154 $39 $95

$7 21 $10$1 29 $22

$42 40 $64

$9 37 $1526.0 36 33.1

$64.0 6 $1,411.9

USState Rank

$134

$262 $149

$121

$16.11

9

2225

31

44

$118

$265 $158

$124

$18.12

USState Rank5.10.64.5

-56.5

53.467.5

3144

45

297

-4.0-3.1-1.1

-47.4

74.041.4

58.2 8 30.623.5 13 14.7

131.5 13 83.066.9 22 62.2

Florida 4.

42

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

14.8 5.2 3.2 1.1 9.5 8,624,264

17.4 7.9 3.7 1.4 13.1 11,573,820

57.9 102.4 59.4 77.8 85.3 34.2



29.2

23.6

48.9

9.1

20.3

21.6

51

5

35

21

11

13

47.9

15.1

50.2

9.2

18.4

19.5 12

20.1

12.4 11

16.6

10.8

USState Rank

22.2

32.5

14.3

$23,423

13.3

25.2

11

23

31

42

8

21

17.6

21.7

16.7

$26,322

9.7

23.8

Georgia 2.

43





























USState Rank81.9

24.4

63.731.435.8

11.2

17

10

84413

33

78.6

22.7

60.341.231.7

14.2

5.7 9 4.6

USState Rank

6.3

32

0.2

3.40.9NA

27

15

18

4438

NA

6.3

30

0.2

7.42.61.9

2.51.9

56.3

34 2.924 1.8

20 49.5

USState Rank

0.12

0.08

3110

$7.61

7

45

29

152539

46

0.20

0.10

2614

$7.91

16

$8.08 41 $8.77

Georgia 2.

44























Georgia United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

70.4%

ICF/MRFacilities

8.6%

Home and Community

Services21.0%

USState Rank

36,372

4.4

77.6

8.8

13.6

10

15

24

4

39

48

9

1,451,672

4.0

66.3

11.3

22.4

8

16 7 14

18.6 24 18.0

USState Rank

360

48

1,425

90.9

0.2

0.9

18

26

38

12

47

2

16,323

49

2,614

82.6

0.4

2.2 26

0.8

2.2

Georgia 3.

45








TRENDS








2003



USState Rank$7,586

16.8$147 $103 $13 $31

115048393649

$259,565 32.3$288 $154 $39 $95

$7 21 $10NA NA $22$24 47 $64

$11 34 $1521.0 42 33.1

$14.3 16 $1,411.9

USState Rank

$91

$245 $129

$127

$17.17

45

3139

26

32

$118

$265 $158

$124

$18.12

USState Rank0.21.6

-1.4-66.3

40.739.9

139

2751

3733

-4.0-3.1-1.1

-47.4

74.041.4

44.0 16 30.62.3 32 14.7

48.1 47 83.0134.9 1 62.2

Georgia 4.

46

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.2 6.7 4.9 1.6 13.2 1,259,625

16.1 9.5 4.9 2.5 16.9 1,652,585

30.3 86.2 30.5 102.4 67.6 31.2



68.2

11.0

28.7

8.8

18.9

20.0

4

45

50

23

19

22

47.9

15.1

50.2

9.2

18.4

15.6 33

20.1

13.4 9

16.6

10.8

USState Rank

77.1

7.6

19.2

$40,782

8.2

14.8

1

46

14

2

36

50

17.6

21.7

16.7

$26,322

9.7

23.8

Hawaii 2.

47





























USState Rank75.2

20.8

55.133.952.4

17.9

43

28

32362

5

78.6

22.7

60.341.231.7

14.2

13.5 1 4.6

USState Rank

2.0

20

NA

2.90.5NA

51

47

NA

4545

NA

6.3

30

0.2

7.42.61.9

2.41.3

54.9

35 2.933 1.8

22 49.5

USState Rank

0.08

0.16

19NA

$6.63

10

48

8

28NA48

36

0.20

0.10

2614

$7.91

16

$9.96 6 $8.77

Hawaii 2.

48























Hawaii United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

67.9%

ICF/MRFacilities

2.9%

Home and Community

Services29.2%

USState Rank

3,806

2.2

72.5

11.0

16.6

3

47

47

8

24

39

43

1,451,672

4.0

66.3

11.3

22.4

8

8 51 14

19.4 23 18.0

USState Rank

45

24

1,925

93.8

0.8

0.8

45

48

30

1

2

18

16,323

49

2,614

82.6

0.4

2.8 2

0.8

2.2

Hawaii 3.

49








TRENDS








2003



USState Rank$661 39.6$208 $141

$6 $61

461641284336

$259,565 32.3$288 $154 $39 $95

$0 46 $10NA NA $22$60 30 $64

$24 12 $1529.2 33 33.1

$4.9 27 $1,411.9

USState Rank

NA

$302 $191

$177

$18.93

NA

310

2

17

$118

$265 $158

$124

$18.12


-45.9

273.547.2

25

1135

822

-4.0-3.1-1.1

-47.4

74.041.4

26.3 29 30.6-24.6 46 14.7181.5 7 83.0

-4.1 51 62.2

Hawaii 4.

50

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

14.9 5.7 3.9 1.4 11.0 1,370,918

15.4 7.9 3.9 1.6 13.4 2,004,916

51.6 102.8 45.6 62.8 77.4 46.2



45.1

12.0

43.0

9.7

16.8

19.4

31

42

47

14

33

25

47.9

15.1

50.2

9.2

18.4

21.2 7

20.1

12.2 12

16.6

10.8

USState Rank

3.7

35.5

15.4

$23,603

8.7

28.0

45

18

25

41

30

7

17.6

21.7

16.7

$26,322

9.7

23.8

Idaho 2.

51





























USState Rank86.8

22.0

63.033.629.5

10.2

2

25

93929

42

78.6

22.7

60.341.231.7

14.2

2.7 39 4.6

USState Rank

5.4

25

NA

8.62.32.1

31

31

NA

172110

6.3

30

0.2

7.42.61.9

4.23.5

162.9

15 2.99 1.8

4 49.5

USState Rank

0.31

0.03

386

$7.67

15

13

46

73938

19

0.20

0.10

2614

$7.91

16

$8.06 42 $8.77

Idaho 2.

52























Idaho United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

40.9%

ICF/MRFacilities

17.7%

Home and Community

Services41.3%

USState Rank

4,754

3.1

62.1

13.5

24.4

6

44

41

36

8

19

23

1,451,672

4.0

66.3

11.3

22.4

8

9 47 14

36.6 3 18.0

USState Rank

80

40

1,114

76.0

0.5

0.9

44

36

45

41

10

2

16,323

49

2,614

82.6

0.4

2.5 6

0.8

2.2

Idaho 3.

53








TRENDS








2003



USState Rank$838 36.6$224 $92 $40 $93

421838421725

$259,565 32.3$288 $154 $39 $95

$5 26 $10$23 13 $22$65 28 $64

$37 6 $1541.3 15 33.1

$0.9 38 $1,411.9

USState Rank

$132

$243 $150

$134

$15.80

11

3523

13

45

$118

$265 $158

$124

$18.12


-45.7

206.474.4

17221634

124

-4.0-3.1-1.1

-47.4

74.041.4

34.9 23 30.616.0 20 14.7

252.7 4 83.094.5 9 62.2

Idaho 4.

54

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.3 6.1 4.3 1.6 12.0 12,588,301

18.7 9.0 4.2 1.9 15.1 14,707,979

42.6 73.2 14.2 36.6 47.1 16.8



48.2

12.3

53.6

9.7

18.4

20.3

24

40

20

14

21

20

47.9

15.1

50.2

9.2

18.4

14.9 41

20.1

10.1 24

16.6

10.8

USState Rank

17.6

14.0

14.7

$27,329

8.8

21.7

18

39

29

16

28

39

17.6

21.7

16.7

$26,322

9.7

23.8

Illinois 2.

55





























USState Rank78.4

25.2

59.252.238.4

15.7

33

9

2188

10

78.6

22.7

60.341.231.7

14.2

4.2 22 4.6

USState Rank

6.9

24

0.0

4.71.0NA

18

36

30

3735

NA

6.3

30

0.2

7.42.61.9

3.72.9

69.0

21 2.914 1.8

14 49.5

USState Rank

0.20

0.06

79

$7.37

10

26

37

452941

36

0.20

0.10

2614

$7.91

16

$8.27 36 $8.77

Illinois 2.

56























Illinois United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities


25.4%

Home and Community

Services20.4%

USState Rank

79,833

5.3

63.0

10.1

26.8

5

6

11

35

33

12

29

1,451,672

4.0

66.3

11.3

22.4

8

18 4 14

15.9 30 18.0

USState Rank

827

71

2,849

74.8

0.5

0.6

4

6

20

44

10

39

16,323

49

2,614

82.6

0.4

2.0 40

0.8

2.2

Illinois 3.

57








TRENDS








2003



USState Rank$9,664

27.8$212 $115 $54 $43

73640359

46

$259,565 32.3$288 $154 $39 $95

$3 34 $10NA NA $22$40 41 $64

$14 30 $1520.4 44 33.1

$219.4 2 $1,411.9

USState Rank

$90

$275 $136

$149

$18.71

46

1435

5

19

$118

$265 $158

$124

$18.12


-45.5

26.920.4

33254130

4149

-4.0-3.1-1.1

-47.4

74.041.4

7.7 48 30.611.7 24 14.7

104.9 18 83.058.0 31 62.2

Illinois 4.

58

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.9 6.4 4.4 1.6 12.3 6,136,835

18.7 9.2 4.3 1.8 15.3 7,302,805

40.1 71.2 17.2 37.5 47.7 19.0



42.1

13.5

57.7

9.2

19.5

21.1

35

34

9

18

16

14

47.9

15.1

50.2

9.2

18.4

16.1 30

20.1

10.1 24

16.6

10.8

USState Rank

8.3

27.7

11.2

$24,912

7.9

25.4

33

27

49

30

40

20

17.6

21.7

16.7

$26,322

9.7

23.8

Indiana 2.

59





























USState Rank81.8

17.0

54.646.442.4

12.6

18

43

34163

21

78.6

22.7

60.341.231.7

14.2

3.4 32 4.6

USState Rank

5.1

28

0.0

2.21.3NA

35

19

30

4930

NA

6.3

30

0.2

7.42.61.9

0.90.4

8.5

48 2.944 1.8

46 49.5

USState Rank

0.21

0.09

1512

$8.80

11

23

26

361910

31

0.20

0.10

2614

$7.91

16

$9.62 10 $8.77

Indiana 2.

60























Indiana United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

52.9%

ICF/MRFacilities

23.0%

Home and Community

Services24.1%

USState Rank

40,623

5.3

65.0

12.6

22.3

6

11

11

28

14

25

23

1,451,672

4.0

66.3

11.3

22.4

8

15 11 14

21.9 17 18.0

USState Rank

527

73

5,874

73.2

0.3

0.9

9

3

4

45

40

2

16,323

49

2,614

82.6

0.4

1.9 45

0.8

2.2

Indiana 3.

61








TRENDS








2003



USState Rank$4,439

32.5$233 $123 $54 $56

192736349

39

$259,565 32.3$288 $154 $39 $95

$9 16 $10NA NA $22$48 34 $64

$4 44 $1524.1 39 33.1

$46.0 7 $1,411.9

USState Rank

$103

$246 $147

$120

$19.35

32

2926

33

14

$118

$265 $158

$124

$18.12


-56.3

6.333.2

35458

44

4838

-4.0-3.1-1.1

-47.4

74.041.4

11.4 46 30.610.3 26 14.7

259.0 3 83.097.6 7 62.2

Indiana 4.

62

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.9 7.1 5.4 2.3 14.8 2,952,600

18.7 9.8 4.9 2.5 17.1 3,442,704

37.3 61.4 5.4 25.8 35.4 16.6



48.3

18.9

55.1

8.1

16.2

18.1

22

14

15

31

38

36

47.9

15.1

50.2

9.2

18.4

16.8 25

20.1

8.0 44

16.6

10.8

USState Rank

3.0

41.4

12.3

$23,931

8.8

25.9

46

11

44

38

28

16

17.6

21.7

16.7

$26,322

9.7

23.8

Iowa 2.

63





























USState Rank80.5

15.7

52.252.734.7

9.9

27

48

407

17

44

78.6

22.7

60.341.231.7

14.2

1.5 49 4.6

USState Rank

4.4

24

0.1

10.15.9NA

43

36

22

117

NA

6.3

30

0.2

7.42.61.9

4.21.9

37.7

15 2.924 1.8

33 49.5

USState Rank

0.41

0.16

1013

$8.31

15

6

8

431722

19

0.20

0.10

2614

$7.91

16

$9.01 18 $8.77

Iowa 2.

64























Iowa United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

50.6%

ICF/MRFacilities

23.9%

Home and Community

Services25.5%

USState Rank

27,805

6.4

49.7

5.2

45.1

3

20

2

51

51

1

43

1,451,672

4.0

66.3

11.3

22.4

8

9 47 14

7.9 47 18.0

USState Rank

454

82

9,579

78.5

0.4

0.6

11

1

1

37

25

39

16,323

49

2,614

82.6

0.4

1.9 45

0.8

2.2

Iowa 3.

65








TRENDS








2003



USState Rank$2,285

42.8$332 $168 $79 $85

321217206

29

$259,565 32.3$288 $154 $39 $95

$22 4 $10NA NA $22$63 29 $64

$13 32 $1525.5 37 33.1

$7.3 22 $1,411.9

USState Rank

$95

$239 $195

$106

$21.77

40

387

45

6

$118

$265 $158

$124

$18.12


-25.0

188.059.6

3737294

1412

-4.0-3.1-1.1

-47.4

74.041.4

56.4 9 30.631.7 9 14.7

110.0 17 83.056.6 32 62.2

Iowa 4.

66

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.1 6.3 4.7 1.9 13.0 2,733,968

17.6 9.1 4.3 2.0 15.5 3,323,428

41.6 74.5 11.1 27.7 44.5 21.6



52.5

20.4

55.9

7.1

18.1

19.3

16

11

14

42

22

26

47.9

15.1

50.2

9.2

18.4

15.0 39

20.1

9.4 32

16.6

10.8

USState Rank

8.7

33.7

15.2

$25,190

8.9

24.5

32

20

27

29

27

25

17.6

21.7

16.7

$26,322

9.7

23.8

Kansas 2.

67





























USState Rank79.5

19.9

54.750.023.0

9.4

29

34

331241

46

78.6

22.7

60.341.231.7

14.2

2.0 46 4.6

USState Rank

4.2

26

0.3

16.28.9NA

46

23

15

22

NA

6.3

30

0.2

7.42.61.9

7.34.7

108.5

2 2.93 1.8

7 49.5

USState Rank

0.37

0.05

2424

$8.45

12

8

41

235

17

29

0.20

0.10

2614

$7.91

16

$8.72 25 $8.77

Kansas 2.

68























Kansas United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

45.2%

ICF/MRFacilities

8.3%

Home and Community

Services46.5%

USState Rank

21,085

6.0

53.8

6.2

40.1

4

26

5

49

50

2

38

1,451,672

4.0

66.3

11.3

22.4

8

13 28 14

27.8 6 18.0

USState Rank

374

76

4,220

78.0

0.4

0.5

16

2

9

38

25

45

16,323

49

2,614

82.6

0.4

1.9 45

0.8

2.2

Kansas 3.

69








TRENDS








2003



USState Rank$1,787

43.4$285 $129 $24

$133

361021303013

$259,565 32.3$288 $154 $39 $95

$5 26 $10$6 24 $22

$122 10 $64

$41 5 $1546.5 9 33.1

$7.9 20 $1,411.9

USState Rank

$95

$244 $115

$122

$17.40

40

3246

30

29

$118

$265 $158

$124

$18.12


-44.7

250.243.3

39344028

926

-4.0-3.1-1.1

-47.4

74.041.4

48.4 13 30.6-24.5 45 14.764.0 37 83.091.4 11 62.2

Kansas 4.

70

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.4 6.7 4.3 1.5 12.4 4,111,115

18.5 9.1 4.5 1.8 15.4 4,901,349

34.1 63.3 24.2 46.7 47.9 19.2



51.1

21.4

52.6

11.8

23.5

25.6

19

7

25

7

3

4

47.9

15.1

50.2

9.2

18.4

22.3 4

20.1

15.3 3

16.6

10.8

USState Rank

6.3

41.9

11.4

$20,865

14.2

30.1

37

10

47

49

6

2

17.6

21.7

16.7

$26,322

9.7

23.8

Kentucky 2.

71





























USState Rank81.6

19.6

56.137.339.1

15.6

21

35

30287

11

78.6

22.7

60.341.231.7

14.2

2.7 39 4.6

USState Rank

7.5

36

NA

9.65.6NA

14

10

NA

128

NA

6.3

30

0.2

7.42.61.9

4.03.6

86.2

18 2.98 1.8

11 49.5

USState Rank

0.21

0.23

155

$7.59

9

23

4

364140

45

0.20

0.10

2614

$7.91

16

$8.58 30 $8.77

Kentucky 2.

72























Kentucky United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities


11.1%

Home and Community

Services28.3%

USState Rank

22,814

4.5

72.0

12.2

15.8

7

24

23

10

18

42

17

1,451,672

4.0

66.3

11.3

22.4

8

15 11 14

22.6 16 18.0

USState Rank

296

50

2,548

89.0

0.4

0.9

22

24

24

17

25

2

16,323

49

2,614

82.6

0.4

2.2 26

0.8

2.2

Kentucky 3.

73








TRENDS








2003



USState Rank$3,811

26.8$248 $150 $28 $70

224033262833

$259,565 32.3$288 $154 $39 $95

$25 3 $10NA NA $22$45 38 $64

$17 24 $1528.3 34 33.1

$18.1 13 $1,411.9

USState Rank

$108

$226 $133

$110

$18.20

30

4637

41

22

$118

$265 $158

$124

$18.12

USState Rank0.50.5

-0.1-39.0

57.635.6

11152117

2637

-4.0-3.1-1.1

-47.4

74.041.4

26.2 31 30.642.7 6 14.757.5 41 83.049.9 42 62.2

Kentucky 4.

74

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.4 6.2 4.0 1.4 11.6 4,484,584

17.3 8.4 3.8 1.7 13.9 5,432,639

35.8 62.9 15.8 48.3 44.8 21.1



36.7

19.8

59.6

11.8

21.1

23.3

45

13

5

7

8

7

47.9

15.1

50.2

9.2

18.4

18.0 19

20.1

13.8 8

16.6

10.8

USState Rank

26.6

26.8

13.7

$22,078

14.5

28.2

7

28

35

47

3

5

17.6

21.7

16.7

$26,322

9.7

23.8

Louisiana 2.

75





























USState Rank80.8

16.7

51.735.533.4

17.3

23

46

423520

7

78.6

22.7

60.341.231.7

14.2

6.1 6 4.6

USState Rank

9.1

55

NA

3.52.4NA

2

1

NA

4220

NA

6.3

30

0.2

7.42.61.9

1.10.3

4.6

46 2.947 1.8

48 49.5

USState Rank

0.43

0.02

816

$6.47

10

4

49

441050

36

0.20

0.10

2614

$7.91

16

$7.34 48 $8.77

Louisiana 2.

76























Louisiana United States


Nursing Facilities

53.4%

ICF/MRFacilities

Home and Community

Services33.1%

Nursing Facilities


31.1%

Home and Community

Services18.8%

USState Rank

29,151

5.6

75.5

8.1

16.4

15

18

9

5

43

40

3

1,451,672

4.0

66.3

11.3

22.4

8

20 2 14

20.1 21 18.0

USState Rank

314

73

2,197

75.9

0.2

0.9

21

3

27

42

47

2

16,323

49

2,614

82.6

0.4

2.1 34

0.8

2.2

Louisiana 3.

77








TRENDS








2003



USState Rank$4,496

26.4$264 $132 $82 $50

184229294

43

$259,565 32.3$288 $154 $39 $95

$6 23 $10NA NA $22$44 39 $64

$5 42 $1518.8 47 33.1

$6.2 23 $1,411.9

USState Rank

$82

$234 $95

$105

$12.55

48

4251

47

51

$118

$265 $158

$124

$18.12

USState Rank

-3.91.5

-5.3-43.3

57.929.5

23124425

2544

-4.0-3.1-1.1

-47.4

74.041.4

18.1 42 30.613.9 23 14.7

150.9 10 83.044.9 45 62.2

Louisiana 4.

78

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

17.7 7.5 5.1 1.9 14.4 1,291,734

19.3 10.5 5.2 2.3 18.0 1,597,719

34.6 74.1 26.0 48.6 53.9 23.7



35.1

16.6

56.1

8.1

14.5

16.6

47

20

13

31

46

42

47.9

15.1

50.2

9.2

18.4

18.3 18

20.1

8.7 39

16.6

10.8

USState Rank

0.9

55.8

16.5

$25,254

10.7

26.3

51

2

22

28

17

12

17.6

21.7

16.7

$26,322

9.7

23.8

Maine 2.

79





























USState Rank78.4

24.2

47.248.727.5

10.8

33

11

481430

38

78.6

22.7

60.341.231.7

14.2

2.4 42 4.6

USState Rank

8.1

30

1.5

6.62.51.1

7

16

2

291820

6.3

30

0.2

7.42.61.9

3.01.4

35.7

29 2.931 1.8

35 49.5

USState Rank

0.16

0.23

4322

$8.52

26

35

4

26

13

4

0.20

0.10

2614

$7.91

16

$8.75 24 $8.77

Maine 2.

80























Maine United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

43.3%

ICF/MRFacilities

11.0%

Home and Community

Services45.7%

USState Rank

6,954

3.7

68.5

13.3

18.3

6

38

33

18

10

38

23

1,451,672

4.0

66.3

11.3

22.4

8

10 43 14

8.0 46 18.0

USState Rank

119

40

1,964

92.1

0.6

0.5

36

36

29

6

3

45

16,323

49

2,614

82.6

0.4

2.7 3

0.8

2.2

Maine 3.

81








TRENDS








2003



USState Rank$1,796

30.6$421 $182 $46

$192

35319

16135

$259,565 32.3$288 $154 $39 $95

$5 26 $10$25 12 $22

$163 5 $64

$20 19 $1545.7 10 33.1

$16.3 14 $1,411.9

USState Rank

$132

$252 $187

$110

$20.00

11

2812

41

10

$118

$265 $158

$124

$18.12

USState Rank-12.8-18.2

6.6-45.5

45.559.5

48512

30

3413

-4.0-3.1-1.1

-47.4

74.041.4

26.3 29 30.656.0 3 14.7

113.9 16 83.062.4 28 62.2

Maine 4.

82

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.4 5.9 4.0 1.3 11.2 5,471,027

19.3 9.4 4.5 1.8 15.7 6,794,035

46.0 97.0 39.2 70.9 73.5 24.2



36.3

9.7

43.0

8.0

17.5

19.3

46

49

47

35

27

26

47.9

15.1

50.2

9.2

18.4

12.7 51

20.1

8.1 43

16.6

10.8

USState Rank

24.0

15.0

21.3

$32,161

8.3

18.2

9

38

7

5

35

46

17.6

21.7

16.7

$26,322

9.7

23.8

Maryland 2.

83





























USState Rank79.0

22.4

62.042.536.9

13.4

31

22

102412

17

78.6

22.7

60.341.231.7

14.2

5.9 8 4.6

USState Rank

6.5

21

0.2

3.51.40.9

26

45

18

422822

6.3

30

0.2

7.42.61.9

1.10.0

1.0

46 2.950 1.8

50 49.5

USState Rank

0.07

0.13

237

$8.77

11

50

17

243711

31

0.20

0.10

2614

$7.91

16

$8.67 28 $8.77

Maryland 2.

84























Maryland United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

54.2%

ICF/MRFacilities

3.9%

Home and Community

Services41.9%

USState Rank

25,270

4.0

61.8

12.6

25.6

7

22

29

38

14

15

17

1,451,672

4.0

66.3

11.3

22.4

8

14 19 14

16.6 28 18.0

USState Rank

243

47

1,065

86.1

0.5

0.8

26

28

46

25

10

18

16,323

49

2,614

82.6

0.4

2.1 34

0.8

2.2

Maryland 3.

85








TRENDS








2003



USState Rank$4,412

33.6$269 $146 $10

$113

202327274117

$259,565 32.3$288 $154 $39 $95

$19 6 $10$5 26 $22

$89 18 $64

$9 37 $1541.9 14 33.1

NA NA $1,411.9

USState Rank

$151

$275 $162

$144

$16.17

4

1419

9

43

$118

$265 $158

$124

$18.12


-40.0

248.975.3

20385

19

103

-4.0-3.1-1.1

-47.4

74.041.4

43.8 17 30.63.6 31 14.7

168.6 9 83.060.8 29 62.2

Maryland 4.

