Best, worst states for senior care staffing, per Seniorly

California is the best state for senior care staffing, while Oklahoma is the worst, according to an April 12 Seniorly report.

Seniorly, a website that helps older adults find living facilities, used six metrics to determine how well states were equipped to handle senior care staffing. Metrics included the median ratio of healthcare providers eligible to work per occupied nursing home bed, nursing home occupancy rates, share of nursing facilities reporting staff shortages, median nursing staff turnover in nursing homes, projected adequacy of the primary care workforce, and home health aid supply. A Z-score distribution was used to scale each metric relative to the mean across all 50 states and the District of Columbia.

Here are the 10 best and worst states for senior care, along with their scores:


California: 0.855

Alaska: 0.833

District of Columbia: 0.786

North Dakota: 0.734

Minnesota: 0.723

Connecticut: 0.627

New York: 0.524

Massachusetts: 0.441

Delaware: 0.391

Pennsylvania: 0.361



Oklahoma: -1.007

Missouri: -0.629

Georgia: -0.592

Tennessee: -0.576

North Carolina: -0.433

Louisiana: -0.403

Texas: -0.387

Alabama: -0.382

Utah: -0.340

Montana: -0.316

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