86

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.9 6.4 4.9 1.9 13.2 6,516,956

20.0 9.8 4.8 2.3 16.9 7,774,740

49.8 81.2 16.8 46.2 52.3 19.3



40.6

17.2

54.2

8.3

17.5

18.9

39

18

18

30

27

32

47.9

15.1

50.2

9.2

18.4

15.0 39

20.1

9.9 26

16.6

10.8

USState Rank

8.0

7.2

19.9

$26,268

8.6

23.2

34

47

11

19

32

33

17.6

21.7

16.7

$26,322

9.7

23.8

Massachusetts 2.

87





























USState Rank68.9

27.4

61.557.435.5

18.5

49

7

114

14

4

78.6

22.7

60.341.231.7

14.2

4.6 17 4.6

USState Rank

8.5

37

0.1

7.83.91.1

4

8

22

201320

6.3

30

0.2

7.42.61.9

2.81.0

17.6

31 2.938 1.8

43 49.5

USState Rank

0.13

0.15

1111

$9.96

13

42

12

42203

25

0.20

0.10

2614

$7.91

16

$10.69 3 $8.77

Massachusetts 2.

88























Massachusetts United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

55.6%

ICF/MRFacilities

8.1%

Home and Community

Services36.3%

USState Rank

46,993

5.5

68.4

11.6

20.1

6

8

10

19

22

33

23

1,451,672

4.0

66.3

11.3

22.4

8

13 28 14

23.6 12 18.0

USState Rank

478

61

1,745

89.8

0.5

0.7

10

16

34

13

10

26

16,323

49

2,614

82.6

0.4

2.3 18

0.8

2.2

Massachusetts 3.

89








TRENDS








2003



USState Rank$8,540

31.9$423 $235 $34

$153

82889

2311

$259,565 32.3$288 $154 $39 $95

$10 13 $10$51 4 $22$92 15 $64

$2 47 $1536.3 24 33.1

$150.0 4 $1,411.9

USState Rank

$141

$285 $233

$108

$21.45

7

124

44

8

$118

$265 $158

$124

$18.12

USState Rank-9.8

-10.10.4

-50.7

66.823.6

42461639

2248

-4.0-3.1-1.1

-47.4

74.041.4

13.8 44 30.6-12.9 44 14.759.4 39 83.049.8 43 62.2

Massachusetts 4.

90

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.2 6.4 4.5 1.6 12.4 9,897,510

20.0 10.1 4.7 2.0 16.9 10,991,528

37.3 75.4 18.0 46.3 51.1 11.1



45.9

11.8

53.2

9.2

18.0

19.8

29

43

22

18

24

23

47.9

15.1

50.2

9.2

18.4

16.6 28

20.1

10.9 20

16.6

10.8

USState Rank

12.8

25.4

14.1

$26,131

7.6

23.6

24

29

34

20

43

31

17.6

21.7

16.7

$26,322

9.7

23.8

Michigan 2.

91





























USState Rank81.7

20.0

55.748.927.2

11.2

20

32

311332

33

78.6

22.7

60.341.231.7

14.2

3.5 29 4.6

USState Rank

8.2

26

0.5

8.20.55.5

6

23

10

18454

6.3

30

0.2

7.42.61.9

2.21.5

51.5

36 2.927 1.8

24 49.5

USState Rank

0.17

0.07

3911

$8.39

19

31

32

52021

10

0.20

0.10

2614

$7.91

16

$8.92 20 $8.77

Michigan 2.

92























Michigan United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

60.6%

ICF/MRFacilities

1.4%

Home and Community

Services38.0%

USState Rank

41,547

3.4

66.5

14.3

19.2

6

10

38

22

7

36

23

1,451,672

4.0

66.3

11.3

22.4

8

14 19 14

29.5 5 18.0

USState Rank

431

40

5,486

84.4

0.4

0.7

12

36

5

28

25

26

16,323

49

2,614

82.6

0.4

2.3 18

0.8

2.2

Michigan 3.

93








TRENDS








2003



USState Rank$7,919

20.9$164 $99 $2

$62

104745414635

$259,565 32.3$288 $154 $39 $95

$2 39 $10$21 15 $22$40 41 $64

$6 41 $1538.0 20 33.1

$19.3 12 $1,411.9

USState Rank

$119

$268 $136

$141

$16.33

23

1935

10

41

$118

$265 $158

$124

$18.12


-31.6

470.2-12.6

3032269

451

-4.0-3.1-1.1

-47.4

74.041.4

-11.3 51 30.6-90.3 49 14.721.0 50 83.066.2 23 62.2

Michigan 4.

94

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.4 5.9 4.3 1.8 12.1 5,013,544

19.1 9.5 4.5 2.1 16.1 6,167,429

52.4 96.0 30.3 40.7 64.2 23.0



46.0

13.7

61.2

5.6

14.6

15.4

28

33

3

49

44

47

47.9

15.1

50.2

9.2

18.4

15.6 33

20.1

7.6 46

16.6

10.8

USState Rank

3.8

33.1

15.3

$25,960

7.9

22.7

44

22

26

23

40

35

17.6

21.7

16.7

$26,322

9.7

23.8

Minnesota 2.

95





























USState Rank77.6

17.3

61.346.427.4

12.1

35

42

131631

23

78.6

22.7

60.341.231.7

14.2

1.8 47 4.6

USState Rank

3.5

22

0.8

19.912.21.6

49

43

4

11

16

6.3

30

0.2

7.42.61.9

6.23.4

71.9

5 2.911 1.8

12 49.5

USState Rank

0.37

0.11

NA31

$9.65

30

8

21

NA34

2

0.20

0.10

2614

$7.91

16

$9.83 8 $8.77

Minnesota 2.

96























Minnesota United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community


Facilities39.0%

ICF/MRFacilities

8.2%

Home and Community

Services52.8%

USState Rank

36,231

5.9

59.1

10.2

30.7

5

16

6

44

32

8

29

1,451,672

4.0

66.3

11.3

22.4

8

10 43 14

20.7 20 18.0

USState Rank

425

65

4,090

92.1

0.3

0.7

13

14

11

6

40

26

16,323

49

2,614

82.6

0.4

2.0 40

0.8

2.2

Minnesota 3.

97








TRENDS








2003



USState Rank$4,921

48.4$471 $184 $39

$249

1634

14202

$259,565 32.3$288 $154 $39 $95

$13 8 $10$32 10 $22

$203 1 $64

$36 7 $1552.8 6 33.1

$68.2 5 $1,411.9

USState Rank

$130

$260 $150

$126

$22.68

13

2323

27

4

$118

$265 $158

$124

$18.12


0.9-24.1

78.048.5

4649133

2121

-4.0-3.1-1.1

-47.4

74.041.4

9.8 47 30.6-12.8 43 14.7135.7 12 83.090.4 12 62.2

Minnesota 4.

98

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.2 6.5 4.1 1.5 12.1 2,866,670

17.5 8.6 4.3 1.7 14.5 3,367,717

35.2 54.8 21.9 34.1 41.1 17.5



34.0

32.0

51.9

15.8

23.7

26.6

48

1

27

1

2

1

47.9

15.1

50.2

9.2

18.4

25.8 1

20.1

18.2 1

16.6

10.8

USState Rank

26.5

50.8

12.8

$20,720

18.6

29.2

8

5

42

50

1

4

17.6

21.7

16.7

$26,322

9.7

23.8

Mississippi 2.

99





























USState Rank85.5

23.6

52.129.435.4

13.5

3

18

414615

15

78.6

22.7

60.341.231.7

14.2

6.8 3 4.6

USState Rank

8.5

40

0.0

5.62.7NA

4

5

30

3315

NA

6.3

30

0.2

7.42.61.9

2.92.6

56.9

30 2.917 1.8

19 49.5

USState Rank

0.17

0.03

153

$6.83

7

31

46

364446

46

0.20

0.10

2614

$7.91

16

$8.01 43 $8.77

Mississippi 2.

100























Mississippi United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

63.8%

ICF/MRFacilities

23.3%

Home and Community

Services12.8%

USState Rank

16,057

4.6

79.4

9.6

11.0

12

31

18

3

36

49

4

1,451,672

4.0

66.3

11.3

22.4

8

14 19 14

15.2 32 18.0

USState Rank

204

52

1,355

88.5

0.3

0.9

31

20

39

19

40

2

16,323

49

2,614

82.6

0.4

2.3 18

0.8

2.2

Mississippi 3.

101








TRENDS








2003



USState Rank$2,896

27.2$274 $175 $64 $35

273925178

47

$259,565 32.3$288 $154 $39 $95

$5 26 $10NA NA $22$30 46 $64

$20 19 $1512.8 50 33.1

$0.0 42 $1,411.9

USState Rank

$106

$217 $118

$112

$13.80

31

4944

40

49

$118

$265 $158

$124

$18.12

USState Rank1.06.3

-4.9-60.4

424.269.3

103

4348

56

-4.0-3.1-1.1

-47.4

74.041.4

59.9 6 30.640.0 7 14.7

415.0 1 83.072.3 18 62.2

Mississippi 4.

102

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.0 6.9 4.7 1.8 13.5 5,653,118

18.5 9.3 4.8 2.1 16.2 6,714,699

37.4 59.5 20.3 39.7 43.1 18.8



40.9

16.4

48.6

8.4

17.3

19.0

38

23

37

29

30

31

47.9

15.1

50.2

9.2

18.4

15.6 33

20.1

9.4 32

16.6

10.8

USState Rank

9.4

31.7

13.2

$25,968

9.5

24.7

28

26

40

22

23

23

17.6

21.7

16.7

$26,322

9.7

23.8

Missouri 2.

103





























USState Rank82.3

16.3

57.041.231.2

11.7

15

47

272522

29

78.6

22.7

60.341.231.7

14.2

3.6 28 4.6

USState Rank

6.8

24

0.8

14.31.17.3

22

36

4

4322

6.3

30

0.2

7.42.61.9

5.94.5

96.8

6 2.95 1.8

9 49.5

USState Rank

0.21

0.08

2915

$7.92

13

23

29

161436

25

0.20

0.10

2614

$7.91

16

$8.15 39 $8.77

Missouri 2.

104























Missouri United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

48.3%

ICF/MRFacilities

15.2%

Home and Community

Services36.6%

USState Rank

37,345

4.9

64.2

9.3

26.6

7

13

15

31

37

13

17

1,451,672

4.0

66.3

11.3

22.4

8

14 19 14

15.0 34 18.0

USState Rank

534

72

3,674

68.6

0.3

0.7

8

5

13

49

40

26

16,323

49

2,614

82.6

0.4

1.9 45

0.8

2.2

Missouri 3.

105








TRENDS








2003



USState Rank$5,464

27.8$267 $129 $40 $97

143628301722

$259,565 32.3$288 $154 $39 $95

$1 41 $10$37 6 $22$60 30 $64

$15 27 $1536.6 22 33.1

$0.0 42 $1,411.9

USState Rank

$97

$236 $110

$129

$16.43

38

3947

23

40

$118

$265 $158

$124

$18.12


-45.5

55.631.0

36204630

2742

-4.0-3.1-1.1

-47.4

74.041.4

5.4 49 30.657.7 2 14.774.9 31 83.082.6 16 62.2

Missouri 4.

106

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

17.4 7.0 4.8 1.9 13.6 909,724

17.4 10.1 4.8 2.1 17.1 1,142,354

25.2 82.9 26.4 45.3 58.0 25.6



79.0

14.0

50.1

7.2

16.0

17.2

1

31

30

39

40

41

47.9

15.1

50.2

9.2

18.4

22.0 5

20.1

10.5 22

16.6

10.8

USState Rank

4.5

43.5

13.6

$24,611

9.5

27.7

42

8

36

33

23

10

17.6

21.7

16.7

$26,322

9.7

23.8

Montana 2.

107





























USState Rank82.3

18.0

50.843.430.4

8.9

15

39

432323

48

78.6

22.7

60.341.231.7

14.2

3.1 37 4.6

USState Rank

4.8

24

0.5

7.30.63.2

38

36

10

25446

6.3

30

0.2

7.42.61.9

3.42.0

50.1

24 2.923 1.8

25 49.5

USState Rank

0.37

0.46

2721

$7.80

18

8

1

197

37

12

0.20

0.10

2614

$7.91

16

$8.31 35 $8.77

Montana 2.

108























Montana United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

59.1%

ICF/MRFacilities

4.5%

Home and Community

Services36.4%

USState Rank

5,739

4.6

56.6

9.9

33.5

4

42

18

47

34

6

38

1,451,672

4.0

66.3

11.3

22.4

8

10 43 14

13.5 38 18.0

USState Rank

101

60

973

76.6

0.6

0.5

38

17

49

40

3

45

16,323

49

2,614

82.6

0.4

2.4 10

0.8

2.2

Montana 3.

109








TRENDS








2003



USState Rank$571 45.1$281 $166 $13

$102

486

24213620

$259,565 32.3$288 $154 $39 $95

$1 41 $10$26 11 $22$75 25 $64

$21 16 $1536.4 23 33.1

$0.0 42 $1,411.9

USState Rank

$102

$232 $132

$131

$16.58

36

4438

19

38

$118

$265 $158

$124

$18.12


-45.5

45.355.9

37244730

3516

-4.0-3.1-1.1

-47.4

74.041.4

53.0 11 30.6-5.4 38 14.775.2 30 83.030.6 48 62.2

Montana 4.

110

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.3 6.6 4.8 2.0 13.5 1,728,893

18.2 9.6 4.7 2.4 16.6 2,020,177

38.9 68.9 12.7 35.0 43.7 16.8



54.4

16.6

58.9

6.7

14.4

15.8

14

20

7

45

47

46

47.9

15.1

50.2

9.2

18.4

16.5 29

20.1

7.9 45

16.6

10.8

USState Rank

4.6

37.6

14.5

$25,358

9.4

23.7

41

15

30

27

25

30

17.6

21.7

16.7

$26,322

9.7

23.8

Nebraska 2.

111





























USState Rank80.8

20.6

57.846.027.1

9.3

23

31

251833

47

78.6

22.7

60.341.231.7

14.2

1.6 48 4.6

USState Rank

4.9

23

0.3

4.90.80.4

36

42

15

364024

6.3

30

0.2

7.42.61.9

3.72.3

49.9

21 2.919 1.8

26 49.5

USState Rank

0.28

0.09

362

$8.28

10

15

26

94525

36

0.20

0.10

2614

$7.91

16

$9.21 13 $8.77

Nebraska 2.

112























Nebraska United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

60.2%

ICF/MRFacilities

8.4%

Home and Community

Services31.4%

USState Rank

13,598

5.9

53.7

7.4

38.9

2

32

6

50

45

3

50

1,451,672

4.0

66.3

11.3

22.4

8

9 47 14

18.0 25 18.0

USState Rank

228

71

4,732

83.0

0.4

0.7

28

6

7

31

25

26

16,323

49

2,614

82.6

0.4

1.9 45

0.8

2.2

Nebraska 3.

113








TRENDS








2003



USState Rank$1,359

43.1$336 $203 $28

$106

381116112818

$259,565 32.3$288 $154 $39 $95

$11 10 $10$6 24 $22

$89 18 $64

$17 24 $1531.4 31 33.1

$3.4 30 $1,411.9

USState Rank

$100

$246 $144

$116

$19.47

37

2927

34

12

$118

$265 $158

$124

$18.12


-36.1

364.136.5

48483311

636

-4.0-3.1-1.1

-47.4

74.041.4

24.0 34 30.614.4 21 14.781.1 27 83.084.9 15 62.2

Nebraska 4.

114

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.9 6.4 3.5 0.9 10.8 2,242,149

15.3 7.6 4.2 1.5 13.2 4,235,398

82.0 124.9 121.6 213.5 131.0 88.9



68.3

13.9

47.2

6.3

14.2

15.3

3

32

40

46

48

48

47.9

15.1

50.2

9.2

18.4

14.6 45

20.1

8.8 37

16.6

10.8

USState Rank

16.0

9.4

15.9

$28,959

9.8

21.4

19

45

23

12

22

40

17.6

21.7

16.7

$26,322

9.7

23.8

Nevada 2.

115





























USState Rank71.1

28.6

65.29.7

30.3

13.7

48

4

55125

14

78.6

22.7

60.341.231.7

14.2

4.9 14 4.6

USState Rank

4.2

29

0.1

1.90.20.4

46

18

22

505024

6.3

30

0.2

7.42.61.9

1.30.8

63.4

45 2.940 1.8

16 49.5

USState Rank

0.18

0.02

NANA

$7.97

6

29

49

NANA34

48

0.20

0.10

2614

$7.91

16

$9.20 14 $8.77

Nevada 2.

116























Nevada United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

54.9%

ICF/MRFacilities

12.2%

Home and Community

Services32.9%

USState Rank

4,308

1.7

60.3

10.8

28.9

11

45

50

41

27

9

6

1,451,672

4.0

66.3

11.3

22.4

8

14 19 14

9.1 44 18.0

USState Rank

44

21

1,273

82.9

0.5

0.9

46

50

42

33

10

2

16,323

49

2,614

82.6

0.4

2.1 34

0.8

2.2

Nevada 3.

117








TRENDS








2003



USState Rank$1,034

19.6$91 $50 $11 $30

414950493950

$259,565 32.3$288 $154 $39 $95

$3 34 $10$10 22 $22$17 49 $64

$4 44 $1532.9 28 33.1

$1.0 37 $1,411.9

USState Rank

$122

$308 $140

$132

$22.58

22

231

17

5

$118

$265 $158

$124

$18.12

USState Rank16.617.1-0.4

-56.1

53.873.5

11

2342

285

-4.0-3.1-1.1

-47.4

74.041.4

58.6 7 30.6-2.5 34 14.7

213.8 5 83.0102.3 4 62.2

Nevada 4.

118

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.8 6.3 4.2 1.5 12.0 1,277,428

19.4 10.4 5.0 2.1 17.5 1,597,719

44.5 107.2 48.8 73.1 82.4 25.1



38.0

14.2

53.1

6.3

16.6

17.5

43

29

23

46

35

39

47.9

15.1

50.2

9.2

18.4

14.5 46

20.1

6.9 49

16.6

10.8

USState Rank

1.6

39.9

20.0

$29,247

8.7

20.1

50

13

10

11

30

43

17.6

21.7

16.7

$26,322

9.7

23.8

New Hampshire 2.

119





























USState Rank76.6

24.2

47.243.930.0

10.3

39

11

482226

40

78.6

22.7

60.341.231.7

14.2

3.5 29 4.6

USState Rank

7.6

33

0.2

10.97.50.1

11

14

18

104

26

6.3

30

0.2

7.42.61.9

3.41.3

32.9

24 2.933 1.8

36 49.5

USState Rank

0.23

0.15

2616

$8.47

11

19

12

211016

31

0.20

0.10

2614

$7.91

16

$10.28 5 $8.77

New Hampshire 2.

120























New Hampshire United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

56.3%

ICF/MRFacilities

0.5%

Home and Community

Services43.2%

USState Rank

7,145

4.6

67.4

10.6

22.1

3

37

18

20

30

26

43

1,451,672

4.0

66.3

11.3

22.4

8

13 28 14

27.4 7 18.0

USState Rank

81

51

1,719

91.5

0.6

0.6

42

22

35

10

3

39

16,323

49

2,614

82.6

0.4

2.4 10

0.8

2.2

New Hampshire 3.

121








TRENDS








2003



USState Rank$810 45.1$284 $160

$1 $123

446

22224916

$259,565 32.3$288 $154 $39 $95

$4 31 $10$3 27 $22

$116 12 $64

$18 23 $1543.2 11 33.1

$0.0 42 $1,411.9

USState Rank

$127

$286 $193

$114

$21.60

17

118

37

7

$118

$265 $158

$124

$18.12


-38.9

29.710.6

18192516

4050

-4.0-3.1-1.1

-47.4

74.041.4

-1.0 50 30.624.2 12 14.730.2 49 83.01.6 50 62.2

New Hampshire 4.

122

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.2 6.5 4.7 1.7 12.9 8,661,341

20.5 9.7 4.6 2.1 16.4 10,202,365

49.0 74.5 16.5 47.1 49.8 17.8



48.1

11.5

44.1

8.7

18.0

19.7

25

44

42

26

24

24

47.9

15.1

50.2

9.2

18.4

14.7 43

20.1

9.4 32

16.6

10.8

USState Rank

18.0

4.8

16.7

$32,278

7.3

17.5

16

50

21

4

47

47

17.6

21.7

16.7

$26,322

9.7

23.8

New Jersey 2.

123





























USState Rank74.3

33.3

59.451.029.7

17.0

45

1

201128

9

78.6

22.7

60.341.231.7

14.2

6.7 4 4.6

USState Rank

7.0

27

0.2

4.20.51.8

16

21

18

394514

6.3

30

0.2

7.42.61.9

1.90.9

23.8

41 2.939 1.8

41 49.5

USState Rank

0.05

0.10

134

$9.57

18

51

24

40425

12

0.20

0.10

2614

$7.91

16

$9.69 9 $8.77

New Jersey 2.

124























New Jersey United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities


12.9%

Home and Community

Services23.9%

USState Rank

44,356

3.9

65.1

14.4

20.5

5

9

32

26

5

32

29

1,451,672

4.0

66.3

11.3

22.4

8

20 2 14

15.1 33 18.0

USState Rank

356

45

4,716

87.8

0.5

0.7

19

31

8

22

10

26

16,323

49

2,614

82.6

0.4

2.1 34

0.8

2.2

New Jersey 3.

125








TRENDS








2003



USState Rank$7,984

41.5$383 $242 $49 $92

913137

1227

$259,565 32.3$288 $154 $39 $95

$6 23 $10$34 9 $22$52 33 $64

$11 34 $1523.9 40 33.1

$24.4 9 $1,411.9

USState Rank

$142

$300 $216

$134

$19.08

6

56

13

16

$118

$265 $158

$124

$18.12


-27.0

83.961.3

2516385

2010

-4.0-3.1-1.1

-47.4

74.041.4

75.1 4 30.622.8 14 14.755.0 42 83.037.5 46 62.2

New Jersey 4.

126

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.6 6.4 4.0 1.3 11.7 1,900,199

16.0 8.5 4.3 1.8 14.7 2,691,954

45.0 87.7 54.2 94.1 77.1 41.7



55.1

21.2

49.6

10.8

21.6

23.1

11

8

32

11

7

8

47.9

15.1

50.2

9.2

18.4

18.5 17

20.1

10.9 20

16.6

10.8

USState Rank

39.3

23.1

18.9

$23,187

14.3

26.3

3

31

16

43

5

12

17.6

21.7

16.7

$26,322

9.7

23.8

New Mexico 2.

127





























USState Rank84.4

20.8

56.333.739.3

12.0

6

28

28376

24

78.6

22.7

60.341.231.7

14.2

4.3 19 4.6

USState Rank

5.3

26

NA

6.42.51.7

33

23

NA

301815

6.3

30

0.2

7.42.61.9

2.20.8

32.6

36 2.940 1.8

37 49.5

USState Rank

0.27

0.08

NANA

$8.84

20

16

29

NANA

9

9

0.20

0.10

2614

$7.91

16

$8.59 29 $8.77

New Mexico 2.

128























New Mexico United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

31.2%

ICF/MRFacilities

3.7%

Home and Community

Services65.1%

USState Rank

6,280

2.8

71.2

7.3

21.5

7

40

44

14

47

30

17

1,451,672

4.0

66.3

11.3

22.4

8

11 42 14

14.7 35 18.0

USState Rank

81

33

1,896

84.4

0.5

0.6

42

45

32

28

10

39

16,323

49

2,614

82.6

0.4

2.2 26

0.8

2.2

New Mexico 3.

129








TRENDS








2003



USState Rank$2,008

26.5$283 $88 $11

$185

33412344397

$259,565 32.3$288 $154 $39 $95

$0 46 $10$66 3 $22

$119 11 $64

$19 22 $1565.1 2 33.1

$13.6 17 $1,411.9

USState Rank

$103

$255 $137

$132

$17.00

32

2733

17

34

$118

$265 $158

$124

$18.12


-36.6

17.595.0

79

1912

432

-4.0-3.1-1.1

-47.4

74.041.4

19.4 41 30.620.7 16 14.7

194.7 6 83.097.8 6 62.2

New Mexico 4.

130

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.1 6.5 4.5 1.7 12.8 19,343,533

19.9 9.5 4.6 2.3 16.4 22,208,068

42.1 67.9 16.2 52.0 47.4 14.8



48.3

15.4

49.4

9.7

19.0

20.6

22

25

33

14

18

18

47.9

15.1

50.2

9.2

18.4

14.5 46

20.1

9.7 28

16.6

10.8

USState Rank

22.8

12.2

17.1

$25,797

11.0

24.3

10

41

20

25

14

27

17.6

21.7

16.7

$26,322

9.7

23.8

New York 2.

131





























USState Rank63.1

30.2

60.662.741.7

30.7

50

3

1624

2

78.6

22.7

60.341.231.7

14.2

5.5 11 4.6

USState Rank

6.2

34

0.1

13.04.94.7

28

13

22

5115

6.3

30

0.2

7.42.61.9

3.41.1

24.2

24 2.936 1.8

40 49.5

USState Rank

0.08

0.07

1827

$8.27

44

48

32

314

26

1

0.20

0.10

2614

$7.91

16

$8.89 22 $8.77

New York 2.

132























New York United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

45.5%

ICF/MRFacilities

15.6%

Home and Community

Services38.9%

USState Rank

113,456

4.6

73.7

11.9

14.4

5

1

18

6

19

47

29

1,451,672

4.0

66.3

11.3

22.4

8

15 11 14

24.7 10 18.0

USState Rank

671

49

4,776

92.5

0.4

0.7

7

25

6

4

25

26

16,323

49

2,614

82.6

0.4

2.2 26

0.8

2.2

New York 3.

133








TRENDS








2003



USState Rank$38,480

40.7$815 $371 $127 $317

1151121

$259,565 32.3$288 $154 $39 $95

$59 1 $10$114 1 $22$144 8 $64

$2 47 $1538.9 18 33.1

$42.7 8 $1,411.9

USState Rank

$172

$294 $260

$114

$17.03

1

73

37

33

$118

$265 $158

$124

$18.12

USState Rank1.63.7

-2.1-17.1

9.232.3

96

292

4739

-4.0-3.1-1.1

-47.4

74.041.4

22.9 35 30.619.1 17 14.752.7 43 83.050.5 41 62.2

New York 4.

134

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.8 6.5 4.1 1.4 11.9 8,415,474

17.2 8.5 4.4 1.8 14.7 11,108,116

44.1 72.7 42.7 74.1 62.6 32.0



31.2

24.8

59.6

11.0

20.5

22.4

49

3

5

9

10

10

47.9

15.1

50.2

9.2

18.4

19.2 14

20.1

13.4 9

16.6

10.8

USState Rank

17.9

41.1

14.2

$23,662

12.6

26.2

17

12

33

40

11

15

17.6

21.7

16.7

$26,322

9.7

23.8

North Carolina 2.

135





























USState Rank83.4

22.7

50.737.129.9

13.3

9

20

442927

19

78.6

22.7

60.341.231.7

14.2

3.4 32 4.6

USState Rank

6.8

26

2.7

5.21.51.6

22

23

1

352716

6.3

30

0.2

7.42.61.9

2.11.5

45.8

39 2.927 1.8

29 49.5

USState Rank

0.17

0.11

3914

$8.03

23

31

21

51631

5

0.20

0.10

2614

$7.91

16

$8.12 40 $8.77

North Carolina 2.

136























North Carolina United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

40.8%

ICF/MRFacilities

19.3%

Home and Community

Services40.0%

USState Rank

37,936

3.7

69.8

14.5

15.7

9

12

33

16

4

44

10

1,451,672

4.0

66.3

11.3

22.4

8

15 11 14

22.7 15 18.0

USState Rank

423

42

3,228

88.2

0.4

0.8

14

35

17

21

25

18

16,323

49

2,614

82.6

0.4

2.4 10

0.8

2.2

North Carolina 3.

137








TRENDS








2003



USState Rank$7,216

30.1$258 $105 $50

$103

123430381119

$259,565 32.3$288 $154 $39 $95

$11 10 $10$36 8 $22$56 32 $64

$22 15 $1540.0 16 33.1

$23.4 11 $1,411.9

USState Rank

$126

$240 $144

$133

$17.50

20

3727

15

27

$118

$265 $158

$124

$18.12

USState Rank2.67.7

-4.7-52.7

59.332.3

62

4240

2439

-4.0-3.1-1.1

-47.4

74.041.4

13.7 45 30.610.1 27 14.780.1 28 83.065.5 24 62.2

North Carolina 4.

138

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.2 7.0 5.2 2.4 14.6 646,045

17.8 9.9 4.8 2.7 17.3 736,612

32.9 61.7 4.1 25.7 35.1 14.0



41.8

31.9

65.4

5.8

13.9

15.1

36

2

1

48

50

50

47.9

15.1

50.2

9.2

18.4

17.7 21

20.1

6.3 51

16.6

10.8

USState Rank

2.1

52.9

10.2

$22,096

14.1

26.3

48

3

50

46

7

12

17.6

21.7

16.7

$26,322

9.7

23.8

North Dakota 2.

139





























USState Rank74.1

17.6

45.745.125.7

11.0

46

41

511937

37

78.6

22.7

60.341.231.7

14.2

1.2 50 4.6

USState Rank

5.4

22

NA

5.61.7NA

31

43

NA

3326

NA

6.3

30

0.2

7.42.61.9

3.90.7

12.9

20 2.942 1.8

44 49.5

USState Rank

0.32

0.23

1621

$8.14

15

12

4

347

28

19

0.20

0.10

2614

$7.91

16

$8.18 38 $8.77

North Dakota 2.

140























North Dakota United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

61.3%

ICF/MRFacilities

18.3%

Home and Community

Services20.3%

USState Rank

6,137

6.5

55.0

7.1

37.9

3

41

1

48

48

4

43

1,451,672

4.0

66.3

11.3

22.4

8

9 47 14

12.4 41 18.0

USState Rank

84

70

2,586

93.2

0.4

0.7

41

9

22

2

25

26

16,323

49

2,614

82.6

0.4

2.5 6

0.8

2.2

North Dakota 3.

141








TRENDS








2003



USState Rank$476 59.1$444 $272 $81 $90

501655

28

$259,565 32.3$288 $154 $39 $95

$4 31 $10NA NA $22$87 21 $64

$9 37 $1520.3 45 33.1

NA NA $1,411.9

USState Rank

$127

$202 $165

$109

$17.24

17

5116

43

31

$118

$265 $158

$124

$18.12


-45.0

51.045.4

34391629

3024

-4.0-3.1-1.1

-47.4

74.041.4

54.7 10 30.616.6 19 14.751.7 45 83.033.4 47 62.2

North Dakota 4.

142

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.4 6.8 4.8 1.7 13.3 11,319,992

19.5 9.9 4.6 2.1 16.6 12,818,039

34.8 63.5 8.1 40.4 40.5 13.2



53.2

13.0

49.7

7.9

17.5

19.1

15

36

31

36

27

29

47.9

15.1

50.2

9.2

18.4

15.2 37

20.1

9.6 31

16.6

10.8

USState Rank

10.3

20.4

13.5

$25,860

8.6

23.6

27

34

37

24

32

31

17.6

21.7

16.7

$26,322

9.7

23.8

Ohio 2.

143





























USState Rank80.0

21.1

57.551.821.3

13.3

28

26

261044

19

78.6

22.7

60.341.231.7

14.2

3.2 35 4.6

USState Rank

5.8

26

NA

5.92.6NA

30

23

NA

3117

NA

6.3

30

0.2

7.42.61.9

3.32.8

59.1

27 2.916 1.8

17 49.5

USState Rank

0.23

0.07

259

$8.29

18

19

32

222924

12

0.20

0.10

2614

$7.91

16

$8.85 23 $8.77

Ohio 2.

144























Ohio United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

58.5%

ICF/MRFacilities

21.9%

Home and Community

Services19.5%

USState Rank

79,839

5.3

65.1

11.2

23.7

7

5

11

26

23

21

17

1,451,672

4.0

66.3

11.3

22.4

8

12 37 14

23.9 11 18.0

USState Rank

989

70

1,858

75.0

0.4

0.9

3

9

33

43

25

2

16,323

49

2,614

82.6

0.4

2.3 18

0.8

2.2

Ohio 3.

145








TRENDS








2003



USState Rank$10,253

44.1$395 $231 $87 $77

68

11103

31

$259,565 32.3$288 $154 $39 $95

$10 13 $10NA NA $22$67 27 $64

$31 9 $1519.5 46 33.1

$0.0 42 $1,411.9

USState Rank

$144

$263 $155

$124

$16.49

5

2121

28

39

$118

$265 $158

$124

$18.12

USState Rank-4.11.6

-5.7-42.2

45.260.0

269

4522

3611

-4.0-3.1-1.1

-47.4

74.041.4

34.5 24 30.685.4 1 14.7

173.7 8 83.046.9 44 62.2

Ohio 4.

146

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.8 6.8 4.5 1.6 13.0 3,542,367

16.1 8.3 4.2 1.7 14.1 4,637,195

33.4 57.9 22.1 36.1 42.8 30.9



40.3

20.1

52.2

12.3

21.0

22.6

40

12

26

5

9

9

47.9

15.1

50.2

9.2

18.4

21.6 6

20.1

15.0 5

16.6

10.8

USState Rank

13.3

36.0

14.3

$23,767

11.0

27.9

23

17

31

39

14

8

17.6

21.7

16.7

$26,322

9.7

23.8

Oklahoma 2.

147





























USState Rank83.1

18.0

58.336.726.6

9.8

11

39

243135

45

78.6

22.7

60.341.231.7

14.2

3.7 27 4.6

USState Rank

7.8

50

NA

8.71.12.0

9

2

NA

163211

6.3

30

0.2

7.42.61.9

5.64.6

107.3

7 2.94 1.8

8 49.5

USState Rank

0.41

0.05

2110

$7.20

16

6

41

262542

17

0.20

0.10

2614

$7.91

16

$7.94 45 $8.77

Oklahoma 2.

148























Oklahoma United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

50.1%

ICF/MRFacilities

12.7%

Home and Community

Services37.2%

USState Rank

21,679

4.7

64.4

7.8

27.8

11

25

17

30

44

10

6

1,451,672

4.0

66.3

11.3

22.4

8

16 7 14

21.7 18 18.0

USState Rank

370

71

1,598

66.2

0.2

0.7

17

6

36

51

47

26

16,323

49

2,614

82.6

0.4

1.9 45

0.8

2.2

Oklahoma 3.

149








TRENDS








2003



USState Rank$2,349

37.4$250 $125 $32 $93

311732322425

$259,565 32.3$288 $154 $39 $95

$1 41 $10$11 21 $22$81 22 $64

$20 19 $1537.2 21 33.1

$3.0 32 $1,411.9

USState Rank

$94

$235 $98

$98

$17.41

42

4150

50

28

$118

$265 $158

$124

$18.12


-39.8

2411.250.5

48305018

120

-4.0-3.1-1.1

-47.4

74.041.4

39.1 19 30.64.9 29 14.7

103.0 20 83.094.7 8 62.2

Oklahoma 4.

150

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.8 6.2 4.7 1.7 12.6 3,549,343

16.9 9.5 4.6 2.0 16.1 4,916,478

39.3 111.7 36.1 56.8 76.3 38.5



48.7

12.4

51.9

9.2

17.0

18.5

21

39

27

18

32

34

47.9

15.1

50.2

9.2

18.4

17.6 22

20.1

11.7 18

16.6

10.8

USState Rank

5.7

24.1

20.8

$27,032

8.1

24.4

39

30

9

18

39

26

17.6

21.7

16.7

$26,322

9.7

23.8

Oregon 2.

151





























USState Rank77.2

23.2

64.133.725.5

12.0

37

19

73738

24

78.6

22.7

60.341.231.7

14.2

2.3 43 4.6

USState Rank

4.7

19

0.8

11.80.30.8

40

49

4

74923

6.3

30

0.2

7.42.61.9

10.89.3

540.7

1 2.91 1.8

1 49.5

USState Rank

0.13

0.05

4613

$9.23

15

42

41

1177

19

0.20

0.10

2614

$7.91

16

$8.96 19 $8.77

Oregon 2.

152























Oregon United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

30.8%

ICF/MRFacilities

0.9%

Home and Community

Services68.3%

USState Rank

8,640

1.9

61.5

10.9

27.6

9

35

48

39

25

11

10

1,451,672

4.0

66.3

11.3

22.4

8

12 37 14

17.8 26 18.0

USState Rank

141

28

7,025

67.6

0.4

0.5

33

46

3

50

25

45

16,323

49

2,614

82.6

0.4

2.2 26

0.8

2.2

Oregon 3.

153








TRENDS








2003



USState Rank$2,690

32.6$247 $76 $2

$168

28253448469

$259,565 32.3$288 $154 $39 $95

$0 46 $10$10 22 $22

$158 6 $64

$74 1 $1568.3 1 33.1

$5.1 26 $1,411.9

USState Rank

$111

$301 $137

$167

$17.98

28

433

3

25

$118

$265 $158

$124

$18.12


-14.5-47.2

48.857.0

51425137

3315

-4.0-3.1-1.1

-47.4

74.041.4

47.1 14 30.6-89.3 48 14.7100.4 22 83.054.9 37 62.2

Oregon 4.

154

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.6 7.5 5.8 2.1 15.4 12,409,238

19.6 10.0 4.9 2.3 17.2 14,432,989

38.1 54.2 -1.7 31.5 30.2 16.3



46.5

13.0

56.2

8.1

17.9

19.2

27

36

12

31

26

28

47.9

15.1

50.2

9.2

18.4

15.3 36

20.1

9.1 36

16.6

10.8

USState Rank

8.9

20.6

13.1

$24,042

8.2

25.9

31

33

41

37

36

16

17.6

21.7

16.7

$26,322

9.7

23.8

Pennsylvania 2.

155





























USState Rank78.6

24.2

59.162.438.0

17.5

32

11

223

10

6

78.6

22.7

60.341.231.7

14.2

3.4 32 4.6

USState Rank

6.9

25

0.0

2.60.7NA

18

31

30

4841

NA

6.3

30

0.2

7.42.61.9

1.90.5

12.0

41 2.943 1.8

45 49.5

USState Rank

0.15

0.11

1611

$8.25

13

37

21

342027

25

0.20

0.10

2614

$7.91

16

$9.15 15 $8.77

Pennsylvania 2.

156























Pennsylvania United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

70.5%

ICF/MRFacilities

8.9%

Home and Community

Services20.7%

USState Rank

81,474

4.3

63.4

10.9

25.6

5

4

25

33

25

15

29

1,451,672

4.0

66.3

11.3

22.4

8

15 11 14

14.6 36 18.0

USState Rank

740

48

3,388

89.7

0.6

0.8

5

26

16

14

3

18

16,323

49

2,614

82.6

0.4

2.2 26

0.8

2.2

Pennsylvania 3.

157








TRENDS








2003



USState Rank$13,101

43.7$463 $326 $41 $96

4953

1523

$259,565 32.3$288 $154 $39 $95

$5 26 $10NA NA $22$91 16 $64

$14 30 $1520.7 43 33.1

$218.8 3 $1,411.9

USState Rank

$138

$260 $173

$130

$18.29

8

2313

21

20

$118

$265 $158

$124

$18.12


-35.9

753.341.5

31362110

228

-4.0-3.1-1.1

-47.4

74.041.4

38.7 21 30.6-8.2 39 14.7

102.8 21 83.064.8 26 62.2

Pennsylvania 4.

158

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

13.9 6.4 4.7 1.5 12.6 1,077,834

18.3 9.3 4.6 2.2 16.1 1,368,236

66.7 85.3 23.4 87.5 62.4 26.9



55.1

14.4

41.0

7.2

17.3

19.1

11

28

49

39

30

29

47.9

15.1

50.2

9.2

18.4

14.7 43

20.1

8.6 40

16.6

10.8

USState Rank

7.3

7.0

13.5

$24,643

10.4

24.0

35

49

37

32

18

29

17.6

21.7

16.7

$26,322

9.7

23.8

Rhode Island 2.

159





























USState Rank71.2

31.1

61.556.038.3

17.2

47

2

1159

8

78.6

22.7

60.341.231.7

14.2

3.9 24 4.6

USState Rank

6.9

25

0.0

7.92.7NA

18

31

30

1915

NA

6.3

30

0.2

7.42.61.9

5.22.3

37.0

9 2.919 1.8

34 49.5

USState Rank

0.14

0.12

2111

$11.27

23

40

20

26201

5

0.20

0.10

2614

$7.91

16

$10.69 3 $8.77

Rhode Island 2.

160























Rhode Island United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

55.6%

ICF/MRFacilities

1.5%

Home and Community

Services42.9%

USState Rank

8,528

5.7

71.0

8.3

20.7

4

36

8

15

41

31

38

1,451,672

4.0

66.3

11.3

22.4

8

17 6 14

3.6 49 18.0

USState Rank

94

62

1,199

91.0

0.6

0.3

39

15

44

11

3

51

16,323

49

2,614

82.6

0.4

2.0 40

0.8

2.2

Rhode Island 3.

161








TRENDS








2003



USState Rank$1,464

32.6$444 $247

$6 $191

372566

436

$259,565 32.3$288 $154 $39 $95

$3 34 $10NA NA $22

$188 2 $64

$24 12 $1542.9 13 33.1

$3.5 29 $1,411.9

USState Rank

$134

$274 $190

$128

$19.47

9

1711

25

12

$118

$265 $158

$124

$18.12


-56.1

12.227.3

39441442

4545

-4.0-3.1-1.1

-47.4

74.041.4

20.8 38 30.618.4 18 14.737.0 48 83.065.1 25 62.2

Rhode Island 4.

162

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.3 6.7 4.2 1.3 12.2 4,130,933

17.5 9.1 4.8 2.0 15.8 5,052,030

31.0 65.5 39.8 81.0 58.4 22.3



29.7

20.9

44.4

10.0

19.9

22.2

50

10

41

12

13

11

47.9

15.1

50.2

9.2

18.4

16.0 31

20.1

12.2 12

16.6

10.8

USState Rank

21.5

37.7

18.3

$24,185

12.7

24.8

12

14

18

35

9

22

17.6

21.7

16.7

$26,322

9.7

23.8

South Carolina 2.

163





























USState Rank84.9

24.1

47.832.823.5

14.2

4

15

464339

13

78.6

22.7

60.341.231.7

14.2

4.1 23 4.6

USState Rank

6.6

24

NA

7.32.2NA

24

36

NA

2522

NA

6.3

30

0.2

7.42.61.9

5.13.7

123.5

10 2.97 1.8

6 49.5

USState Rank

0.14

0.16

359

$8.06

15

40

8

112930

19

0.20

0.10

2614

$7.91

16

$8.19 37 $8.77

South Carolina 2.

164























South Carolina United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

47.4%

ICF/MRFacilities

19.0%

Home and Community

Services33.7%

USState Rank

16,220

3.2

71.5

13.3

15.1

9

30

40

12

10

45

10

1,451,672

4.0

66.3

11.3

22.4

8

14 19 14

25.2 9 18.0

USState Rank

178

36

2,023

88.6

0.4

0.9

32

42

28

18

25

2

16,323

49

2,614

82.6

0.4

2.4 10

0.8

2.2

South Carolina 3.

165








TRENDS








2003



USState Rank$3,536

25.0$213 $101 $40 $72

254539401732

$259,565 32.3$288 $154 $39 $95

$3 34 $10$0 31 $22

$69 26 $64

$21 16 $1533.7 25 33.1

$0.8 39 $1,411.9

USState Rank

$103

$243 $125

$148

$15.24

32

3541

6

47

$118

$265 $158

$124

$18.12


-59.3

88.241.4

37

1246

1929

-4.0-3.1-1.1

-47.4

74.041.4

36.2 22 30.6-2.8 35 14.7

104.6 19 83.056.6 32 62.2

South Carolina 4.

166

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

14.9 6.8 5.2 2.2 14.2 765,602

17.8 9.3 4.7 2.5 16.5 901,104

40.5 60.1 6.6 35.2 36.8 17.7



55.2

18.8

54.0

5.5

14.2

15.2

10

15

19

50

48

49

47.9

15.1

50.2

9.2

18.4

15.2 37

20.1

6.8 50

16.6

10.8

USState Rank

2.7

51.6

11.3

$24,504

10.4

25.5

47

4

48

34

18

19

17.6

21.7

16.7

$26,322

9.7

23.8

South Dakota 2.

167





























USState Rank75.8

18.3

52.744.621.9

8.9

41

38

382142

48

78.6

22.7

60.341.231.7

14.2

0.9 51 4.6

USState Rank

4.3

19

0.6

11.66.31.3

44

49

7

96

18

6.3

30

0.2

7.42.61.9

4.01.5

27.4

18 2.927 1.8

38 49.5

USState Rank

0.43

0.06

2811

$8.03

6

4

37

172031

48

0.20

0.10

2614

$7.91

16

$8.58 30 $8.77

South Dakota 2.

168























South Dakota United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

58.3%

ICF/MRFacilities

8.3%

Home and Community

Services33.4%

USState Rank

6,803

6.2

59.1

6.9

34.0

5

39

3

44

49

5

29

1,451,672

4.0

66.3

11.3

22.4

8

13 28 14

17.8 26 18.0

USState Rank

113

68

4,080

92.4

0.5

0.4

37

11

12

5

10

50

16,323

49

2,614

82.6

0.4

2.0 40

0.8

2.2

South Dakota 3.

169








TRENDS








2003



USState Rank$547 40.9$293 $171 $24 $98

491420183021

$259,565 32.3$288 $154 $39 $95

$6 23 $10$2 28 $22

$90 17 $64

$7 40 $1533.4 26 33.1

$2.8 34 $1,411.9

USState Rank

$87

$219 $124

$129

$16.20

47

4843

23

42

$118

$265 $158

$124

$18.12


-36.7

207.931.4

39412414

1141

-4.0-3.1-1.1

-47.4

74.041.4

27.4 27 30.6-9.6 40 14.757.8 40 83.070.0 20 62.2

South Dakota 4.

170

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.6 6.7 4.2 1.5 12.4 5,821,021

18.3 9.0 4.6 1.8 15.5 7,290,583

38.0 69.0 36.1 56.2 56.3 25.2



43.2

17.6

56.3

11.9

23.2

25.1

33

17

11

6

4

6

47.9

15.1

50.2

9.2

18.4

19.1 15

20.1

14.6 7

16.6

10.8

USState Rank

12.0

36.4

12.4

$23,003

12.7

27.9

25

16

43

44

9

8

17.6

21.7

16.7

$26,322

9.7

23.8

Tennessee 2.

171





























USState Rank83.3

22.5

54.536.118.8

11.7

10

21

363345

29

78.6

22.7

60.341.231.7

14.2

4.5 18 4.6

USState Rank

7.9

39

NA

1.00.1NA

8

6

NA

5151

NA

6.3

30

0.2

7.42.61.9

0.90.1

2.1

48 2.949 1.8

49 49.5

USState Rank

0.19

0.04

1910

$7.95

11

27

44

282535

31

0.20

0.10

2614

$7.91

16

$8.32 34 $8.77

Tennessee 2.

172























Tennessee United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

66.6%

ICF/MRFacilities

19.0%

Home and Community

Services14.4%

USState Rank

33,503

4.6

71.3

12.6

16.1

11

17

18

13

14

41

6

1,451,672

4.0

66.3

11.3

22.4

8

14 19 14

21.0 19 18.0

USState Rank

337

52

3,495

88.3

0.3

0.9

20

20

15

20

40

2

16,323

49

2,614

82.6

0.4

2.0 40

0.8

2.2

Tennessee 3.

173








TRENDS








2003



USState Rank$6,468

20.9$231 $154 $44 $33

134737241448

$259,565 32.3$288 $154 $39 $95

$0 46 $10NA NA $22$33 45 $64

$1 50 $1514.4 49 33.1

$0.0 42 $1,411.9

USState Rank

$92

$236 $143

$121

$18.05

44

3929

31

23

$118

$265 $158

$124

$18.12


-63.6

36.130.0

29282849

3843

-4.0-3.1-1.1

-47.4

74.041.4

27.2 28 30.64.9 29 14.7

123.0 14 83.088.2 13 62.2

Tennessee 4.

174

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

14.0 5.4 3.3 1.2 9.8 21,781,779

16.3 7.7 3.6 1.6 12.9 28,929,578

55.0 91.5 45.0 82.0 74.6 32.8



45.8

17.2

43.3

9.7

18.8

20.6

30

18

45

14

20

18

47.9

15.1

50.2

9.2

18.4

17.4 23

20.1

11.9 17

16.6

10.8

USState Rank

29.3

22.6

17.2

$26,027

12.2

25.6

5

32

19

21

12

18

17.6

21.7

16.7

$26,322

9.7

23.8

Texas 2.

175





























USState Rank81.8

19.1

60.233.137.8

10.3

18

36

174111

40

78.6

22.7

60.341.231.7

14.2

6.0 7 4.6

USState Rank

7.6

41

0.1

9.45.52.0

11

4

22

139

11

6.3

30

0.2

7.42.61.9

1.91.5

49.6

41 2.927 1.8

27 49.5

USState Rank

0.49

0.14

1945

$6.35

23

2

14

281

51

5

0.20

0.10

2614

$7.91

16

$6.96 50 $8.77

Texas 2.

176























Texas United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

47.0%

ICF/MRFacilities

20.9%

Home and Community

Services32.1%

USState Rank

87,470

4.0

69.5

10.8

19.8

9

3

29

17

27

34

10

1,451,672

4.0

66.3

11.3

22.4

8

13 28 14

19.5 22 18.0

USState Rank

1,143

56

2,562

72.0

0.2

0.9

2

19

23

47

47

2

16,323

49

2,614

82.6

0.4

1.9 45

0.8

2.2

Texas 3.

177








TRENDS








2003



USState Rank$15,161

25.8$177 $83 $37 $57

34344462138

$259,565 32.3$288 $154 $39 $95

$0 46 $10$17 18 $22$40 41 $64

$23 14 $1532.1 29 33.1

$5.3 25 $1,411.9

USState Rank

$96

$244 $103

$115

$19.92

39

3249

35

11

$118

$265 $158

$124

$18.12

USState Rank0.4

-4.55.2

-44.6

352.245.2

12313

27

725

-4.0-3.1-1.1

-47.4

74.041.4

31.7 25 30.626.5 10 14.792.7 23 83.059.4 30 62.2

Texas 4.

178

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

11.7 4.4 3.0 1.0 8.4 2,352,829

13.4 6.5 3.1 1.3 10.9 3,360,260

64.0 107.4 50.2 84.9 84.6 42.8



52.4

10.9

48.4

10.9

19.6

20.8

17

46

38

10

15

17

47.9

15.1

50.2

9.2

18.4

19.8 11

20.1

12.0 15

16.6

10.8

USState Rank

6.5

13.7

23.6

$33,117

5.1

18.7

36

40

3

3

50

45

17.6

21.7

16.7

$26,322

9.7

23.8

Utah 2.

179





























USState Rank88.3

16.8

54.633.123.2

8.7

1

44

344140

50

78.6

22.7

60.341.231.7

14.2

5.0 13 4.6

USState Rank

7.3

46

0.1

2.80.70.1

15

3

22

474126

6.3

30

0.2

7.42.61.9

2.00.4

27.1

40 2.944 1.8

39 49.5

USState Rank

0.23

0.04

228

$8.01

10

19

44

253533

36

0.20

0.10

2614

$7.91

16

$9.08 17 $8.77

Utah 2.

180























Utah United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

37.4%

ICF/MRFacilities

19.5%

Home and Community

Services43.0%

USState Rank

5,306

2.6

60.3

16.3

23.4

12

43

45

41

3

24

4

1,451,672

4.0

66.3

11.3

22.4

8

13 28 14

23.6 12 18.0

USState Rank

90

37

1,342

71.3

0.5

0.6

40

41

40

48

10

39

16,323

49

2,614

82.6

0.4

2.3 18

0.8

2.2

Utah 3.

181








TRENDS








2003



USState Rank$1,111

25.2$119 $45 $23 $51

394449503242

$259,565 32.3$288 $154 $39 $95

$3 34 $10$0 31 $22

$48 34 $64

$2 47 $1543.0 12 33.1

$3.6 28 $1,411.9

USState Rank

$103

$277 $118

$106

$18.86

32

1344

45

18

$118

$265 $158

$124

$18.12


-47.1

128.842.5

42224936

1627

-4.0-3.1-1.1

-47.4

74.041.4

20.7 40 30.624.4 11 14.783.3 24 83.069.2 21 62.2

Utah 4.

182

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

17.6 6.6 4.4 1.7 12.7 626,367

18.3 10.2 4.9 2.1 17.2 812,178

34.9 101.6 42.3 61.7 75.5 29.7



67.1

10.9

53.4

8.1

16.0

17.5

5

46

21

31

40

39

47.9

15.1

50.2

9.2

18.4

18.8 16

20.1

11.5 19

16.6

10.8

USState Rank

1.9

58.7

22.0

$24,839

7.5

24.2

49

1

5

31

44

28

17.6

21.7

16.7

$26,322

9.7

23.8

Vermont 2.

183





























USState Rank76.9

27.5

65.148.50.6

11.9

38

6

61551

26

78.6

22.7

60.341.231.7

14.2

2.7 39 4.6

USState Rank

10.8

39

0.1

11.85.5NA

1

6

22

79

NA

6.3

30

0.2

7.42.61.9

6.32.2

59.0

4 2.922 1.8

18 49.5

USState Rank

0.15

0.25

2815

$8.31

18

37

3

171422

12

0.20

0.10

2614

$7.91

16

$9.13 16 $8.77

Vermont 2.

184























Vermont United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community


Facilities43.1%

ICF/MRFacilities

0.7%

Home and Community

Services56.2%

USState Rank

3,319

4.1

65.8

12.6

21.6

4

48

27

24

14

28

38

1,451,672

4.0

66.3

11.3

22.4

8

15 11 14

16.2 29 18.0

USState Rank

43

45

988

92.7

0.4

0.7

47

31

47

3

25

26

16,323

49

2,614

82.6

0.4

2.3 18

0.8

2.2

Vermont 3.

185








TRENDS








2003



USState Rank$635 35.2$361 $156

$2 $203

47191423464

$259,565 32.3$288 $154 $39 $95

$8 19 $10$15 19 $22

$180 3 $64

$42 4 $1556.2 4 33.1

$5.4 24 $1,411.9

USState Rank

$128

$244 $193

$101

$19.10

16

328

49

15

$118

$265 $158

$124

$18.12


-27.8

111.350.7

213577

1719

-4.0-3.1-1.1

-47.4

74.041.4

27.8 26 30.6-2.4 33 14.776.2 29 83.062.5 27 62.2

Vermont 4.

186

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

16.2 6.0 3.8 1.3 11.1 7,360,955

18.8 9.3 4.6 1.8 15.7 9,265,053

45.6 94.4 49.3 81.5 77.4 25.9



38.6

17.8

55.1

8.8

18.1

20.1

42

16

15

23

22

21

47.9

15.1

50.2

9.2

18.4

16.7 27

20.1

12.0 15

16.6

10.8

USState Rank

19.5

32.5

19.4

$28,871

10.4

20.3

14

23

12

13

18

42

17.6

21.7

16.7

$26,322

9.7

23.8

Virginia 2.

187





























USState Rank81.6

20.9

58.936.135.4

12.6

21

27

233315

21

78.6

22.7

60.341.231.7

14.2

4.9 14 4.6

USState Rank

6.9

27

NA

2.90.7NA

18

21

NA

4541

NA

6.3

30

0.2

7.42.61.9

2.21.4

56.1

36 2.931 1.8

21 49.5

USState Rank

0.19

0.06

428

$7.07

12

27

37

33544

29

0.20

0.10

2614

$7.91

16

$8.46 33 $8.77

Virginia 2.

188























Virginia United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

52.1%

ICF/MRFacilities

18.1%

Home and Community

Services29.8%

USState Rank

27,614

3.3

64.0

14.4

21.6

5

21

39

32

5

28

29

1,451,672

4.0

66.3

11.3

22.4

8

18 4 14

13.0 39 18.0

USState Rank

278

38

2,992

87.7

0.3

0.9

23

40

19

23

40

2

16,323

49

2,614

82.6

0.4

2.2 26

0.8

2.2

Virginia 3.

189








TRENDS








2003



USState Rank$3,606

32.9$161 $84 $29 $48

242446452645

$259,565 32.3$288 $154 $39 $95

$1 41 $10NA NA $22$47 36 $64

$10 36 $1529.8 32 33.1

$10.6 18 $1,411.9

USState Rank

$113

$258 $163

$130

$16.70

27

2618

21

37

$118

$265 $158

$124

$18.12

USState Rank-0.42.3

-2.7-37.2

-2.852.2

158

3415

4918

-4.0-3.1-1.1

-47.4

74.041.4

49.0 12 30.634.4 8 14.772.5 33 83.056.6 32 62.2

Virginia 4.

190

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.9 5.6 4.0 1.5 11.0 6,214,855

17.2 8.7 4.0 1.7 14.3 9,129,698

58.8 129.6 47.8 66.5 91.7 46.9



54.5

13.3

60.4

8.9

16.8

18.7

13

35

4

22

33

33

47.9

15.1

50.2

9.2

18.4

19.5 12

20.1

9.7 28

16.6

10.8

USState Rank

9.3

18.9

22.0

$30,645

7.3

17.3

30

36

5

8

47

48

17.6

21.7

16.7

$26,322

9.7

23.8

Washington 2.

191





























USState Rank77.3

23.7

59.633.330.4

13.4

36

17

194023

17

78.6

22.7

60.341.231.7

14.2

3.5 29 4.6

USState Rank

4.7

18

0.5

8.91.11.2

40

51

10

153219

6.3

30

0.2

7.42.61.9

6.65.2

229.6

3 2.92 1.8

3 49.5

USState Rank

0.09

0.07

3510

$8.53

19

46

32

112512

10

0.20

0.10

2614

$7.91

16

$8.71 26 $8.77

Washington 2.

192























Washington United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

42.3%

ICF/MRFacilities

7.2%

Home and Community

Services50.5%

USState Rank

19,968

2.9

63.4

12.8

23.8

4

27

42

33

13

20

38

1,451,672

4.0

66.3

11.3

22.4

8

13 28 14

40.0 2 18.0

USState Rank

260

34

2,725

84.2

0.5

0.7

24

43

21

30

10

26

16,323

49

2,614

82.6

0.4

2.5 6

0.8

2.2

Washington 3.

193








TRENDS








2003



USState Rank$5,053

30.7$253 $107 $18

$128

153031373415

$259,565 32.3$288 $154 $39 $95

$2 39 $10$37 6 $22$89 18 $64

$48 3 $1550.5 7 33.1

$3.3 31 $1,411.9

USState Rank

$129

$296 $165

$166

$18.28

15

616

4

21

$118

$265 $158

$124

$18.12


2.5-50.0

188.540.8

44509

38

1330

-4.0-3.1-1.1

-47.4

74.041.4

20.8 38 30.6-11.5 41 14.781.3 26 83.056.2 35 62.2

Washington 4.

194

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

18.5 8.1 5.5 1.8 15.4 1,781,804

19.9 10.8 5.1 2.3 18.2 1,921,446

16.1 43.6 1.1 32.2 27.1 7.8



60.8

14.8

56.4

12.5

22.9

26.0

7

27

10

4

5

3

47.9

15.1

50.2

9.2

18.4

20.9 8

20.1

15.6 2

16.6

10.8

USState Rank

4.1

47.6

9.6

$20,238

10.8

34.5

43

7

51

51

16

1

17.6

21.7

16.7

$26,322

9.7

23.8

West Virginia 2.

195





























USState Rank84.5

14.3

47.652.215.3

18.6

5

51

478

49

3

78.6

22.7

60.341.231.7

14.2

2.2 44 4.6

USState Rank

5.3

25

NA

7.71.03.0

33

31

NA

22357

6.3

30

0.2

7.42.61.9

3.73.8

90.5

21 2.96 1.8

10 49.5

USState Rank

0.24

0.02

016

$6.73

18

17

49

471047

12

0.20

0.10

2614

$7.91

16

$6.97 49 $8.77

West Virginia 2.

196























West Virginia United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

52.2%

ICF/MRFacilities

8.4%

Home and Community

Services39.4%

USState Rank

9,963

3.6

71.9

13.0

15.1

5

34

37

11

12

45

29

1,451,672

4.0

66.3

11.3

22.4

8

16 7 14

15.5 31 18.0

USState Rank

136

40

1,278

89.3

0.4

0.9

34

36

41

16

25

2

16,323

49

2,614

82.6

0.4

2.3 18

0.8

2.2

West Virginia 3.

197








TRENDS








2003



USState Rank$1,881

33.7$350 $183 $29

$138

342215152612

$259,565 32.3$288 $154 $39 $95

$12 9 $10$12 20 $22

$114 13 $64

$34 8 $1539.4 17 33.1

$0.7 40 $1,411.9

USState Rank

$130

$234 $151

$141

$13.82

13

4222

10

48

$118

$265 $158

$124

$18.12


-43.2

31.137.3

23202924

3935

-4.0-3.1-1.1

-47.4

74.041.4

26.2 31 30.69.0 28 14.7

65.7 35 83.052.7 38 62.2

West Virginia 4.

198

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

15.7 6.5 4.6 1.9 13.0 5,461,183

19.2 9.5 4.5 2.0 16.1 6,675,272

49.2 79.2 18.7 34.3 51.2 22.2



49.0

14.2

58.5

7.6

16.4

18.2

20

29

8

38

36

35

47.9

15.1

50.2

9.2

18.4

15.9 32

20.1

7.3 47

16.6

10.8

USState Rank

5.2

32.3

13.3

$25,659

7.5

24.7

40

25

39

26

44

23

17.6

21.7

16.7

$26,322

9.7

23.8

Wisconsin 2.

199





























USState Rank76.6

22.1

59.945.134.2

11.7

39

23

181918

29

78.6

22.7

60.341.231.7

14.2

2.2 44 4.6

USState Rank

4.3

25

0.4

7.31.32.0

44

31

14

253011

6.3

30

0.2

7.42.61.9

4.12.4

49.6

17 2.918 1.8

27 49.5

USState Rank

0.17

0.16

3621

$9.09

16

31

8

978

17

0.20

0.10

2614

$7.91

16

$9.49 12 $8.77

Wisconsin 2.

200























Wisconsin United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

58.2%

ICF/MRFacilities

10.0%

Home and Community

Services31.8%

USState Rank

36,497

5.1

64.9

9.8

25.2

3

14

14

29

35

17

43

1,451,672

4.0

66.3

11.3

22.4

8

12 37 14

11.7 42 18.0

USState Rank

408

60

3,604

85.6

0.5

0.5

15

17

14

26

10

45

16,323

49

2,614

82.6

0.4

2.3 18

0.8

2.2

Wisconsin 3.

201








TRENDS








2003



USState Rank$4,675

47.7$408 $237 $41

$130

174

108

1514

$259,565 32.3$288 $154 $39 $95

$10 13 $10$22 14 $22$98 14 $64

$26 10 $1531.8 30 33.1

NA NA $1,411.9

USState Rank

$110

$259 $168

$114

$20.23

29

2515

37

9

$118

$265 $158

$124

$18.12


-16.7

17.254.3

4747291

4417

-4.0-3.1-1.1

-47.4

74.041.4

60.3 5 30.610.7 25 14.763.4 38 83.092.0 10 62.2

Wisconsin 4.

202

DEMOGRAPHICS





StateUS

StateUS

StateUS

2002 (%)

2020 (%)


50-64 65-74 75-84 85+Total65+

TotalPopulation

USState Rank







101-200% of Poverty (%)










15.6 6.4 4.4 1.6 12.3 289,642,688

18.0 9.0 4.5 2.0 15.5 365,963,239

45.8 78.5 28.8 60.0 58.4 26.3

17.1 6.4 4.1 1.5 11.9 497,470

17.2 10.3 4.6 2.1 17.0 586,567

18.9 91.3 33.1 65.2 68.2 17.9



75.4

14.9

61.5

5.1

13.6

14.4

2

26

2

51

51

51

47.9

15.1

50.2

9.2

18.4

20.1 9

20.1

7.3 47

16.6

10.8

USState Rank

6.3

33.4

15.2

$24,057

8.2

27.3

37

21

27

36

36

11

17.6

21.7

16.7

$26,322

9.7

23.8

Wyoming 2.

203





























USState Rank82.7

19.0

46.739.317.3

10.0

13

37

502647

43

78.6

22.7

60.341.231.7

14.2

2.8 38 4.6

USState Rank

4.5

26

0.1

5.91.0NA

42

23

22

3135

NA

6.3

30

0.2

7.42.61.9

5.02.3

70.5

11 2.919 1.8

13 49.5

USState Rank

0.53

0.20

179

$8.08

10

1

7

322929

36

0.20

0.10

2614

$7.91

16

$8.00 44 $8.77

Wyoming 2.

204























Wyoming United States


Nursing Facilities

53.4%

ICF/MRFacilities

13.5%

Home and Community

Services33.1%

Nursing Facilities

36.3%

ICF/MRFacilities

10.1%

Home and Community

Services53.6%

USState Rank

2,475

4.1

61.9

11.8

26.3

6

50

27

37

21

14

23

1,451,672

4.0

66.3

11.3

22.4

8

10 43 14

25.7 8 18.0

USState Rank

39

51

887

80.9

0.5

0.7

49

22

50

35

10

26

16,323

49

2,614

82.6

0.4

2.4 10

0.8

2.2

Wyoming 3.

205








TRENDS








2003



USState Rank$335 46.7$313 $113 $32

$168

515

1836249

$259,565 32.3$288 $154 $39 $95

$11 10 $10NA NA $22

$156 7 $64

$15 27 $1553.6 5 33.1

$1.9 36 $1,411.9

USState Rank

$117

$227 $128

$124

$17.25

24

4540

28

30

$118

$265 $158

$124

$18.12


-53.6

50.440.2

32263841

3132

-4.0-3.1-1.1

-47.4

74.041.4

20.9 37 30.6-4.9 37 14.774.8 32 83.099.1 5 62.2

Wyoming 4.

207

Long-Term Care Maps

208

Long Term Care

ME

NH

NJ

MA

CTRIPA

VA MDWV

OHIN

MI

IL

IA

MN

WI

NDMT

IDOR

WA

CA

NV UT

AZ

AK

HI

NM

CO

WY

TX

OK

KS MO

AR

LA

FL

MS AL GASC

TN NC

KY

NE

SD

DC

DE

NYVT

0-29% 29-39% 39+%

FL

ME

NH

NJ

MA

CTRIPA

VA MDWV

OHIN

MI

IL

IA

MN

WI

NDMT

IDOR

WA

CA

NV UT

AZ

AK

HI

NM

CO

WY

TX

OK

KS MO

AR

LA

FL

MS AL GASC

TN NC

KY

NE

SD

DC

DE

NYVT

0-30% 30-45% 45+%

Medicaid Long-Term Care Spending (% of Total Medicaid), 2003

Medicaid HCBS Spending (% of Medicaid LTC Spending), 2003

209

Long Term Care

ME

NH

NJ

MA

CTRIPA

VA MDWV

OHIN

MI

IL

IA

MN

WI

NDMT

IDOR

WA

CA

NV UT

AZ

AK

HI

NM

CO

WY

TX

OK

KS MO

AR

LA

FL

MS AL GASC

TN NC

KY

NE

SD

DC

DE

NYVT

0-18% 18-22% 22+%

ME

NH

NJ

MA

CTRIPA

VA MDWV

OHIN

MI

IL

IA

MN

WI

NDMT

IDOR

WA

CA

NV UT

AZ

AK

HI

NM

CO

WY

TX

OK

KS MO

AR

LA

MS AL GASC

TN NC

KY

NE

SD

DC

DE

NYVT

0-1.45% 1.45-1.75% 1.75+%

FL

Percent of Population Age 85+, 2002

Persons Age 65+ with Self-Care or Mobility Limitations, 2002

210

Long Term Care

ME

NH

NJ

MA

CTRIPA

VA MDWV

OHIN

MI

IL

IA

MN

WI

NDMT

IDOR

WA

CA

NV UT

AZ

AK

HI

NM

CO

WY

TX

OK

KS MO

AR

LA

FL

MS AL GASC

TN NC

KY

NE

SD

DC

DE

NYVT

0-60% 60-75% 75+%

ME

NH

NJ

MA

CTRIPA

VA MDWV

OHIN

MI

IL

IA

MN

WI

NDMT

IDOR

WA

CA

NV UT

AZ

AK

HI

NM

CO

WY

TX

OK

KS MO

AR

LA

FL

MS AL GASC

TN NC

KY

NE

SD

DC

DE

NYVT

<80% 80-90% 90+%

Percent of For-Profit Nursing Facilities, 2003

Nursing Facility Occupancy Rate, 2003

211

Long Term Care

ME

NH

NJ

MA

CTRIPA

VA MDWV

OHIN

MI

IL

IA

MN

WI

NDMT

IDOR

WA

CA

NV UT

AZ

AK

HI

NM

CO

WY

TX

OK

KS MO

AR

LA

FL

MS AL GASC

TN NC

KY

NE

SD

DC

DE

NYVT

0-20% 20-30% 30+%

Proportion of Deaths Occurring at Home, 2001

ME

NH

NJ

MA

CTRIPA

VA MDWV

OHIN

MI

IL

IA

MN

WI

NDMT

IDOR

WA

CA

NV UT

AZ

AK

HI

NM

CO

WY

TX

OK

KS MO

AR

LA

FL

MS AL GASC

TN NC

KY

NE

SD

DC

DE

NYVT

No Yes

States Adopting NAIC Model Long-Term Care Insurance Regulations, 2003

Long Term Care

ME

NH

NJ

MA

CTRIPA

VA MDWV

OHIN

MI

IL

IA

MN

WI

NDMT

IDOR

WA

CA

NV UT

AZ

AK

HI

NM

CO

WY

TX

OK

KS MO

AR

LA

FL

MS AL GASC

TN NC

KY

NE

SD

DC

DE

NYVT

No Yes

ME

NH

NJ

MA

CTRIPA

VA MDWV

OHIN

MI

IL

IA

MN

WI

NDMT

IDOR

WA

CA

NV UT

AZ

AK

HI

NM

CO

WY

TX

OK

KS MO

AR

LA

FL

MS AL GASC

TN NC

KY

NE

SD

DC

DE

NYVT

No Yes

States with Regulations that Include Assisted Living Philosophy, 2002

States Requiring Private Rooms in Assisted Living, 2002

212

213

State Data and Rankings

Rankings 2.

214

2651201144478

22321

499

4329264

1529397

399

2229361511114632153922365

1122152

15325

3247502644393

2036

4.41.84.64.83.83.35.04.54.26.53.24.93.94.34.45.44.74.34.05.14.04.94.54.34.14.74.84.83.54.24.74.04.54.15.24.84.54.75.84.74.25.24.23.33.04.43.84.05.54.64.14.4

651125

4649206

411

48164439286

3516373

4128284123119

202835232823239

1212373

2816121647502040452

2328

7.13.76.87.35.55.16.67.15.98.75.26.75.76.16.47.16.36.76.27.55.96.46.45.96.56.97.06.66.46.36.56.46.56.57.06.86.86.27.56.46.76.86.75.44.46.66.05.68.16.56.46.4

1439471448398

2434214617443724244311352

1124173539234

37246

1733213039113069

5014449

49513

17241

325

16.315.214.516.314.415.216.715.915.516.114.816.214.915.315.915.915.116.415.417.716.415.916.215.415.216.017.415.315.916.816.215.616.115.815.216.415.816.816.613.916.314.916.614.011.717.616.215.918.515.717.115.6

% of Population75-84, 2002

Data Rank


Data Rank


Data Rank


DEMOGRAPHICS

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDist. of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingTotal US

Rankings 2.

234718321

222945504

1042395

15303326244019138

213117443835419

363

11487

28276

432546162

34491214372051

4,510,464651,811

5,563,6312,742,542

35,141,1684,570,4883,466,907

813,331588,279

16,802,9618,624,2641,259,6251,370,918

12,588,3016,136,8352,952,6002,733,9684,111,1154,484,5841,291,7345,471,0276,516,9569,897,5105,013,5442,866,6705,653,118

909,7241,728,8932,242,1491,277,4288,661,3411,900,199

19,343,5338,415,474

646,04511,319,9923,542,3673,549,343

12,409,2381,077,8344,130,933

765,6025,821,021

21,781,7792,352,829

626,3677,360,9556,214,8551,781,8045,461,183

497,470289,642,688

1651228

46489

17381

48144334304

1727406

4114273232119

114534213922365

1317252

25317

2747502442432

1736

13.15.9

12.813.810.69.5

13.613.011.817.39.5

13.211.012.012.314.813.012.411.614.411.213.212.412.112.113.513.613.510.812.012.911.712.811.914.613.313.012.615.412.612.214.212.49.88.4

12.711.111.015.413.011.912.3

2251361641476

36224

472236222228

29368

418

2213291386

5029164116361

1622164

29413

294649164129138

29

1.60.51.41.71.31.12.01.41.62.11.11.61.41.61.62.31.91.51.41.91.31.91.61.81.51.81.92.00.91.51.71.31.71.42.41.71.61.72.11.51.32.21.51.21.01.71.31.51.81.91.51.6

Total Population, 2002Data Rank

% of Population65+, 2002

Data Rank

% of Population85+ 2002

Data Rank


DEMOGRAPHICS

215


Rankings 3.

216

17512111394942

471

467

4439357

3530452

3011173035111117396

21352134112139217

2111172147507

21434

3021

4.72.74.64.84.23.55.15.23.66.23.74.93.94.24.34.94.34.53.85.24.54.84.74.54.34.84.84.74.25.04.64.34.64.44.84.64.24.64.94.64.84.74.63.63.14.94.64.05.14.54.64.5

2944473537423

2247144517453328122929412

22127

1737247

16503

14391739101042179

2429243349516

24361

175

9.18.27.88.98.68.3

10.49.47.89.77.99.57.99.09.29.89.19.18.4

10.59.49.8

10.19.58.69.3

10.19.67.6

10.49.78.59.58.59.99.98.39.5

10.09.39.19.39.07.76.5

10.29.38.7

10.89.5

10.39.0

2549503431411

144836314346161616281934101033

13291931244792

455

36268

43407

2129262142512114365

1236

18.115.114.717.317.416.720.818.815.217.217.416.115.418.718.718.717.618.517.319.319.320.020.019.117.518.517.418.215.319.420.516.019.917.217.819.516.116.919.618.317.517.818.316.313.418.318.817.219.919.217.218.0


Data Rank


Data Rank


Data Rank


DEMOGRAPHICS


Rankings 4.

234614311

2130454938

40385

16323527244118151022331944372941113649

507

28266

432547172

34481213392051

5,438,813953,775

9,059,5693,511,349

45,488,5516,639,7233,971,201

994,476740,196

23,376,02511,573,8201,652,5852,004,916

14,707,9797,302,8053,442,7043,323,4284,901,3495,432,6391,597,7196,794,0357,774,740

10,991,5286,167,4293,367,7176,714,6991,142,3542,020,1774,235,3981,597,719

10,202,3652,691,954

22,208,06811,108,116

736,61212,818,0394,637,1954,916,478

14,432,9891,368,2365,052,030

901,1047,290,583

28,929,5783,360,260

812,1789,265,0539,129,6981,921,4466,675,272

586,567365,963,239

2750413036453

15461

48124435349

3133433

2712122239219

16465

193619366

1642227

2226183149517

27402

2211

15.711.814.215.614.713.318.016.813.218.813.116.913.415.115.317.115.515.413.918.015.716.916.916.114.516.217.116.613.217.516.414.716.414.717.316.614.116.117.216.115.816.515.512.910.917.215.714.318.216.117.015.5

28512828284768

401

493

4528333

2333408

338

23154015156

471515338

332

1540238

14233

3345501533408

2315

1.90.91.91.91.91.52.42.31.72.91.42.51.61.91.82.52.01.81.72.31.82.32.02.11.72.12.12.41.52.12.11.82.31.82.72.11.72.02.32.22.02.51.81.61.32.11.81.72.32.02.12.0

Total Population, 2020Data Rank


Data Rank


Data Rank


DEMOGRAPHICS

217



DEMOGRAPHICS


Population50-64, 2002-2020 (% change)Data Rank



33.245.664.436.156.859.743.044.823.048.357.930.351.642.640.137.341.634.135.834.646.049.837.352.435.237.425.238.982.044.549.045.042.144.132.934.833.439.338.166.731.040.538.055.064.034.945.658.816.149.218.945.8

44173

3685

232049157

47112428342642374116123410383348301

211419252245404329312

46273294

39176

511350

55.2225.385.256.2

102.8136.482.562.166.054.9

102.486.2

102.873.271.261.474.563.362.974.197.081.275.496.054.859.582.968.9

124.9107.274.587.767.972.761.763.557.9

111.754.285.365.560.169.091.5

107.4101.694.4

129.643.679.291.378.5

471

204682

2240354810188

29314226383928122325134944213347

261734304137455

5019364332156

11143

512416

26.9125.062.128.143.056.816.839.47.7

33.659.430.545.614.217.25.4

11.124.215.826.039.216.818.030.321.920.326.412.7

121.648.816.554.216.242.74.18.1

22.136.1-1.723.439.86.6

36.145.050.242.349.347.81.1

18.733.128.8

2613

25135

371746214

231142364844294128183735243233274329

396

4014494531195130164719127

158

10503422

218

Rankings 5.

219

DEMOGRAPHICS


Population85+, 2002-2020 (% change)Data Rank

Population65+, 2002-2020 (% change)Data Rank

Total Population, 2002-2020 (% change)Data Rank

48.8181.5121.542.988.186.638.599.333.286.977.8

102.462.836.637.525.827.746.748.348.670.946.246.340.734.139.745.335.0

213.573.147.194.152.074.125.740.436.156.831.587.581.035.256.282.084.961.781.566.532.234.365.260.0

2623

347

10385

469

154

214039504930282718323135453733431

17296

251651364123488

1442241211221319474420

44.8191.780.844.879.5

103.251.758.240.550.985.367.677.447.147.735.444.547.944.853.973.552.351.164.241.143.158.043.7

131.082.449.877.147.462.635.140.542.876.330.262.458.436.856.374.684.675.577.491.727.151.268.258.4

3718

3793

282345315

181036344840333726162730194442244127

32123520494543135021224725156

14104

512917

20.646.362.828.029.445.314.522.325.839.134.231.246.216.819.016.621.619.221.123.724.219.311.123.017.518.825.616.888.925.117.841.714.832.014.013.230.938.516.326.922.317.725.232.842.829.725.946.97.8

22.217.926.3

3342

18176

4728219

11145

4236443135322625345027413722421

24398

4613484915104519284023127

16203

513038

Rankings 6.



POPULATION CHARACTERISTICS



Data Rank


Data Rank


Data Rank

21.227.014.111.132.713.59.4

13.674.918.622.277.13.7

17.68.33.08.76.3

26.60.9

24.08.0

12.83.8

26.59.44.54.6

16.01.6

18.039.322.817.92.1

10.313.35.78.97.3

21.52.7

12.029.36.51.9

19.59.34.15.26.3

17.6

136

20264

2228212

15111

4518334632377

519

3424448

2842411950163

10174827233931351247255

36491430434037

43.034.912.147.87.1

15.910.120.10.09.5

32.57.6

35.514.027.741.433.741.926.855.815.07.2

25.433.150.831.743.537.69.4

39.94.8

23.112.241.152.920.436.024.120.67.0

37.751.636.422.613.758.732.518.947.632.333.421.7

919426

4837433551442346183927112010282

384729225

268

154513503141123

3417303349144

1632401

23367

2521

12.323.918.911.822.421.319.015.528.919.414.319.215.414.711.212.315.211.413.716.521.319.914.115.312.813.213.614.515.920.016.718.917.114.210.213.514.320.813.113.518.311.312.417.223.622.019.422.09.6

13.315.216.7

442

164647

15241

12311425294944274735227

113426424036302310211620335037319

41371848431935

125

513927

220

Rankings 7.


221

POPULATION CHARACTERISTICS


Household IncomeAge 65+ (median), 2002

Data Rank

At/Below PoveryAge 65+ (%), 2002

Data Rank

101-200% of Poverty Age 65+ (%), 2002

Data Rank

$21,722 $44,930 $28,299 $22,392 $31,671 $27,631 $30,838 $29,729 $29,315 $27,108 $23,423 $40,782 $23,603 $27,329 $24,912 $23,931 $25,190 $20,865 $22,078 $25,254 $32,161 $26,268 $26,131 $25,960 $20,720 $25,968 $24,611 $25,358 $28,959 $29,247 $32,278 $23,187 $25,797 $23,662 $22,096 $25,860 $23,767 $27,032 $24,042 $24,643 $24,185 $24,504 $23,003 $26,027 $33,117 $24,839 $28,871 $30,645 $20,238 $25,659 $24,057 $26,322

481

14456

1579

1017422

41163038294947285

1920235022332712114

432540462439183732353444213

31138

512636

14.43.28.6

11.17.49.35.87.7

17.010.013.38.28.78.87.98.88.9

14.214.510.78.38.67.67.9

18.69.59.59.49.88.77.3

14.311.012.614.18.6

11.08.18.2

10.412.710.412.712.25.17.5

10.47.3

10.87.58.29.7

4513213462649422

218

36302840282763

17353243401

2323252230475

14117

32143936189

189

1250441847164436

28.113.023.129.722.022.719.320.416.422.625.214.828.021.725.425.924.530.128.226.318.223.223.622.729.224.727.723.721.420.117.526.324.326.226.323.627.924.425.924.024.825.527.925.618.724.220.317.334.524.727.323.8

651343

38354441493721507

3920162525

12463331354

23103040434712271512318

26162922198

18452842481

2311

Rankings 8.




Men per 100 WomenAge 85+ (#), 2002

Data Rank

Women Age 80+ At/BelowPoverty Level (%), 2002

Data Rank

Persons Age 85+ Living Alone (%),2002

Data Rank

37.641.455.942.655.343.351.247.639.763.829.268.245.148.242.148.352.551.136.735.136.340.645.946.034.040.979.054.468.338.048.155.148.331.241.853.240.348.746.555.129.755.243.245.852.467.138.654.560.849.075.447.9

44378

349

321826416

514

31243522161945474639292848381

143

432511224936154021271150103330175

42137

202

24.47.6

15.721.810.416.68.8

12.321.012.823.611.012.012.313.518.920.421.419.816.69.7

17.211.813.732.016.414.016.613.914.211.521.215.424.831.913.020.112.413.014.420.918.817.617.210.910.917.813.314.814.214.915.1

451246

482050409

385

4542403414117

1320491843331

2331203229448

2532

36123936281015171846461635272926

49.216.043.654.843.248.950.352.947.943.848.928.743.053.657.755.155.952.659.656.143.054.253.261.251.948.650.158.947.253.144.149.649.459.665.449.752.251.956.241.044.454.056.343.348.453.455.160.456.458.561.550.2

34514417463529243943355047209

1514255

134718223

2737307

402342323351

3126271249411911453821154

1082

222

Rankings 9.


223



Self-Care LimitationsAge 65+ (%), 2002

Data Rank

Mobility LimitationsAge 65+ (%), 2002

Data Rank

Self-Care or Mobility LimitationsAge 65+ (%), 2002

Data Rank

12.78.57.2

12.89.87.18.87.08.67.79.18.89.79.79.28.17.1

11.811.88.18.08.39.25.6

15.88.47.26.76.36.38.7

10.89.7

11.05.87.9

12.39.28.17.2

10.05.5

11.99.7

10.98.18.88.9

12.57.65.19.2

328392

1342234427372123141418314277

31353018491

29394546462611149

48365

18313912506

14103123224

3851

24.619.814.622.519.214.916.315.220.316.220.318.916.818.419.516.218.123.521.114.517.517.518.014.623.717.316.014.414.216.618.021.619.020.513.917.521.017.017.917.319.914.223.218.819.616.018.116.822.916.413.618.4

114446

1743374211381119332116382238

46272724442

3040474835247

181050279

32263013484

20154022335

3651

26.620.916.225.520.916.117.916.322.217.821.620.019.420.321.118.119.325.623.316.619.318.919.815.426.619.017.215.815.317.519.723.120.622.415.119.122.618.519.219.122.215.225.120.620.817.520.118.726.018.214.420.1

115445

1545374311381322252014362647

42263223471

3141464839248

181050299

34282911496

18173921333

3551

Rankings 10.


Sensory LimitationsAge 65+ (%), 2002

Data Rank

Cognitive/Mental LimitationsAge 65+ (%), 2002

Data Rank

20.023.116.823.316.918.013.714.114.014.819.515.621.214.916.116.815.022.318.018.312.715.016.615.625.815.622.016.514.614.514.718.514.519.217.715.221.617.615.314.716.015.219.117.419.818.816.719.520.915.920.116.6

103

252

24195048494212337

413025394

1918513928331

335

2945464317461421376

22364331371523111627128

329

15.28.38.8

14.912.19.98.39.2

10.39.7

12.413.412.210.110.18.09.4

15.313.88.78.19.9

10.97.6

18.29.4

10.57.98.86.99.4

10.99.7

13.46.39.6

15.011.79.18.6

12.26.8

14.611.912.011.512.09.7

15.67.37.3

10.8

441376

142641352328119

122424443238

39432620461

32224537493220289

51315

18364012507

17151915282

4747



224

Rankings 11.


225

LIVABLE COMMUNITIES


Homeownership RateAge 65+ (%), 2002

Data Rank

Homeowners Age 65+ Paying 30%+of Income for Housing (%), 2002

Data Rank

Renters Age 65+ Paying 30%+of Income for Housing (%), 2002

Data Rank

82.680.784.480.775.079.575.683.061.684.481.975.286.878.481.880.579.581.680.878.479.068.981.777.685.582.382.380.871.176.674.384.463.183.474.180.083.177.278.671.284.975.883.381.888.376.981.677.384.576.682.778.6

14256

2544294212516

17432

33182729212333314920353

1515234839456

509

4628113732474

4110181

3821365

3913

20.015.020.716.824.022.128.514.626.524.224.420.822.025.217.015.719.919.616.724.222.427.420.017.323.616.318.020.628.624.233.320.830.222.717.621.118.023.224.231.124.118.322.519.116.827.520.923.714.322.119.022.7

3249304416235

508

111028259

434834354611227

3242184739314

111

283

2041263919112

15382136446

2717512337

52.348.866.361.367.367.656.353.061.370.763.755.163.059.254.652.254.756.151.747.262.061.555.761.352.157.050.857.865.247.259.456.360.650.745.757.558.364.159.161.547.852.754.560.254.665.158.959.647.659.946.760.3

39454

1332

28371318

329

2134403330424810113113412743255

48202816445126247

221146383617346

2319471850

Rankings 12.


Householders Age 65+ in HousingBuilt before 1960 (%), 2003Data Rank

Persons Age 75+ withoutDriver's License (%), 2000Data Rank


Data Rank

36.817.911.631.437.927.754.536.674.614.631.433.933.652.246.452.750.037.335.548.742.557.448.946.429.441.243.446.09.7

43.951.033.762.737.145.151.836.733.762.456.032.844.636.133.133.148.536.133.352.245.139.341.2

3048504427476

321

494436398

167

12283514244

131646252318512211372

291910313735

43213341411533408

1926

8.133.726.321.840.416.631.626.758.218.835.852.429.538.442.434.723.039.133.427.536.935.527.227.435.431.230.427.130.330.029.739.341.729.925.721.326.625.538.038.323.521.918.837.823.20.6

35.430.415.334.217.331.7

501936435

4821341

45132

2983

17417

2030121432311522233325262864

2737443538109

3942451140511523491847

11.114.78.5

11.913.511.111.711.937.410.811.217.910.215.712.69.99.4

15.617.310.813.418.511.212.113.511.78.99.3

13.710.317.012.030.713.311.013.39.8

12.017.517.214.28.9

11.710.38.7

11.912.613.418.611.710.014.2

35125126153529261

38335

4210214446117

38174

33231529484714409

242

193719452468

13482940502621173

2943

LIVABLE COMMUNITIES


226

Rankings 13.


Grandparents Age 65+ RaisingGrandchildren (% of Age 65+), 2002

Data Rank

5.66.73.84.38.23.24.84.35.33.85.7

13.52.74.23.41.52.02.76.12.45.94.63.51.86.83.63.11.64.93.56.74.35.53.41.23.23.72.33.43.94.10.94.56.05.02.74.93.52.22.22.84.6

104

25192

351619122591

3922324946396

428

1729473

28374814294

1911325035274332242351187

13391429444438

227

LIVABLE COMMUNITIES


Rankings 14.


USE OF HOME & COMMUNITY SERVICES


Medicare Beneficiaries ReceivingHome Health Services (%), 2002

Data Rank

Medicare Home Health Visits perUser (average #), 2002

Data Rank

Medicaid Beneficiaries Receiving Services in Residential Care (%), 2002

Data Rank

7.03.73.36.14.94.89.17.76.67.66.32.05.46.95.14.44.27.59.18.16.58.58.23.58.56.84.84.94.27.67.05.36.26.85.45.87.84.76.96.96.64.37.97.67.3

10.86.94.75.34.34.56.3

1648502936382

102411275131183543461427

2646

494

22383646111633282231309

40181824448

11151

1840334442

36212036282637262430322025242824263655302137262240242423293327263426222650192525241939414639271825252630

1045471019238

23361615473136193623101

16458

23435

36364218142123132343232

49313136496436

2151313123

NA0.50.30.6NA1.2NANANA0.60.2NANA0.00.00.10.3NANA1.50.20.10.50.80.00.80.50.30.10.20.2NA0.12.7NANANA0.80.00.0NA0.6NA0.10.10.1NA0.5NA0.40.10.2

NA10157

NA3

NANANA

718

NANA30302215

NANA

21822104

304

1015221818

NA221

NANANA

43030

NA7

NA222222

NA10

NA1422

228

Rankings 15.


229



Total Medicaid HCBS Participantsper 1000 Population, 2001Data Rank

Medicaid Home Health Participantsper 1000 population, 2001Data Rank

Medicaid Personal Care Participantsper 1000 population, 2001Data Rank

4.47.87.1

15.39.47.4

12.43.97.54.03.42.98.64.72.2

10.116.29.63.56.63.57.88.2

19.95.6

14.37.34.91.9

10.94.26.4

13.05.25.65.98.7

11.82.67.97.3

11.61.09.42.8

11.82.98.97.77.35.97.4

3820283

13246

4123404445173749112

1242294220181

334

2536501039305

353331167

4819259

5113477

4515222531

1.80.47.13.12.11.97.81.44.10.90.90.52.31.01.35.98.95.62.42.51.43.90.5

12.22.71.10.60.80.27.50.52.54.91.51.72.61.10.30.72.72.26.30.15.50.75.50.71.11.01.31.02.6

25485

1423243

2812383845213530728

20182813451

15324440504

45181127261732494115226

519

419

4132353035

NA3.0NA8.05.9NANANA2.9NANANA2.1NANANANANANA1.10.91.15.51.6NA7.33.20.40.40.11.81.74.71.6NANA2.00.8NANANA1.3NA2.00.1NANA1.23.02.0NA1.9

NA7

NA13

NANANA

9NANANA10

NANANANANANA2022204

16NA

26

24242614155

16NANA1123

NANANA18

NA1126

NANA197

11NA

Rankings 16.




Medicaid HCBS Waiver Participantsper 1000 population, 2001Data Rank

Aged/Disabled Waiver Participantsper 1000 Population, 2001Data Rank

Medicaid: Aged/DI Participants as % of N.F. Residents, 2001Data Rank

2.64.3NA4.31.55.44.62.60.53.12.52.44.23.70.94.27.34.01.13.01.12.82.26.22.95.93.43.71.33.41.92.23.42.13.93.35.6

10.81.95.25.14.00.91.92.06.32.26.63.74.15.02.9

3213

NA13448

123250283435152148152

1846294631365

306

2421452441362439202771

419

10184841404

363

211711

1.72.9NA3.50.43.33.11.30.21.11.91.33.52.90.41.94.73.60.31.40.01.01.53.42.64.52.02.30.81.30.90.81.11.50.72.84.69.30.52.33.71.50.11.50.42.21.45.23.82.42.31.8

2614

NA9

44121333483624339

14442438

473150382711175

2319403339403627421641

43197

27492744223126

1819

42.4335.0

NA66.118.6

138.753.244.35.2

41.956.354.9

162.969.08.5

37.7108.586.24.6

35.71.0

17.651.571.956.996.850.149.963.432.923.832.624.245.812.959.1

107.3540.712.037.0

123.527.42.1

49.627.159.056.1

229.690.549.670.549.5

312

NA15425

2330473220224

1446337

11483550432412199

2526163641374029441781

45346

3849273918213

102713

230

Rankings 17.


231



Medicare-Certified Home HealthAgencies per 1,000 Age 65+, 2003

Data Rank


Data Rank


Data Rank

0.240.370.090.460.160.290.180.130.220.150.120.080.310.200.210.410.370.210.430.160.070.130.170.370.170.210.370.280.180.230.050.270.080.170.320.230.410.130.150.140.140.430.190.490.230.150.190.090.240.170.530.20

178

463

351429422237454813262368

234

355042318

31238

1529195116483112196

423740404

272

1937274617311

0.070.280.030.090.130.100.140.140.130.060.080.160.030.060.090.160.050.230.020.230.130.150.070.110.030.080.460.090.020.150.100.080.070.110.230.070.050.050.110.120.160.060.040.140.040.250.060.070.020.160.200.10

322

4626172414141737298

4637268

414

494

1712322146291

264912242932214

32414121208

374414443

37324987

1738341240336

14NA273119387

151024158

43231139

NA15292736

NA2613

NA183916252146162135281919222842350

361726

327

13414

144639

NA1915287

4536432336442

24425

NA3616199

NA2140

NA315

3422261

34261117282825173

11479

32

Rankings 18.




Personal & Home Care Aides per1000 Age 65+, 2003

Data Rank

Personal & Home Care Aides HourlyWage (median), 2003

Data Rank

Home Health Aides per 1000 Age 65+, 2003

Data Rank

636

NA79

169

NANA

410

NA69

1213245

16227

1111313

15212

NA164

NA2714219

101311119

1110458

158

1016219

14

392

NA37291029

NANA4225

NA392919175

41106

3720203

44147

45NA1042

NA4

167

29251720202920251

35143525107

29

$6.99 $10.66 $8.45 $6.50 $8.50 $8.42 $9.52 $7.10 $8.51 $8.42 $7.61 $6.63 $7.67 $7.37 $8.80 $8.31 $8.45 $7.59 $6.47 $8.52 $8.77 $9.96 $8.39 $9.65 $6.83 $7.92 $7.80 $8.28 $7.97 $8.47 $9.57 $8.84 $8.27 $8.03 $8.14 $8.29 $7.20 $9.23 $8.25

$11.27 $8.06 $8.03 $7.95 $6.35 $8.01 $8.31 $7.07 $8.53 $6.73 $9.09 $8.08$7.91

452

174915196

43141939483841102217405013113

214

46363725341659

26312824427

271

3031355133224412478

29

1130141010

NA21

NA13107

1015101115129

1026111319307

1318106

1118204423151816151323156

11231018121918161016

312

243636

NA8

NA25364636193631192945364

3125102

46251236483112915

19121719255

1948315

36122910121736

232

Rankings 19.


233



Home Health Aides Hourly Wage(median), 2003

Data Rank

$7.85 $12.17 $8.68 $7.57 $8.90

NA$11.54 $9.85 $9.61 $8.49 $8.08 $9.96 $8.06 $8.27 $9.62 $9.01 $8.72 $8.58 $7.34 $8.75 $8.67

$10.69 $8.92 $9.83 $8.01 $8.15 $8.31 $9.21 $9.20

$10.28 $9.69 $8.59 $8.89 $8.12 $8.18 $8.85 $7.94 $8.96 $9.15

$10.69 $8.19 $8.58 $8.32 $6.96 $9.08 $9.13 $8.46 $8.71 $6.97 $9.49 $8.00$8.77

461

274721

NA27

1132416

4236101825304824283

208

433935131459

29224038234519153

3730345017163326491244

Rankings 20.




Total Nursing Facility Residents, 2003Data Rank

Nursing Facility Residents (% of Age 65+), 2003

Data Rank

Nursing Facility Residents withMedicaid as Primary Payer (%), 2003

Data Rank

23,564619

13,24517,997

107,57816,34428,6223,9622,861

71,98736,3723,8064,754

79,83340,62327,80521,08522,81429,1516,954

25,27046,99341,54736,23116,05737,3455,739

13,5984,3087,145

44,3566,280

113,45637,9366,137

79,83921,6798,640

81,4748,528

16,2206,803

33,50387,4705,3063,319

27,61419,9689,963

36,4972,475

1,451,672

235133282

291946497

1547446

112026241838228

10163113423245379

401

12415

25354

363039173

43482127341450

4.01.51.94.82.93.76.13.74.22.54.42.23.15.35.36.46.04.55.63.74.05.53.45.94.64.94.65.91.74.63.92.84.63.76.55.34.71.94.35.73.26.24.64.02.64.13.32.93.65.14.14.0

2951481642334

332646244741111125

239

332910386

1815186

5018324418331

111748258

403

182945273942371427

72.483.765.572.866.059.567.058.681.661.477.672.562.163.065.049.753.872.075.568.561.868.466.559.179.464.256.653.760.367.465.171.273.769.855.065.164.461.563.471.071.559.171.369.560.365.864.063.471.964.961.966.3

91

257

234321462

4048

3635285149105

18381922443

314750412026146

164826303933151244131741243233112937

234

Rankings 21.


235



Nursing Facility Residents withMedicare as Primary Payer (%), 2003

Data Rank

Nursing Facility Residents with“Other” as Primary Payer (%), 2003

Data Rank

Nursing Facility Residents withPhysical Restraints (%), 2004Data Rank

11.97.4

10.88.2

10.39.2

13.516.58.4

16.68.8

11.013.510.112.65.26.2

12.28.1

13.312.611.614.310.29.69.39.97.4

10.810.614.47.3

11.914.57.1

11.27.8

10.910.98.3

13.36.9

12.610.816.312.614.412.813.09.8

11.811.3

19452742313882

401

39248

3314515018431014227

323637344527305

47194

482344252541104914273

145

13123521

15.88.9

23.719.023.731.319.524.910.022.013.616.624.426.822.345.140.115.816.418.325.620.119.230.711.026.633.538.928.922.120.521.514.415.737.923.727.827.625.620.715.134.016.119.823.421.621.623.815.125.226.322.4

42512137217

35185027483919122512

4240381533368

4913639

26323047444

2110111531455

413424282820451714

529

171678339

103656347

1567665

12742

113575937

1195495

119

124545368

29501012

17164343109

432329234338173

23172323294

1738506

432917291043176

10293810296

104

382938294323

Rankings 22.




“High Risk” Residents with Pressure (Bed) Sores (%), 2004

Data Rank

Nursing Facilities with Deficiency forActual Harm/Jeopardy (%), 2002

Data Rank

121613131412141522151689

18159

13152010141314101414109

1413201115159

1216121517141314131315181316121014

377

2828193719111

117

51474

114728112

43192819431919434719282

42111147377

37116

1928192828114

287

3743

12.88.34.6

14.23.1

23.542.73.0

30.09.9

18.619.436.615.921.97.9

27.822.620.18.0

16.623.629.520.715.215.013.518.09.1

27.415.114.724.722.712.423.921.717.814.63.6

25.217.821.019.523.616.213.040.015.511.725.718.0

4045483750141

514

4324233

3017476

16214628125

2032343825447

333510154111182636499

2619221229392

31428

236

Rankings 23.


237

NURSING FACILITY SERVICES (GRAPHIC)


% Medicaid LTC Spending Devotedto Nursing Facilities, 2003Data Rank

% Medicaid LTC Spending Devotedto ICF/MR, 2003

Data Rank

% Medicaid LTC Spending Devotedto HCBS, 2003

Data Rank

71.639.081.372.251.546.553.461.164.064.570.467.940.954.252.950.645.260.650.143.354.255.660.639.063.848.359.160.254.956.363.231.245.540.861.358.550.130.870.555.647.458.366.647.037.443.152.142.352.258.236.353.4

34612

313827139856

44252832401433412522144610351716242111503945121833514

2236197

3748423043292049

5.10.00.02.4

10.33.7

13.211.426.39.68.62.9

17.725.423.023.98.3

11.131.111.03.98.11.48.2

23.315.24.58.4

12.20.5

12.93.7

15.619.318.321.912.70.98.91.5

19.08.3

19.020.919.50.7

18.17.28.4

10.010.113.5

38505044254118222

28304315364

33231

24403646355

173931214919411610137

2047294511331189

481437312726

23.361.018.725.438.249.833.427.59.7

26.021.029.241.320.424.125.546.528.318.845.741.936.338.052.812.836.636.431.432.943.223.965.138.940.020.319.537.268.320.742.933.733.414.432.143.056.229.850.539.431.853.633.1

413

4838198

263551364233154439379

3447101424206

502223312811402

18164546211

431325264929124

327

17305

Rankings 24.




Total Nursing Facilities (#), 2003Data Rank


Data Rank

Nursing Facility Beds per FTEOmbudsman (#), 2002

Data Rank

22814

135242

1,3422152524221

6933604580

8275274543742963141192434784314252045341012284481

35681

67142384

98937014174094

178113337

1,1439043

27826013640839

16,323

285135271

302548506

18454449

111622213626101213318

3828464219427

14413

17335

393237202

40472324341549

45202366344666444628482440717382765073404761406552726071215145334942707071284862366852563745383440605149

315149124329123429462648366312

243

3628163614205

176

502231452535996

4626154211201941314043361722

1,925584

2,7294,1712,2211,4442,3591,254

9818,3941,4251,9251,1142,8495,8749,5794,2202,5482,1971,9641,0651,7455,4864,0901,3553,674

9734,7321,2731,7194,7161,8964,7763,2282,5861,8581,5987,0253,3881,1992,0234,0803,4952,5621,342

9882,9922,7251,2783,604

8872,614

3051181026372543482

38304520419

24272946345

113913497

42358

326

172233363

16442812152340471921411450

238

Rankings 25.


239



Nursing Facility Occupancy Rate(%), 2003

Data Rank

RN Hours per Resident Day(average), 2003

Data Rank

LPN Hours per Resident Day(average), 2003

Data Rank

89.476.880.572.683.081.291.684.791.987.290.993.876.074.873.278.578.089.075.992.186.189.884.492.188.568.676.683.082.991.587.884.492.588.293.275.066.267.689.791.088.692.488.372.071.392.787.784.289.385.680.982.6

1539364631349

278

24121

414445373817426

2513286

19494031331022284

212

4351501411185

2047483

2330162635

0.31.00.40.20.50.50.50.60.60.40.20.80.50.50.30.40.40.40.20.60.50.50.40.30.30.30.60.40.50.60.50.50.40.40.40.40.20.40.60.60.40.50.30.20.50.40.30.50.40.50.50.4

401

254710101033

25472

101040252525473

1010254040403

25103

101025252525472533

2510404710254010251010

1.00.80.80.90.80.70.60.80.90.90.90.80.90.60.90.60.50.90.90.50.80.70.70.70.90.70.50.70.90.60.70.60.70.80.70.90.70.50.80.30.90.40.90.90.60.70.90.70.90.50.70.8

118182

18263918222

182

392

394522

45182626262

2645262

3926392618262

264518512

5022

39262

262

4526

Rankings 26.




CNA Hours per Resident Day(average), 2003

Data Rank

2.53.82.12.42.42.12.22.42.72.72.22.82.52.01.91.91.92.22.12.72.12.32.32.02.31.92.41.92.12.42.12.22.22.42.52.31.92.22.22.02.42.02.01.92.32.32.22.52.32.32.42.2

61

34101034261033

2626

4045454526343

34181840184510453410342626106

1845262640104040451818266

181810

240

Rankings 27.


241



Total Medicaid Spending (millions),2003

Data Rank

Medicaid Long-Term Care Spending(% of Total Medicaid), 2003Data Rank

LTC Spending per Capita, 2003Data Rank

$3,505 $836

$4,175 $2,370

$25,307 $2,532 $3,658

$719 $1,087

$11,055 $7,586

$661 $838

$9,664 $4,439 $2,285 $1,787 $3,811 $4,496 $1,796 $4,412 $8,540 $7,919 $4,921 $2,896 $5,464

$571 $1,359 $1,034

$810 $7,984 $2,008

$38,480 $7,216

$476 $10,253 $2,349 $2,690

$13,101 $1,464 $3,536

$547 $6,468

$15,161 $1,111

$635 $3,606 $5,053 $1,881 $4,675

$335 $259,565

264321302

292345405

1146427

193236221835208

10162714483841449

331

12506

31284

372549133

39472415341751

30.630.50.7

31.622.334.751.134.727.629.816.839.636.627.832.542.843.426.826.430.633.631.920.948.427.227.845.143.119.645.141.526.540.730.159.144.137.432.643.732.625.040.920.925.825.235.232.930.733.747.746.732.3

3133512946202

203835501618362712104042312328473

39366

11496

1341153418

17259

2545144743441924302245

$238 $392

$5 $274 $159 $193 $537 $306 $532 $194 $147 $208 $224 $212 $233 $332 $285 $248 $264 $421 $269 $423 $164 $471 $274 $267 $281 $336 $91

$284 $383 $283 $815 $258 $444 $395 $250 $247 $463 $444 $213 $293 $231 $177 $119 $361 $161 $253 $350 $408 $313 $288

3512512547432

193

424841384036172133299

278

454

25282416502213231

306

11323456

3920374449144631151018

Rankings 28




Nursing Facility Spending perCapita, 2003

Data RankICF/MR Spending per Capita, 2003

Data RankHCBS Spending per Capita, 2003

Data Rank

$171 $153

$4 $198 $82 $90

$286 $187 $341 $125 $103 $141 $92

$115 $123 $168 $129 $150 $132 $182 $146 $235 $99

$184 $175 $129 $166 $203 $50

$160 $242 $88

$371 $105 $272 $231 $125 $76

$326 $247 $101 $171 $154 $83 $45

$156 $84

$107 $183 $237 $113 $154

1825511247434

132

3239284235342030262916279

41141730211149227

441

385

10324836

4018244650234537158

36

$12 $0 $0 $6

$16 $7

$71 $35

$140 $19 $13 $6

$40 $54 $54 $79 $24 $28 $82 $46 $10 $34 $2

$39 $64 $40 $13 $28 $11 $1

$49 $11

$127 $50 $81 $87 $32 $2

$41 $6

$40 $24 $44 $37 $23 $2

$29 $18 $29 $41 $32 $39

3850504335427

221

33364317996

30284

13412346208

173628394912392

1153

244615431730142132462634261524

$55 $239

$1 $70 $61 $96

$179 $84 $52 $50 $31 $61 $93 $43 $56 $85

$133 $70 $50

$192 $113 $153 $62

$249 $35 $97

$102 $106 $30

$123 $92

$185 $317 $103 $90 $77 $93

$168 $96

$191 $72 $98 $33 $57 $51

$203 $48

$128 $138 $130 $168$95

403

513336238

3041434936254639291333435

1711352

4722201850162771

192831259

236

32214838424

451512149

242

Rankings 29.


243



Home Health Spending per Capita,2003

Data Rank

Personal Care Spending per Capita,2003

Data Rank

HCBS Waiver Spending per Capita,2003

Data Rank

$9$1$0$9$4

$18$51$8

$22$7$7$0$5$3$9

$22$5

$25$6$5

$19$10$2

$13$5$1$1

$11$3$4$6$0

$59$11$4

$10$1$0$5$3$3$6$0$0$3$8$1$2

$12$10$11$10

164146163172

194

2121462634164

263

23266

13398

26414110343123461

1031134146263434234646341941399

1310

NA$68$1

$21$38NANANA$19$1

NANA$23NANANA$6

NANA$25$5

$51$21$32NA$37$26$6

$10$3

$34$66

$114$36NANA$11$10NANA$0$2

NA$17$0

$15NA$37$12$22NA$22

NA2

29155

NANANA1729

NANA13

NANANA24

NANA12264

1510

NA6

112422279318

NANA2122

NANA3128

NA183119

NA6

2014

NA

$47$170

NA$40$18$79

$128$76$11$42$24$60$65$40$48$63

$122$45$44

$163$89$92$40

$203$30$60$75$89$17

$116$52

$119$144$56$87$67$81

$158$91

$188$69$90$33$40$48

$180$47$89

$114$98

$156$64

364

NA4148239

2450404730284134291038395

1815411

46302518491233118

322127226

162

26174541343

361813147

Rankings 30.




HCBS Waiver Spending forAged/Disabled per Capita, 2003

Data Rank

Medicaid HCBS Spending (% ofMedicaid LTC Spending), 2003

Data Rank

State HCBS Spending for OlderPeople (millions), FY 2002Data Rank

$13$62NA$17$3

$21$25$15$5$9

$11$24$37$14$4

$13$41$17$5

$20$9$2$6

$36$20$15$21$17$4

$18$11$19$2

$22$9

$31$20$74$14$24$21$7$1

$23$2

$42$10$48$34$26$15$15

322

NA2446161127423734126

3044325

2442193747417

19271624442334224715379

191

301216405014474

3638

1027

23.361.018.725.438.249.833.427.59.7

26.021.029.241.320.424.125.546.528.318.845.741.936.338.052.812.836.636.431.432.943.223.965.138.940.020.319.537.268.320.742.933.733.414.432.143.056.229.850.539.431.853.633.1

413

4838198

263551364233154439379

3447101424206

502223312811402

18164546211

431325264929124

327

17305

$0.0$2.9

$10.5$7.7

$332.5$2.7

$24.3$0.6

$14.7$64.0$14.3$4.9$0.9

$219.4$46.0$7.3$7.9

$18.1$6.2

$16.3NA

$150.0$19.3$68.2$0.0$0.0$0.0$3.4$1.0$0.0

$24.4$13.6$42.7$23.4

NA$0.0$3.0$5.1

$218.8$3.5$0.8$2.8$0.0$5.3$3.6$5.4

$10.6$3.3$0.7NA

$1.9$1,411.9

423319211

351041156

16273827

2220132314

NA4

125

4242423037429

178

11NA4232263

29393442252824183140

NA36

244

Rankings 31.


245



Medicaid Reimbursement per Day forNursing Facility Care (average), 2002

Data Rank

Medicare Reimbursement per Day forNursing Facility Care (average), 2002

Data Rank

Private Pay Rate per Day in NursingFacility (urban average), 2003 Data Rank

$127 NA

$114 $94

$114 $123 $165 $160

NA$134 $91 NA

$132 $90

$103 $95 $95

$108 $82

$132 $151 $141 $119 $130 $106 $97

$102 $100 $122 $127 $142 $103 $172 $126 $127 $144 $94

$111 $138 $134 $103 $87 $92 $96

$103 $128 $113 $129 $130 $110 $117 $118

17NA2542252123

NA9

45NA114632404030481147

23133138363722176

321

20175

422889

3247443932162715132924

$223 $288 $269 $216 $322 $266 $289 $275 $289 $262 $245 $302 $243 $275 $246 $239 $244 $226 $234 $252 $275 $285 $268 $260 $217 $236 $232 $246 $308 $286 $300 $255 $294 $240 $202 $263 $235 $301 $260 $274 $243 $219 $236 $244 $277 $244 $258 $296 $234 $259 $227 $265

471018501

208

148

22313

351429383246422814121923493944292

115

277

375121414

2317354839321332266

422545

$125 $420 $141 $106 $161 $140 $275 $170 $225 $149 $129 $191 $150 $136 $147 $195 $115 $133 $95

$187 $162 $233 $136 $150 $118 $110 $132 $144 $140 $193 $216 $137 $260 $144 $165 $155 $98

$137 $173 $190 $125 $124 $143 $103 $118 $193 $163 $165 $151 $168 $128$158

411

304820312

145

2539102335267

46375112194

3523444738273186

333

2716215033131141432949448

1816221540

Rankings 32.




Medicare Reimbursement per HomeHealth Visit (average), 2002Data Rank

Private Pay Hourly Rate for HomeHealth Aide (urban average), 2003

Data Rank

$115 $198 $137 $98

$148 $131 $103 $133 $146 $121 $127 $177 $134 $149 $120 $106 $122 $110 $105 $110 $144 $108 $141 $126 $112 $129 $131 $116 $132 $114 $134 $132 $114 $133 $109 $124 $98

$167 $130 $128 $148 $129 $121 $115 $106 $101 $130 $166 $141 $114 $124 $124

351

12506

1948158

31262

135

3345304147419

441027402319341737131737154328503

21256

2331354549214

103728

$13.77 $24.15 $16.89 $15.65 $18.03 $25.57 $23.91 $17.65 $16.95 $16.11 $17.17 $18.93 $15.80 $18.71 $19.35 $21.77 $17.40 $18.20 $12.55 $20.00 $16.17 $21.45 $16.33 $22.68 $13.80 $16.43 $16.58 $19.47 $22.58 $21.60 $19.08 $17.00 $17.03 $17.50 $17.24 $16.49 $17.41 $17.98 $18.29 $19.47 $15.24 $16.20 $18.05 $19.92 $18.86 $19.10 $16.70 $18.28 $13.82 $20.23 $17.25 $18.12

502

36462413

26354432174519146

29225110438

414

4940381257

163433273139282520124742231118153721489

30

246

Rankings 33.


247

TRENDS


Nursing Facility Residents (% change), 1998-2003

Data Rank

Nursing Facility Beds (% change),1998-2003

Data Rank

Nursing Facility Occupancy Rate (% change), 1998-2003

Data Rank

1.80.0

-3.5-11.2-1.2-4.4-4.72.8

-2.65.10.26.6

-1.7-6.7-7.2-8.4-8.80.5

-3.9-12.8-2.7-9.8-5.7

-12.21.0

-7.6-8.4

-12.816.6-2.5-4.01.81.62.6

-6.8-4.1

-12.8-22.4-6.1-8.85.1

-8.8-5.30.4

-9.8-2.8-0.4

-10.9-3.9

-12.5-6.5-4.0

71422451627285

193

132

173335373911234820423046103637481

1825796

3426485131393

39291242211544234732

5.4-0.6-7.1-4.3-3.3-1.3-4.7-9.30.70.61.64.6

-2.1-2.9-9.7-6.4-5.30.51.5

-18.2-6.8

-10.1-4.6

-13.06.3

-1.9-2.2

-10.817.1-1.5-0.51.63.77.7

-7.11.6

-4.4-9.1-5.9-9.53.2

-8.3-3.7-4.5-2.1-5.52.3

-13.1-1.9

-10.6-3.1-3.1

417392927183343131495

2225453734151251384632493

2024481

1916962

399

304236447

41283122358

50204726

-3.40.63.9

-7.32.2

-3.10.0

13.4-3.34.5

-1.41.90.4

-3.92.8

-2.1-3.7-0.1-5.36.64.40.4

-1.20.9

-4.9-5.8-6.4-2.3-0.4-1.0-3.50.2

-2.1-4.70.4

-5.7-8.8

-14.5-0.10.81.8

-0.5-1.65.2

-7.93.0

-2.72.5

-2.1-2.1-3.5-1.1

37156

481035201

364

271116418

2940214425

162613434647332325381929421645505121141224283

497

349

292938

Rankings 34.


TRENDS


Medicare Home Health Visits perUser (% change), 1993-2002Data Rank

Medicaid Aged/Disabled WaiverParticipants (% change), 1996-2001

Data Rank

Medicaid Total Long Term CareSpending (% change), 1998-2003

Data Rank

-65.0-40.0-60.0-43.8-28.2-36.6-42.2-40.9-27.3-56.5-66.3-45.9-45.7-45.5-56.3-25.0-44.7-39.0-43.3-45.5-40.0-50.7-31.6-24.1-60.4-45.5-45.5-36.1-56.1-38.9-27.0-36.6-17.1-52.7-45.0-42.2-39.8-47.2-35.9-56.1-59.3-36.7-63.6-44.6-47.1-27.8-37.2-50.0-43.2-16.7-53.6-47.4

501947268

1222216

4551353430444

28172530193993

4830301142165

122

4029221837104246144927367

1538241

41

10.0558.8

NA19.950.066.2

100.3170.0

NA53.440.7

273.5206.426.96.3

188.0250.257.657.945.5

248.966.8

470.278.0

424.255.645.3

364.153.829.783.917.59.2

59.351.045.2

2411.248.8

753.312.288.2

207.936.1

352.2128.8111.3

-2.8188.531.117.250.474.0

463

NA4232231815

NA29378

124148149

26253410224

215

27356

28402043472430361

332

451911387

16174913394431

46.2200.857.838.167.340.727.361.626.667.539.947.274.420.433.259.643.335.629.559.575.323.6

-12.648.569.331.055.936.573.510.661.395.032.332.345.460.050.557.041.527.341.431.430.045.242.550.752.240.837.354.340.241.4

231

14348

31459

477

33224

493812263744133

4851216

4216365

50102

39392411201528452941432527191830351732

248

Rankings 35.


249

TRENDS


Medicaid Nursing Facility Spending(% change), 1998-2003

Data Rank

Medicaid ICF/MR Facility Spending(% change), 1998-2003

Data Rank

Medicaid HCBS Spending (% change), 1998-2003

Data Rank

44.4101.639.077.439.921.316.881.224.558.244.026.334.97.7

11.456.448.426.218.126.343.813.8

-11.39.8

59.95.4

53.024.058.6-1.075.119.422.913.754.734.539.147.138.720.836.227.427.231.720.727.849.020.826.260.320.930.6

151

203

1836432

338

16292348469

13314229174451476

4911347

504

4135451024191421382227282540261238315

37

-3.7-100.0

NA-83.848.645.720.9

-12.414.023.52.3

-24.616.011.710.331.7

-24.542.713.956.03.6

-12.9-90.3-12.840.057.7-5.414.4-2.524.222.820.719.110.116.685.44.9

-89.3-8.218.4-2.8-9.64.9

26.524.4-2.434.4

-11.59.0

10.7-4.914.7

3650

NA4745

1542221332462024269

456

233

3144494372

3821341214161727191

294839183540291011338

41282537

72.5342.5

NA48.5

138.164.952.481.6

116.3131.548.1

181.5252.7104.9259.0110.064.057.5

150.9113.9168.659.421.0

135.7415.074.975.281.1

213.830.255.0

194.752.780.151.7

173.7103.0100.4102.837.0

104.657.8

123.092.783.376.272.581.365.763.474.883.0

332

NA461136442515134774

183

17374110169

3950121

3130275

49426

4328458

202221481940142324293326353832

Rankings 36.


TRENDS


Medicaid Spending Other Than LongTerm Care (% change), 1998-2003

Data Rank

52.3103.7125.385.452.771.225.475.456.066.9

134.9-4.194.558.097.656.691.449.944.962.460.849.866.290.472.382.630.684.9

102.31.6

37.597.850.565.533.446.994.754.964.865.156.670.088.259.469.262.556.656.252.792.099.162.2

4032

143819491736221

519

317

321142452829432312181648154

50466

412447448

372625322013302127323538105

250

Rankings 37.

251

DataDocumentation

252

Data Documentation

DEMOGRAPHICS

Distribution of Population by Age, 2002 & 2020 (Projected) – AARP Public Policy Institute calcu-lations based on Regional Economic Models, Inc., Demographic Module. These projection data arebased on the 2000 Census. EXPLANATION: 2002: Refers to the count of the total U.S. residentpopulation and the proportion of the population age 50 and over, by age group. 2020 (Projected):Refers to the projected total U.S. resident population and the percentage of the population age 50 andover, by age group; % Change in Population: Refers to the projected cumulative percent change inthe population numbers in each age group over the 20-year period. For example, the U.S. populationage 50-64 was 45,184,259 in 2002 (15.6% of 289,642,688), and was projected to be 65,873,383 in2020 (18.0% of 365,963,239). Among persons age 50-64, these population numbers represent a45.8% increase from 2002 to 2020. Note: Readers may determine the total numbers for each agegroup in each state by using the percentages in the age group columns and the numbers in the totalpopulation column; however, due to rounding, using the population percentages for each age groupto calculate the total population may not result in a precise match to the numbers published.

Minority/Ethnic Population Age 65+ (%), 2002 – AARP Public Policy Institute analysis of U.S.Census Bureau, 2002 American Community Survey (ACS) (http://www.census.gov/acs). The 2002ACS is limited to the household population and excludes persons living in institutions and othergroup quarters. EXPLANATION: Refers to the percentage of the total population age 65 and overwho define their race as Black/African American, American Indian/Alaska Native, NativeHawaiian/Pacific Islander, Asian, two or more races, or another race, or who define their ethnicity asHispanic/Latino (of any race).

Rural Population Age 65+ (%), 2000 – AARP Public Policy Institute calculations based on U.S.Census Bureau, Census 2000 Summary File 1, Table: P12. Sex by Age [49] (by geographic compo-nent = rural); (http://factfinder.census.gov). EXPLANATION: Refers to the population age 65 andover living in rural areas as a percentage of the total population age 65 and over in 2000. The “rural”classification is a territory, population, or housing unit not classified as “urban” which can cut acrossother geographic hierarchies and can be located in metropolitan or non-metropolitan areas.

Bachelor Level Education or Higher Age 65+ (%), 2002 – AARP Public Policy Institute analysisof U.S. Census Bureau, 2002 American Community Survey (http://www.census.gov/acs). The 2002ACS is limited to the household population and excludes persons living in institutions and othergroup quarters. EXPLANATION: Refers to the population age 65 and over with a Bachelor’s leveldegree or higher as a percentage of the total population age 65 and over in 2000.

Household Income Age 65+ (median), 2002 – AARP Public Policy Institute analysis of U.S. CensusBureau, 2002 American Community Survey (http://www.census.gov/acs). The 2002 ACS is limitedto the household population and excludes persons living in institutions and other group quarters.EXPLANATION: Refers to the median household income in 2002 inflation-adjusted dollars forhouseholds with a reference person age 65 and over. Please note that this indicator is not comparableto that used in the prior edition of Across the States, which reported median family income for personsage 65 and older. Persons living alone are typically excluded when measuring family income. Note:The income data cover the period 2001-2002 and are reported in 2002 inflation-adjusted dollars.

At/Below Poverty and 101-200% Poverty Age 65+ (2002) – AARP Public Policy Institute analysisof U.S. Census Bureau, 2002 American Community Survey (http://www.census.gov/acs). The 2002ACS is limited to the household population and excludes persons living in institutions and othergroup quarters. EXPLANATION: Refers to the population age 65 and over at or below poverty level

Note: U.S. figures do not include territories.

253

Data Documentationand between 101 percent to 200 percent of poverty level as a percentage of the total population age65 and over in 2002. Note: In 2002, the poverty threshold for persons age 65 and over was $8,628for one person and $10,885 for two persons. Note: The income data cover the period 2001-2002 andare reported in 2002 inflation-adjusted dollars.


Men per 100 Women Age 85+ (#), 2002 – AARP Public Policy Institute analysis of U.S. CensusBureau, 2002 American Community Survey (http://www.census.gov/acs). The 2002 ACS is limitedto the household population and excludes persons living in institutions and other group quarters.EXPLANATION: Refers to the number of men age 85 and over per 100 women age 85 and over in 2002.

Women Age 80 + Below Poverty Level (%), 2002 – AARP Public Policy Institute analysis of U.S.Census Bureau, 2002 American Community Survey (http://www.census.gov/acs). The 2002 ACS islimited to the household population and excludes persons living in institutions and other groupquarters. EXPLANATION: Refers to women age 80 and over at or below poverty level as apercentage of the total female population age 80 and over in 2002. Note: In 2002, the povertythreshold for persons age 65 and over was $8,628 for one person and $10,885 for two persons. Theincome data cover the period 2001-2002 and are reported in 2002 inflation-adjusted dollars.

Persons Age 85+ Living Alone (%), 2002 – AARP Public Policy Institute analysis of U.S. CensusBureau, 2002 American Community Survey (http://www.census.gov/acs). The 2002 ACS is limitedto the household population and excludes persons living in institutions and other group quarters.EXPLANATION: Refers to persons age 85 and over living alone in a household as a percentage ofall persons age 85 and over in 2002.

Persons Age 65+ with Activity Limitations, 2002 – AARP Public Policy Institute analysis of U.S.Census Bureau, 2002 American Community Survey (http://www.census.gov/acs). The 2002 ACS islimited to the household population and excludes persons living in institutions and other groupquarters. EXPLANATION: Self-Care Limitations: Percent of persons age 65 and over with a long-lasting (6 months or more) physical, mental, or emotional condition that made it difficult to dress,bathe, or get around inside the home; Mobility Limitations: Percent of persons age 65 and over witha long-lasting physical or mental condition that made it difficult to go outside the home alone to shopor visit a doctor’s office; Self-Care or Mobility Limitations: Percent of persons age 65 and over witha self-care limitation and/or a mobility limitation; Sensory Limitations: Percent of persons age 65and over with long-lasting blindness, deafness, severe vision, or hearing impairment;Cognitive/Mental Limitations: Percent of persons age 65 and over with a long-lasting physical,mental, or emotional condition that made it difficult to learn, remember, or concentrate.


Homeownership Rate Age 65+ (%), 2002 – AARP Public Policy Institute analysis of U.S. CensusBureau, 2002 American Community Survey (http://www.census.gov/acs). The 2002 ACS is limitedto the household population and excludes persons living in institutions and other group quarters.EXPLANATION: Refers to households owning their home where the householder is age 65 and overas a percentage of total households where the householder is age 65 and over in 2002.


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Homeowners Age 65+ Paying 30% or More of Income for Housing (%), 2002 – AARP PublicPolicy Institute analysis of U.S. Census Bureau, 2002 American Community Survey(http://www.census.gov/acs). The 2002 ACS is limited to the household population and excludespersons living in institutions and other group quarters. EXPLANATION: Refers to the percentageof homeowners age 65+ for whom selected monthly owner costs (including mortgage, utilities, andtaxes) were 30% or more of their income. Note: The income data cover the period 2001-2002 and arereported in 2002 inflation-adjusted dollars.

Renters Age 65+ Paying 30% or More of Income for Housing (%), 2002 – AARP Public Policy Institute analysis of U.S. Census Bureau, 2002 American Community Survey(http://www.census.gov/acs). The 2002 ACS is limited to the household population and excludespersons living in institutions and other group quarters. EXPLANATION: Refers to the percentagerenters age 65+ whose gross rent (including contract rent and utilities) was 30% or more of theirincome. Note: The income data cover the period 2001-2002 and are reported in 2002 inflation-adjusted dollars.

Householders Age 65+ in Housing Built before 1960 (%), 2003 – AARP Public Policy Instituteanalysis of U.S. Census Bureau, 2003 American Community Survey (http://www.census.gov/acs).The 2003 ACS is limited to the household population and excludes persons living in institutions andother group quarters. EXPLANATION: Refers to owned and rented occupied housing units builtbefore 1960 where the householder is age 65 and over as a percentage of total occupied housing unitswhere the householder is age 65 and over in 2003.

Persons Age 75+ without Driver’s License (%), 2000 – AARP Public Policy Institute calculationsbased on (1) Office of Highway Policy Information, Federal Highway Administration (FHWA),Highway Statistics 2000, October 2001 (http://www.fhwa.dot.gov/ohim/hs00/dl22.htm); (2) Office ofHighway Policy Information, Federal Highway Administration, Highway Statistics 1999, October2000, (http://www.fhwa.dot.gov/ohim/hs99/tables/dl22.pdf); (3) U.S. Census Bureau, “PopulationEstimates for the U.S., Regions, Divisions, and States by 5-year Age Groups and Sex: Time SeriesEstimates, July 1, 1990 to July 1, 1999 and April 1, 1990 Census Population Counts,” March 2000(http://eire.census.gov/popest/archives/state/st-99-08.txt); and (4) U.S. Census Bureau, Census 2000 Summary File 1, Table: P12. Sex by Age [49], (http://factfinder.census.gov). EXPLANATION:Refers to persons age 75 and over without a driver’s license as a percentage of the total populationage 75 and over in 2000. Notes: For Connecticut and Mississippi, data from 1999 were used because erroneous data for these states were reported in 2000. According to the FHWA, cautionshould be used comparing driver licensing data across states for the following reasons: (1) driversmay move from one state to another and be counted in both states; (2) drivers may obtain licenses instates other than their legal residence; (3) drivers may fraudulently obtain multiple licenses; and (4)states may not purge their databases of expired licenses or licenses of deceased individuals on acontinual basis.

Persons Age 70+ without a Vehicle in Household (%), 2002 – AARP Public Policy Institute analysisof U.S. Census Bureau, 2002 American Community Survey (http://www.census.gov/acs). The 2002ACS is limited to the household population and excludes persons living in institutions and othergroup quarters. EXPLANATION: Refers to persons age 70 and over who have no vehicle in thehousehold as a percentage of the total population age 70 and over in 2002.

Grandparents Age 65+ Raising Grandchildren (% of Age 65+), 2002 – AARP Public Policy Institute analysis of U.S. Census Bureau, 2002 American Community Survey (http://www.census.gov/acs). The 2002 ACS is limited to the household population and excludes

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persons living in institutions and other group quarters. EXPLANATION: Refers to the number ofpeople age 65 and over responsible for most of the basic needs of any grandchildren under the age of18 living in their home as a percentage of the total population age 65 and over in 2002.

Medicare Beneficiaries Receiving Home Health Services (%), 2002 – AARP Public PolicyInstitute calculations based on (1) Centers for Medicare and Medicaid Services (CMS), “MedicareHome Health Agency Utilization and Expenditure Data by State for Calendar Year 2002”; and (2)Centers for Medicare and Medicaid Services (CMS), Office of Information Services, “2002 MedicareEnrollment Statistics” from the Health Care Information System (HCIS). EXPLANATION: Refersto Medicare beneficiaries receiving home health services as a percentage of beneficiaries enrolled inthe program as of July 1, 2002. Medicare home health services include: skilled nursing care on a part-time or intermittent basis; physical and occupational therapy and speech language pathology services;medical social services; home health aide services on a part-time or intermittent basis; and medicalsupplies and durable medical equipment.

Medicare Home Health Visits per User (average), 2002 – Centers for Medicare and MedicaidServices (CMS), Office of Information Services, Health Care Information System (HCIS),“Medicare Home Health Agency Utilization and Expenditure Data by State for Calendar Year 2002”.EXPLANATION: Refers to the average number of home health visits received per beneficiary usinghome health services in 2002.

Medicaid Beneficiaries Receiving Services in Residential Care Settings (%), 2002 – AARPPublic Policy calculations based on (1) Robert L. Mollica, State Assisted Living Policy 2002, NationalAcademy for State Health Policy, November 2002; data used with permission; and (2) total Medicaidenrollment in 2000, based on data from the Urban Institute produced for The Kaiser Commission onMedicaid and the Uninsured. Adjustments were made to the enrollment data by the Urban Institute toassure data quality and consistency; data used with permission in AARP PPI’s 2003 State Profiles:Reforming the Health Care System. EXPLANATION: Refers to Medicaid beneficiaries receivingservices in licensed residential settings, including assisted living and board and care residences, as a percentage of total number of Medicaid beneficiaries in 2000, the most recent year for whichreliable Medicaid enrollment data were available. NA indicates states that either did not or could notreport data.

Medicaid Home and Community-Based Participants per 1,000 population, 2001, includingHome Health Participants; Personal Care Participants, and HCBS Waiver Participants – Martin Kitchener, Terence Ng, and Charlene Harrington, Medicaid Home and Community-BasedServices: Program Data, 1992-2001, Table 11, (Department of Social and Behavioral Sciences,University of California, San Francisco); data used with permission. EXPLANATION: Refers tototal number of Medicaid participants receiving home and community-based services per 1,000persons in the state in 2001. The total number of Medicaid HCBS participants is the sum of threesubgroups: (1) persons receiving home health services; (2) persons receiving personal care; and (3)persons receiving HCBS waiver services. The home health program is a mandatory Medicaid benefitproviding medically-related home services. The personal care program is an optional Medicaid stateplan benefit by which states may choose to provide participants with assistance in daily living activ-ities (e.g., toileting and bathing); 28 states and the District of Columbia were operating the programin 2001. The Medicaid waiver program authorizes states to provide HCBS services to persons whoare at risk of institutionalization. It gives states flexibility to cover services for specific groups, suchas persons with developmental disabilities, aged/disabled persons, those with HIV/AIDS, and mentalillness, rather than to all Medicaid eligible persons. It also permits states to use higher income andresource eligibility thresholds. The package of services covered may also be broader; e.g., Medicaid

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1915(c) HCBS waivers may include case management, homemaker/home health aide services,personal care services, adult day health, habilitation, respite care, non-medical transportation, minorhome modifications, and in some cases, services in residential facilities. Note: Arizona operates itsMedicaid long-term care program under a capitation arrangement using an 1115 waiver, and does notparticipate in the 1915(c) waiver program.

Medicaid Aged/Disabled Waiver Participants per 1,000 population, 2001 – AARP Public PolicyInstitute calculations based on (1) Martin Kitchener, Terence Ng, and Charlene Harrington, MedicaidHome and Community-Based Services: Program Data, 1992-2001, Table 1A (Department of Socialand Behavioral Sciences, University of California, San Francisco); data used with permission; and (2)U.S. Census Bureau, 2001 Supplementary Survey. EXPLANATION: Refers to persons in aged,aged/disabled, or disabled/physically disabled home and community-based services (HCBS) waiverprograms per 1,000 population by state in 2001. Note: Arizona operates its Medicaid long-term careprogram under a capitation arrangement using an 1115 waiver, and does not participate in the 1915(c)waiver program.

Medicaid Beneficiaries: Persons in Aged/Disabled Waivers as % of Those in Nursing Homes,2001 – AARP Public Policy Institute calculations based on (1) Martin Kitchener, Terence Ng, andCharlene Harrington, Medicaid Home and Community-Based Services: Program Data, 1992-2001,Table 1A (Department of Social and Behavioral Sciences, University of California, San Francisco);data used with permission; and (2) Cowles Research Group, 2001 Nursing Home Statistical Yearbook,Table 111-7, Medicaid Census, “Payor Mix and Census by State”; data used with permission.EXPLANATION: This measure is the ratio of the number of Medicaid beneficiaries in aged,aged/disabled, and disabled/physically disabled home and community-based services (HCBS) waiverprograms in 2001 compared to the number of Medicaid beneficiaries in nursing homes in 2001,expressed as a percentage. The two groups are mutually exclusive, and this measure should not beread as the percentage of nursing home residents in aged/disabled waiver programs.

HOME AND COMMUNITY-BASED RESOURCES

Medicare-Certified Home Health Agencies per 1,000 Age 65+, 2003 – AARP Public PolicyInstitute calculations based on (1) Centers for Medicaid and Medicaid Services (CMS), Center forInformation Systems, January 2004. “Number of Medicare-certified Home Health Agencies, Stateby State, as of December 31, 2003”; and (2) U.S. Census Bureau, Population Division, “AnnualEstimates of the Resident Population by Selected Age Groups for the United Sates and States: July 1,2003 and April 1, 2000” released March 10, 2004. EXPLANATION: Refers to the number ofMedicare-certified home health agencies per 1,000 persons age 65 and over in 2003. Facilities thatwish to participate in the Medicare or Medicaid program must meet participation conditions for certi-fication. States certify those facilities that request participation in the Medicaid program only. TheU.S. Department of Health and Human Services certifies facilities requesting participation in both theMedicare and Medicaid programs.

Adult Day Facilities per 1,000 Age 65+, 2001-2002 – AARP Public Policy Institute calculationsbased on (1) Nancy J. Cox, National Study of Adult Day Services 2001-2002, Partners in Caregiving:The Adult Day Services Program, Wake Forest University School of Medicine, Winston-Salem, NC.Data are derived from the survey response rate by state, and represent the number of confirmedcenters; data used with permission; and (2) U.S. Census Bureau, State Population Estimates bySelected Age Categories and Sex: July 1, 2002 (www.census.gov/popest/archives). EXPLANATION:Refers to the number of confirmed adult day facilities per 1,000 persons age 65 and older in 2001-

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2002. Adult day facilities provide services on a part-time and/or intermittent basis. Programs includehealth, social, personal care, and related supportive services to meet the needs of functionally ormentally impaired adults.

Residential Care Beds per 1,000 Age 65+, 2002 – AARP Public Policy Institute calculations basedon (1) Robert L. Mollica, State Assisted Living Policy 2002, National Academy for State Health Policy,November 2002; data used with permission; and (2) U.S. Census Bureau, State Population Estimatesby Selected Age Categories and Sex: July 1, 2002. EXPLANATION: Refers to the number of resi-dential care beds per 1,000 persons age 65 and over in 2002. Residential care facilities provide servicesto individuals not requiring skilled nursing care. Services are provided on a 24-hour basis and includesupportive care services and supervision for those who are physically and/or mentally impaired.

Personal and Home Care Aides per 1,000 Age 65+, 2003 – AARP Public Policy Institute calcula-tions based on (1) Bureau of Labor Statistics, Occupational Employment Statistics, “May 2003 StateOccupational Employment and Wage Estimates” (http://www.bls.gov/oes/2003/may/oessrcst.htm);and (2) U.S. Census Bureau, Population Division, “Annual Estimates of the Resident Population bySelected Age Groups for the United Sates and States: July 1, 2003 and April 1, 2000” released March10, 2004. EXPLANATION: Refers to the number of personal and home care aides (BLS occupationcode 39-9021) per 1,000 persons age 65 and over in 2003. Personal and home care aides assist elderlyor disabled adults in the person’s home or in a daytime non-residential facility. Duties performed ata place of residence may include housekeeping (making beds, doing laundry, washing dishes) andpreparing meals. Aides may also provide meals and supervised activities at non-residential care facil-ities, and may advise families, the elderly, and disabled in areas such as nutrition, cleanliness, andhousehold utilities.

Personal & Home Care Aides Hourly Wage (median), 2003 – Bureau of Labor Statistics,Occupational Employment Statistics, “May 2003 State Occupational Employment and WageEstimates” (http://www.bls.gov/oes/2003may/oessrcst.htm). EXPLANATION: Refers to the medianhourly wage paid to personal and home care aides (BLS occupation code 39-9021) in 2003.

Home Health Aides per 1,000 Age 65+, 2003 – AARP Public Policy Institute calculations based on(1) Bureau of Labor Statistics, Occupational Employment Statistics, “May 2003 State OccupationalEmployment and Wage Estimates” (http://www.bls.gov/oes/2003/may/oessrcst.htm); and (2) U.S.Census Bureau, Population Division, “Annual Estimates of the Resident Population by Selected AgeGroups for the United Sates and States: July 1, 2003 and April 1, 2000” released March 10, 2004.EXPLANATION: Refers to the number of home health aides (BLS occupation code 30-1011) per1,000 persons age 65 and over in 2003. Home health aides provide routine, personal healthcare, suchas bathing, dressing, or grooming, to elderly, convalescent, or disabled persons in the home of patientsor in a residential care facility.

Home Health Aides Hourly Wage (median), 2003 – Bureau of Labor Statistics, OccupationalEmployment Statistics, “May 2003 State Occupational Employment and Wage Estimates”(http://www.bls.gov/oes/2003may/oessrcst.htm). EXPLANATION: Refers to the median hourlywage paid to home health aides (BLS occupation code 30-1011) in 2003.


Total Nursing Facility Residents (#), 2003 – Cowles Research Group, computed from CMS OnlineSurvey, Certification, and Reporting (OSCAR) database as of December 10, 2003; data used with

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permission. EXPLANATION: Refers to the total number of nursing facility residents in 2003.Nursing facilities are licensed by the state and provide skilled nursing and/or intermediate care, abovethe level of room and board, to residents on a 24-hour basis.

Nursing Facility Residents (% of Age 65+), 2003 – AARP Public Policy Institute calculationsbased on (1) Cowles Research Group, computed from CMS Online Survey, Certification, andReporting (OSCAR) database as of December 10, 2003; data used with permission; and (2) U.S.Census Bureau, Population Division, “Annual Estimates of the Resident Population by Selected AgeGroups for the United Sates and States: July 1, 2003 and April 1, 2000” released March 10, 2004.EXPLANATION: Refers to residents in nursing facilities as a percentage of the total population age65 and over in 2003.

Nursing Facility Residents with Medicaid, Medicare and “Other” Sources as Primary Payer(%), 2003 – Cowles Research Group, computed from CMS Online Survey, Certification, andReporting (OSCAR) database as of December 10, 2003; data used with permission. EXPLANA-TION: Refers to the percentage of nursing facility residents whose primary payer source in 2003 wasMedicare, Medicaid, or “other” (including out-of-pocket spending and private insurance).

Residents with Physical Restraints (%), 2004 – Centers for Medicare and Medicaid Services(CMS), Nursing Home Resident Measures from the Nursing Home Compare Website, data are fromJanuary 1, 2004 – March 31, 2004 (http://www.medicare.gov/nhcompare/home.asp). Data aresubmitted by nursing homes using the Minimum Data Set (MDS). EXPLANATION: Refers to thepercentage of nursing facility residents who were in physical restraints daily during the 7-day assess-ment period. Physical restraints should only be used when they are necessary as part of the treatmentof the resident’s medical condition, and can only be ordered by a doctor. They should never be usedto punish a resident or to make work easier for the staff. Restraints are any device, material, or equip-ment attached or adjacent to the resident’s body that the individual cannot remove easily, whichrestricts freedom of movement or normal access to one’s body. Items or devices that may meet thedefinition of physical restraints include special types of vests, chairs with lap trays, lap belts, enclosedwalkers. Bed rails are also considered restraints in certain situations, but they are not used in thecalculation of this measure.

“High-Risk” Residents with Pressure (Bed) Sores (%), 2004 – Centers for Medicare andMedicaid Services (CMS), Nursing Home Resident Measures from the Nursing Home CompareWebsite, with data from January 1 through March 31, 2004 (http://www.medicare.gov/nhcompare/home.asp). Data are submitted by nursing homes using the Minimum Data Set (MDS).EXPLANATION: Refers to the percentage of “high risk” nursing facility residents who are reportedto have one or more pressure sores. High-risk residents are in a coma, do not get the nutrients theyneed, or cannot move or change position on their own. Pressure sores are wounds on the skin. Theyusually develop on bony parts of the body such as the tailbone, hip, ankle, or heel, and are usuallycaused by constant pressure on the skin that damages the top layer of skin. Pressure sores can be aserious health risk and can range from mild (skin reddening) to severe deep open wounds (exposingmuscle and bone).

Nursing Facilities with Deficiency for Actual Harm or Jeopardy to Residents (%), 2002 –Charlene Harrington, Helen Carrillo, Valerie Wellin, and Anna Burdin, Department of Social andBehavioral Sciences, University of California, San Francisco, Nursing Facilities, Staffing, Residents,and Facility Deficiencies, 1996 Through 2002, August 2003 (http://www.nncnhr.newc.com/public/50_155-4541.cfm); data used with permission. EXPLANATION: Refers to the percent offacilities that received one or more deficiencies that caused harm or immediate jeopardy to residents.

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State surveyors assess both the process and outcomes of nursing home care using 185 measures ofquality. When a nursing home fails to meet a standard, a deficiency or citation is given for thatindividual standard; the deficiencies causing actual harm or immediate jeopardy are the most serious(rated as a G-level deficiency or higher by state surveyors).

Graphic: Medicaid Spending on Long-Term Care Services, by Type of Service, 2003 – AARP Public Policy Institute calculations based on Steve Eiken, Brian Burwell, and MichaelSchaefer, MEDSTAT, “Medicaid Long Term Care Expenditures in FY 2003,” May 2004(http://hcbs.org/search.php?glbSearchBox=burwell&ft=); data used with permission. Data arebased on CMS-64 reports submitted by the states to the Centers for Medicare and MedicaidServices. EXPLANATION: Refers to the proportion of total Medicaid long-term care expendituresdevoted to nursing facility services, ICF/MR facility services, and home and community-basedservices (including home health services, HCBS waivers, and personal care services) in 2003.


Total Nursing Facilities (#), 2003 – Cowles Research Group, computed from CMS Online Survey,Certification, and Reporting (OSCAR) database as of December 10, 2003; data used with permis-sion. EXPLANATION: Refers to the total number of certified nursing facilities, including those thatare certified by both Medicare and Medicaid (the great majority), and those certified by Medicareonly or Medicaid only.

Nursing Facility Beds per 1,000 Age 65+, 2003 – AARP Public Policy Institute calculations basedon (1) Cowles Research Group, computed from CMS Online Survey, Certification, and Reporting(OSCAR) database as of December 10, 2003; data used with permission; and (2) U.S. Census Bureau,Population Division, “Annual Estimates of the Resident Population by Selected Age Groups for theUnited States and States: July 1, 2003 and April 1, 2000” released March 10, 2004. EXPLANATION:Refers to the total number of nursing facility beds, both certified and not certified, per 1,000 personsage 65 and over in 2003.

Long-Term Care Facility Beds per FTE Ombudsman (#), 2002 – Department of Health andHuman Services, Administration on Aging, National Ombudsman Reporting System (NORS), forfiscal year 2002, Table A-1: Selected Information by Region for FY 2002. EXPLANATION: Refersto the number of LTC facility beds for which one paid ombudsman program “full-time equivalent”staff person is responsible. LTC beds include both beds in nursing facilities and in board and carefacilities. Ombudsmen advocate for resident rights and investigate and respond to complaints. Note:many states rely heavily upon certified volunteer ombudsmen to supplement the work of paid staff.Among states with large numbers of volunteer ombudsmen are Delaware, North Carolina, NewMexico, and Washington.

Nursing Facility Occupancy Rate (%), 2003 – Cowles Research Group, computed from CMSOnline Survey, Certification, and Reporting (OSCAR) database as of December 10, 2003; data usedwith permission. EXPLANATION: Refers to the percentage of nursing facility beds occupied byresidents. The rate is calculated by dividing the total number of nursing facility residents by the totalnumber of beds.

Direct-Care Nursing Hours per Resident Day (average), 2003 including RN Hours per ResidentDay; LPN Hours per Resident Day; and CNA Hours per Resident Day – Cowles Research Group,2003 Nursing Home Statistical Yearbook; data used with permission. Data are compiled from staffing

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hours reported on HCFA Form 671. EXPLANATION: Refers to staffing hours per resident day byRNs (registered nurses who provide direct patient care); LPNs (licensed practice nurses); and CNAs(certified nursing aides, who provide nursing or nursing-related services to residents).


Total Medicaid Spending (in millions), 2003 – Steve Eiken, Brian Burwell, and Michael Schaefer, MEDSTAT, “Medicaid Long Term Care Expenditures in FY 2003,” May 2004(http://hcbs.org/search.php?glbSearchBox=burwell&ft=); data used with permission. Data are basedon CMS-64 reports submitted by the states to the Centers for Medicare and Medicaid Services.EXPLANATION: Refers to total fee-for-service expenditures for services under the Medicaidprogram, not including pending provided through capitated managed care programs. Note: Arizonaoperates its long-term care system primarily through capitated managed care programs and a fewother states, including Minnesota, Wisconsin, and Texas, have large managed care programs that payfor long-term care benefits on a capitated basis.

Medicaid Long-Term Care Spending (% of Total Medicaid), 2003 – Steve Eiken, Brian Burwell,and Michael Schaefer, MEDSTAT, “Medicaid Long Term Care Expenditures in FY 2003,” May 2004(http://hcbs.org/search.php?glbSearchBox=burwell&ft=); data used with permission. Data are basedon CMS-64 reports submitted by the states to the Centers for Medicare and Medicaid Services.EXPLANATION: Refers to the proportion of total fee-for-service Medicaid spending devoted tolong-term care, including spending for nursing facilities, ICF/MR facilities, and home and commu-nity-based services, and not including managed care spending, in fiscal year 2003. Long-term careservices under the Medicaid program include nursing facility, ICF/MR, home health, personal care,and home and community-based waivers. Note: Arizona operates its long-term care system prima-rily through capitated managed care programs and a few other states, including Minnesota,Wisconsin, and Texas, have fairly large managed care programs that pay for long-term care benefitson a capitated basis.

LTC Spending per Capita, 2003 including Nursing Facility Spending Per Capita; ICF/MRFacility Spending Per Capita; Home & Community-Based (HCBS) Spending per Capita; HomeHealth Spending per Capita; Personal Care Spending per Capita; HCBS Waiver Spending perCapita; and HCBS Waiver Spending for Aged/Disabled per Capita – Steve Eiken, Brian Burwell,and Michael Schaefer, MEDSTAT, “Medicaid Long Term Care Expenditures in FY 2003,” May 2004(http://hcbs.org/search.php?glbSearchBox=burwell&ft=); data used with permission. Data are basedon CMS-64 reports submitted by the states to the Centers for Medicare and Medicaid Services.EXPLANATION: Refers to the amount of Medicaid long-term care fee-for-service spending, notincluding managed care spending, per person in the state in fiscal year 2003. Long-term care servicesunder the Medicaid program include nursing facility, ICF/MR, and home and community-basedservices. Home and community-based services include home health, personal care, and home andcommunity-based waivers. HCBS waiver spending for the aged/disabled is a subset of HCBSwaivers. The HCBS waiver spending for aged/disabled figure includes only aged, aged/disabled, anddisabled/physically disabled waiver programs only. It does not include spending on other types ofMedicaid waivers, such as waivers for persons with mental retardation/developmental disabilities.Notes: The personal care program is an optional Medicaid benefit by which states may choose toprovide beneficiaries with assistance with daily living activities; 31 states and the District ofColumbia were operating the program in 2003. Arizona operates its Medicaid long-term careprogram under a capitation arrangement using an 1115 waiver, and does not participate in the 1915(c)waiver program. A few other states, including Minnesota, Wisconsin, and Texas, have large managedcare programs that pay for long-term care benefits on a capitated basis.

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Medicaid HCBS Spending (% of Medicaid LTC Spending), 2003 – Steve Eiken, Brian Burwell,and Michael Schaefer, MEDSTAT, “Medicaid Long Term Care Expenditures in FY 2003,” May 2004(http://hcbs.org/search.php?glbSearchBox=burwell&ft=); data used with permission. Data are basedon CMS-64 reports submitted by the states to the Centers for Medicare and Medicaid Services.EXPLANATION: Refers to the proportion of total Medicaid spending devoted to long-term care,including spending for nursing facilities, ICF/MR facilities, and home and community-basedservices, and not including managed care spending, in fiscal year 2003.

State-Funded HCBS Program Spending for Older Persons (in millions), FY 2002 – LauraSummer, Emil S. Ihara, “State-Funded Home and Community-Based Service Programs for OlderPersons,” AARP Public Policy Institute Issue Paper, November 2004. EXPLANATION: Refers tototal state spending for home and community-based service programs (in millions) funded entirelyby the state. These programs are generally designed to complement or supplement HCBS providedthrough Medicaid; they include both single-service programs, such as adult day services or respitecare, and multi-service programs, which commonly combine homemaker, adult day care, respite,and personal care services. State funds for Medicaid services are not included in these estimates.Persons served in these programs include persons 60 and older; 65 and older; and elderly andphysically disabled adults. Note that a few states, most notably Ohio, provide significant levels offunding for HCBS at the local level; these data are not included in the state totals. Data are not avail-able from this source for three states that declined to participate in the survey: Maryland, Missouri,and North Dakota.

Medicaid Reimbursement per day for Nursing Facility Care (average), 2002 – D. Grabowski, Z.Feng, O. Intrator, and V. Mor, Project HOPE; “Recent Trends in State Nursing Home PaymentPolicies,” Web Exclusive, c2004; June 16, 2004; page W4-376 (http://www.healthaffairs.org); dataused with permission. EXPLANATION: Refers to the average Medicaid daily rate paid for nursingfacility services in 2002.

Medicare Reimbursement per day for Nursing Facility Care (average), 2002 – Centers forMedicare and Medicaid Services (CMS), “Medicare Skilled Nursing Facility (Non-Swing Bed)Utilization and Expenditure Calendar Year 2002.” EXPLANATION: Refers to the average Medicaredaily rate paid for skilled nursing facility (SNF) non-swing beds in 2002. The daily rate does notinclude beds that “swing” between hospital and SNF levels of care. Medicare payments for SNFservices are covered by a per diem prospective payment system, covering all routine, ancillary, andcapital costs related to the services furnished to beneficiaries under Medicare Part A.

Private Pay Rate per day in Nursing Facility (urban average), 2003 – AARP Public Policy Institutecalculations based on MetLife Mature Market Institute, “The MetLife Market Survey of NursingHome & Home Care Costs,” August 2003; data used with permission. EXPLANATION: Refers tothe average daily rate for a semi-private room in a nursing home in 2003. The survey was conductedin 87 major markets in all 50 states and the District of Columbia. The data are not generalizable tothe state level in most states because of the sampling methodology, which is based on “majormarkets” in the most populated cities or suburbs from representative locations in the state. Rates arefor licensed nursing homes that provide skilled and custodial care.

Medicare Reimbursement per Home Health Visit (average), 2002 – AARP Public Policy Institutecalculations based on Centers for Medicare and Medicaid Services (CMS), “Medicare Home HealthAgency Utilization and Expenditure Data by State, Calendar Year 2002.” EXPLANATION: Refersto the average Medicare reimbursement rate paid for each home health visit.

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Private Pay Hourly Rate for Home Health Aide Services (urban average), 2003 – AARP PublicPolicy Institute calculations based on MetLife Mature Market Institute, “The MetLife Market Surveyof Nursing Home & Home Care Costs,” August 2003; data used with permission. EXPLANATION:Refers to the hourly private pay rate charged by licensed home care agencies for care provided by ahome health aide. Home health aides provide personal care and help clients with activities of dailyliving (ADLs). The survey was conducted in 87 major markets in all 50 states and the District ofColumbia. The data are not generalizable to the state level in most states because of the samplingmethodology, which is based on “major markets” in the most populated cities or suburbs from repre-sentative locations in the state.

TRENDS

Nursing Facility Residents (% change), 1998-2003 – AARP Public Policy Institute calculationsbased on (1) Cowles Research Group, computed from CMS Online Survey, Certification, andReporting (OSCAR) database as of December 10, 2003; and (2) Cowles Research Group, 1998Nursing Home Statistical Yearbook, published by the American Association of Homes and Servicesfor the Aging. Data used with permission. EXPLANATION: Refers to the cumulative percentchange in the total number of nursing facility residents for the entire five year period. Changes (inpercentage terms) may appear especially large when the absolute value for the indicator in the firstyear is relatively low.

Nursing Facility Beds (% change), 1998-2003 – AARP Public Policy Institute calculations based on(1) Cowles Research Group, computed from CMS Online Survey, Certification, and Reporting(OSCAR) database as of December 10, 2003; and (2) Cowles Research Group, 1998 Nursing HomeStatistical Yearbook, published by the American Association of Homes and Services for the Aging.Data used with permission. EXPLANATION: Refers to the cumulative percent change in the totalnumber of nursing facility beds over the entire five year period. Changes (in percentage terms) mayappear especially large when the absolute value for the indicator in the first year is relatively low.

Nursing Facility Occupancy Rate (% change), 1998-2003 – AARP Public Policy Institute calcula-tions based on (1) Cowles Research Group, computed from CMS Online Survey, Certification, andReporting (OSCAR) database as of December 10, 2003; and (2) Cowles Research Group, 1998Nursing Home Statistical Yearbook, published by the American Association of Homes and Servicesfor the Aging. Data used with permission. EXPLANATION: Refers to the cumulative percentchange in the number of nursing facility beds occupied by residents over the entire five year period.Changes (in percentage terms) may appear especially large when the absolute value for the indicatorin the first year is relatively low.

Medicare Home Health Visits per User (% change), 1993-2002 – AARP Public Policy Institutecalculations based on (1) Centers for Medicare and Medicaid Services (CMS), “Medicare HomeHealth Agency Utilization and Expenditure Data by State, Calendar Year 2002”; and (2) CMSHealthcare Customer Information System (HCIS) for 1993, which is the earliest year for which homehealth data are available from the HCIS. EXPLANATION: Refers to the cumulative percent changein number of Medicare home health visits per user over the entire time period.

Medicaid Beneficiaries Enrolled in Aged/Disabled Waivers, (% change), 1996-2001 – AARPPublic Policy Institute calculations based on Martin Kitchener, Terence Ng, and Charlene Harrington,Medicaid Home and Community-Based Services: Program Data, 1992-2001 (Department of Social

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and Behavioral Sciences, University of California, San Francisco); data used with permission.EXPLANATION: Refers to the cumulative percent change in the number of Medicaid beneficiariesenrolled in aged, aged/disabled, or disabled/physically disabled waiver programs over the entire fiveyear period. Arizona has a unique HCBS program for which data are not available

Medicaid Total Long-Term Care Spending (% change), 1998-2003 including Medicaid NursingFacility Spending; Medicaid ICF/MR Spending; and Medicaid HCBS Spending; and MedicaidSpending Other Than Long-Term Care – AARP Public Policy Institute calculations based on SteveEiken, Brian Burwell, and Michael Schaefer, MEDSTAT, “Medicaid Long Term Care Expendituresin FY 2003,” May 2004 (http://hcbs.org/search.php?glbSearchBox=burwell&ft=); data used withpermission. Data are based on CMS-64 reports submitted by the states to the Centers for Medicareand Medicaid Services. EXPLANATION: Refers to the cumulative change in indicator values overthe entire five year period. Changes (in percentage terms) may appear especially large when theabsolute value for the indicator in the first year is relatively low.

LONG-TERM CARE MAPS

Medicaid Long-Term Care Spending (% of Total Medicaid), 2003 – Steve Eiken, Brian Burwell,and Michael Schaefer, MEDSTAT, “Medicaid Long Term Care Expenditures in FY 2003,” May 2004(http://hcbs.org/search.php?glbSearchBox=burwell&ft=); data used with permission. Data are basedon CMS-64 reports submitted by the states to the Centers for Medicare and Medicaid Services.EXPLANATION: Refers to the proportion of total fee-for-service Medicaid spending devoted tolong-term care, including spending for nursing facilities, ICF/MR facilities, and home andcommunity-based services, and not including managed care spending, in fiscal year 2003. Long-termcare services under the Medicaid program include nursing facility, ICF/MR, home health, personalcare, and home and community-based waivers. Note: Arizona operates its long-term care systemprimarily through capitated managed care programs and a few other states, including Minnesota,Wisconsin, and Texas, have fairly large managed care programs that pay for long-term care benefitson a capitated basis.

Medicaid HCBS Spending (% of Medicaid Long-Term Care Spending), 2003 – Steve Eiken,Brian Burwell, and Michael Schaefer, MEDSTAT, “Medicaid Long Term Care Expenditures in FY2003,” May 2004 (http://hcbs.org/search.php?glbSearchBox=burwell&ft=); data used with permis-sion. Data are based on CMS-64 reports submitted by the states to the Centers for Medicare andMedicaid Services. EXPLANATION: Refers to the proportion of total Medicaid spending devotedto long-term care, including spending for nursing facilities, ICF/MR facilities, and home and commu-nity-based services, and not including managed care spending, in fiscal year 2003.

Percent of Population Age 85+, 2002 – AARP Public Policy Institute calculations based on RegionalEconomic Models, Inc., Demographic Module. These projection data are based on the 2000 Census.EXPLANATION: Refers to the percentage of the total U.S. resident population age 85 or older in2002.

Persons Age 65+ with Self-Care or Mobility Limitations, 2002 – AARP Public Policy Instituteanalysis of U.S. Census Bureau, 2002 American Community Survey (http://www.census.gov/acs).The 2002 ACS is limited to the household population and excludes persons living in institutions andother group quarters. EXPLANATION: Percent of persons age 65 and over with a self-care limita-tion and/or a mobility limitation; Self-Care Limitations: Percent of persons age 65 and over with along-lasting (6 months or more) physical, mental, or emotional condition that made it difficult to


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Data Documentationdress, bathe, or get around inside the home; Mobility Limitations: Percent of persons age 65 andover with a long-lasting physical or mental condition that made it difficult to go outside the homealone to shop or visit a doctor’s office.

Percent of For-Profit Nursing Facilities, 2003 – AARP Public Policy Institute calculations based onCowles Research Group, computed from CMS Online Survey, Certification, and Reporting(OSCAR) database as of December 10, 2003. EXPLANATION: Refers to nursing facilities in 2003that are for-profit as a percentage of all nursing facilities, including non-profit and government.

Nursing Facility Occupancy Rate (%), 2003 – Cowles Research Group, computed from CMSOnline Survey, Certification, and Reporting (OSCAR) database as of December 10, 2003. EXPLA-NATION: Refers to the percentage of nursing facility beds occupied by residents. The rate is calcu-lated by dividing the total number of nursing facility residents by the total number of beds.

Proportion of Deaths Occurring at Home, 2001 – Joan Teno, Brown University, Center forGerontology and Health Care Research, Brown Atlas of Dying (http://www.chcr.brown.edu/dying/brownatlas.htm); data used with permission. EXPLANATION: Refers to deaths in 2001 occurring athome as a percentage of total deaths, including deaths in nursing homes, hospitals, and other locations.

States Adopting NAIC Model Long-Term Care Insurance Regulations, 2003 – Lynn Boyd (ACLI),telephone interview by Lee Thompson, July 31, 2003; data used with permission. EXPLANATION:Refers to those states that had adopted the model long-term care provisions of the National Associationof Insurance Commissioners as of July 31, 2003. Notes: Massachusetts and the District of Columbiaare looking into adopting the amendments. States’ decisions on adopting the amendments, however,may become part of a broader decision to join an Interstate Compact (a model the NAIC developedin 2003). Under the compact, companies selling certain types of insurance, including long-term careinsurance, in states that are part of the compact will have to meet all the standards in the NAIC modelor other standards adopted by the Interstate Insurance Compact Commission. Some states that wouldnot otherwise have adopted these amendments may do so within this context. See Interstate CompactNational Standards Working Group, Interstate Compact National Standards & Filing Procedures(draft, Kansas City, MO: NAIC, December 19, 2003: http://www.naic.org/compact/index.htm).

States with Regulations that Include Assisted Living Philosophy, 2002 – Robert Mollica, NationalAcademy for State Health Policy, State Assisted Living Policy: 2002, October 2002; data used withpermission. EXPLANATION: Refers to states, as of 2002, that reported having regulations whichinclude a philosophy of assisted living focusing on such aspects of residents’ quality of life as inde-pendence, dignity, privacy, decision-making, and autonomy.

States Requiring Private Rooms in Assisted Living, 2002 – Robert Mollica, National Academy forState Health Policy, State Assisted Living Policy: 2002, October 2002; data used with permission.EXPLANATION: Refers to states, as of 2002, that allow assisted living units/bedrooms to be sharedonly by choice of the residents.


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AARP State Offices*ALABAMA STATE OFFICE201 Monroe StreetRSA Tower, #1880Montgomery, AL 36104Office: 1-866-542-8167Fax: 334-954-3050

ALASKA STATE OFFICE3601 “C” Street, #1420Anchorage, AK 99503Office: 1-866-227-7447Fax: 907-341-2270

ARIZONA STATE OFFICECollier Center201 E. Washington St #1795Phoenix, AZ 85004-2428Office: 1-866-389-5649Fax: 602-256-2928

ARKANSAS STATE OFFICE1701 Centerview Drive #205Little Rock, AR 72211Office: 1-866-554-5379Fax: 501-227-7710

CALIFORNIA STATEOFFICESLos Angeles Office200 S. Los Robles Ave #400Pasadena, CA 91101-2422Office: 1-866-448-3615Fax: 626-583-8500 Sacramento Office980 9th Street #700Sacramento, CA 95814Office: 1-866-448-3614Fax: 916-556-3000

COLORADO STATE OFFICE1301 Pennsylvania Ave #200Denver, CO 80203Office: 1-866-554-5376Fax: 303-764-5999

CONNECTICUT STATEOFFICE21 Oak Street #104Hartford, CT 06106Office: 1-866-295-7279Fax: 860-249-7707

DELAWARE STATE OFFICEOne Rodney Square North1100 N. Market Street #1201Wilmington, DE 19890Office: 1-866-227-7441Fax: 302-571-1984

DISTRICT OF COLUMBIASTATE OFFICE601 E Street NW A1-200Washington, DC 20049Office: 202-434-7700Fax: 202-434-7710

FLORIDA STATE OFFICES South Florida Office3350 SW 148th Avenue #120Miramar, FL 33027Office: 1-866-595-7678Fax: 954-438-7871St. Petersburg Office400 Carillon Pkwy #100St. Petersburg, FL 33716Office: 1-866-595-7678Fax: 727-571-2278 Tallahassee Office200 W College Avenue #304Tallahassee, FL 32301Office: 1-866-595-7678Fax: 850-222-8968

GEORGIA STATE OFFICE999 Peachtree St NE #1645Atlanta, GA 30309Main No: 1-866-295-7281Fax: 404-881-6997

HAWAII STATE OFFICE1132 Bishop Street 19th flHonolulu, HI 96813Office: 1-866-295-7282Fax: 808-537-2288

IDAHO STATE OFFICEEagle Road Profess. Ctr II3080 Gentry Way #100Meridian, ID 83642Office: 1-866-295-7284Fax: 208-288-4424

ILLINOIS STATE OFFICESChicago Office222 N. LaSalle Street #710Chicago, IL 60601Office: 1-866-448-3613Fax: 312-372-2204 Springfield Office 300 West Edwards Street 3rd flSpringfield, IL 62708Office: 1-866-448-3617Fax: 217-522-7796

INDIANA STATE OFFICEOne North Capitol Ave #1275Indianapolis, IN 46204Office: 1-866-448-3618Fax: 317-423-2211

IOWA STATE OFFICE600 E. Court Avenue #CDes Moines, IA 50309Office: 1-866-554-5378Fax: 515-244-4719

KANSAS STATE OFFICE555 S. Kansas Avenue #201Topeka, KS 66603Office: 1-866-448-3619Fax: 785-232-8259

KENTUCKY STATE OFFICEPlainview Center #12110401 Linn Station RoadLouisville, KY 40223Office: 1-866-295-7275Fax: 502-394-9918

LOUISIANA STATE OFFICEOne American Place301 Main Street #1012Baton Rouge, LA 70825Office: 1-866-448-3620Fax: 225-387-3400

MAINE STATE OFFICE1685 Congress StreetPortland, ME 04102Office: 1-866-554-5380Fax: 207-775-5727

MARYLAND STATE OFFICE200 St. Paul Place #2510Baltimore, MD 21202Office: 1-866-542-8163Fax: 410-895-0269

MASSACHUSETTS STATEOFFICEOne Beacon Street #2301Boston, MA 02108Office: 1-866-448-3621Fax: 617-723-4224

MICHIGAN STATE OFFICE309 N. Washington Square #110Lansing, MI 48933Office: 1-866-227-7448Fax: 517-482-2794

MINNESOTA STATE OFFICE30 East 7th Street #1200St. Paul, MN 55101Office: 1-866-554-5381Fax: 651-221-2636

MISSISSIPPI STATE OFFICEIBM Building6360 1-55 North #160Jackson, MS 39211Office: 1-866-554-5382Fax: 601-991-3342

MISSOURI STATE OFFICE700 West 47th Street #110Kansas City, MO 64112Office: 1-866-389-5627Fax: 816-561-3107

MONTANA STATE OFFICE30 West 14th Street #301Helena, MT 59601Office: 1-866-295-7278Fax: 406-441-2230

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AARP State Offices*NEBRASKA STATE OFFICE301 S. 13th Street #201Lincoln, NE 68508Office: 1-866-389-5651Fax: 402-323-6913

NEVADA STATE OFFICE5820 S. Eastern Avenue #190Las Vegas, NV 89119Office: 1-866-389-5652Fax: 702-938-3225

NEW HAMPSHIRE STATEOFFICE900 Elm Street #702Manchester, NH 01301Office: 1-866-542-8168Fax: 603-629-0066

NEW JERSEY STATE OFFICEForrestal Village132 Main StreetPrinceton, NJ 08540Office: 1-866-542-8165Fax: 609-987-4634

NEW MEXICO STATE OFFICE535 Cerrillos Road, Ste ASanta Fe, NM 87501Office: 1-866-389-5636Fax: 505-820-2889

NEW YORK STATE OFFICESNew York Office780 Third Avenue 33rd flNew York, NY 10017Office: 1-866-227-7442Fax: 212-644-6390 Albany OfficeOne Commerce Plaza #706Albany, NY 12260Office: 1-866-542-8166Fax: 518-434-6949

NORTH CAROLINA STATEOFFICE225 Hillsborough Street #440Raleigh, NC 27603Office: 1-866-389-5650Fax: 919-755-9684

NORTH DAKOTA STATEOFFICE107 West Main Avenue #125Bismarck, ND 58501Office: 1-866-554-5388Fax: 701-221-2242

OHIO STATE OFFICE17 South High Street #800Columbus, OH 43215Office: 1-866-389-5653Fax: 614-224-9801

OKLAHOMA STATE OFFICE126 N. Bryant AvenueEdmond, OK 73034Office: 1-866-295-7277Fax: 405-844-7772

OREGON STATE OFFICE9200 SE Sunnybrook Blvd #410Clackamas, OR 97015Office: 1-866-554-5360Fax: 503-652-9933

PENNSYLVANIA STATEOFFICE30 No Third Street #750Harrisburg, PA 17101Office: 1-866-389-5654Fax: 717-236-4078

PUERTO RICO STATE OFFICE654 Munoz Rivera Ave #901San Juan, PR 00918Office: 1-866-542-8169Fax: 787-754-2211

RHODE ISLAND STATEOFFICE10 Orms Street #200Providence, RI 02904Office: 1-866-542-8170Fax: 401-272-0876

SOUTH CAROLINA STATEOFFICE1201 Main Street #1280Columbia, SC 29201Office: 1-866-389-5655Fax: 803-251-4379

SOUTH DAKOTA STATEOFFICE5101 S. Nevada Street #150Sioux Falls, SD 57108Office: 1-866-542-8172Fax: 605-361-2323

TENNESSEE STATE OFFICE150 4th Avenue N #180Nashville, TN 37219Office: 1-866-295-7274Fax: 615-313-8414

TEXAS STATE OFFICESAustin Office98 San Jacinto Blvd #750Austin, TX 75231Office: 1-866-227-7443Fax: 512-480-9799 Dallas Office8144 Walnut Hill Lane #700Dallas, TX 75231Office: 1-866-554-5377Fax: 214-265-4061

Houston Office2323 South Shepherd #1100Houston, TX 77019Office: 1-866-227-7443Fax: 832-325-2213

UTAH STATE OFFICE6975 Union Park Center #320Midvale, UT 84047Office: 1-866-448-3616Fax: 801-561-2209

VERMONT STATE OFFICE112 State Street 5th flMontpelier, VT 05602Office: 1-866-227-7451Fax: 802-224-9057

VIRGIN ISLANDS STATEOFFICE93B Estate DiamondSunny IsleSt. Croix, VI 00820Office: 1-866-389-5633Fax: 340-692-2544

VIRGINIA STATE OFFICE707 East Main Street #910Richmond, VA 23219Office: 1-866-542-8164Fax: 804-819-1923

WASHINGTON STATE OFFICE9750 Third Avenue NE #450Seattle, WA 98115Office: 1-866-227-7457Fax: 206-517-9350

WEST VIRGINIA STATEOFFICE300 Summers Street #400Charleston, WV 25301Office: 1-866-227-7458Fax: 304-344-4633

WISCONSIN STATE OFFICE222 West Washington Ave, Suite 600Madison, WI 53703Office: 1-866-448-3611Fax: 608-251-7612

WYOMING STATE OFFICE2020 Carey Avenue, MezzanineCheyenne, WY 82001Office: 1-866-663-3290Fax: 307-634-3808

*Information is current as of October, 2004. For more information on an office in your state, please call AARP at 888-687-2277.

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