Appendix Measures Table | 2026 Senior Report

Executive BriefSpotlight: Older Adults in Rural CommunitiesIntroductionNational SnapshotFindingsHealth OutcomesSocial and Economic FactorsClinical CareBehaviorsState RankingsAppendixMeasures TableData Source DescriptionsMethodologyReferencesState Summaries

US Summary

2026 Senior Report 2026 Senior Report – Executive Brief 2026 Senior Report – State Summaries 2026 Senior Report – Risk of Social Isolation County-Level Maps 2026 Senior Report – Measures Table 2026 Senior Report – Infographics 2026 Senior Report – Report Data (All States)

Social and Economic Factors

Measure	Description	Source(s)	Data Year(s)
Community and Family Safety
Firearm Deaths*^	Number of deaths among adults age 65 and older due to firearm injury of any intent (unintentional, suicide, homicide or undetermined) per 100,000 population	U.S. HHS, Multiple Cause of Death Files via CDC WONDER	2022-2024
Internet Crime*	Number of internet crime victim complaints per 10,000 adults age 60 and older	U.S. DOJ, FBI, Internet Crime Complaint Center Annual Reports	2024
Motor Vehicle Deaths	Number of deaths due to motor vehicle traffic crashes on a public roadway per 100,000 adults age 65 and older	U.S. DOT, National Highway Traffic Safety Administration, Fatality Analysis Reporting System	2023
Economic Resources
Community Support Expenditures^	Dollars per adult age 60 and older of Older Americans Act Title III funding spent on support services for older adults and caregivers, including congregate meals, home-delivered meals and senior centers	U.S. HHS, Administration for Community Living, State Program Reports	2024
Food Insecurity	Percentage of adults age 60 and older who lack access to enough food for an active and healthy life due to limited financial resources	Feeding America, Food Insecurity Among Seniors and Older Adults Report Series	2023
Poverty	Percentage of adults age 65 and older living below the poverty level	U.S. Census Bureau, American Community Survey, 1-Year Dataset	2024
Poverty Racial Disparity*	Ratio of the poverty rate of the racial/ethnic group with the highest rate (varies by state) to the non-Hispanic white rate among adults age 65 and older	U.S. Census Bureau, American Community Survey, 1-Year Dataset	2024
SNAP Reach	Number of adults age 60 and older who participated in the Supplemental Nutrition Assistance Program (SNAP) per 100 adults age 60 and older living in poverty	USDA, Characteristics of Supplemental Nutrition Assistance Program Households Report Series	2023
Education
College Graduate*	Percentage of adults age 65 and older who have a college degree	U.S. Census Bureau, American Community Survey, 1-Year Dataset	2024
Social Support and Engagement
High-Speed Internet	Percentage of households with one or more adults age 65 and older that have a broadband internet subscription and a computer, smartphone or tablet	U.S. Census Bureau, American Community Survey, 1-Year Dataset	2024
Low-Care Nursing Home Residents	Percentage of nursing home residents who do not require physical assistance for bed mobility, transferring, using the toilet or eating	Brown University School of Public Health, LTCFocus	2023
Risk of Social Isolation^	Index of social isolation risk factors (living in poverty; living alone; being divorced, separated or widowed; having never married; having a disability; and having independent living difficulty) among adults age 65 and older; normalized values are 1 to 100, with a higher value indicating greater risk	U.S. Census Bureau, American Community Survey, 5-Year Dataset	2020-2024
Unpaid Older Adult Care*	Percentage of the population age 15 and older that reported providing unpaid care or assistance to an adult age 65 or older who needed help because of a condition related to aging	U.S. DOL, Bureau of Labor Statistics, American Time Use Survey	2023-2024
Volunteerism	Percentage of adults age 65 and older who reported volunteering in the past 12 months	U.S. Census Bureau, Current Population Survey, Volunteering and Civic Life Supplement	2023^†
Voter Participation (Average)*	Average of the percentages of U.S. citizens age 65 and older who voted in the last presidential and the last midterm elections	U.S. Census Bureau, Current Population Survey, Voting and Registration Supplement	2022/2024
Voter Participation (Midterm)*	Percentage of U.S. citizens age 65 and older who voted in the last midterm election	U.S. Census Bureau, Current Population Survey, Voting and Registration Supplement	2022^†
Voter Participation (Presidential)*	Percentage of U.S. citizens age 65 and older who voted in the last presidential election	U.S. Census Bureau, Current Population Survey, Voting and Registration Supplement	2024

Physical Environment

Measure	Description	Source(s)	Data Year(s)
Air and Water Quality
Air Pollution	Average exposure of the general public to particulate matter of 2.5 microns or less, measured in micrograms per cubic meter	U.S. EPA	2022-2024
Drinking Water Violations	Average number of health-based drinking water violations per community water system in a state	U.S. EPA, Safe Drinking Water Information System via ECHO	2024
Smoke-Free Policies*	Percentage of the population covered by 100% smoke-free laws for restaurants, bars and nonhospitality workplaces	American Nonsmokers' Rights Foundation	2026
Climate and Health
Emergency Management Plan*	State has an enhanced state hazard mitigation plan approved by the Federal Emergency Management Agency that uses a social vulnerability index accounting for older adults and people with disabilities	AARP Public Policy Institute, LTSS State Scorecard Report Series	2023^†
Housing and Transit
Housing Cost Burden	Percentage of households with one or more adults age 65 and older for which housing costs are 30% or more of household income	U.S. Census Bureau, American Community Survey, 1-Year Dataset	2024
Severe Housing Problems*	Percentage of one- and two-person households inhabited by adults age 62 or older with at least one of the following problems: lack of complete kitchen facilities, lack of plumbing facilities, overcrowding or cost-burdened occupants	U.S. HUD, Comprehensive Housing Affordability Strategy	2018-2022

Clinical Care

Measure	Description	Source(s)	Data Year(s)
Access to Care
Avoided Care Due to Cost	Percentage of adults age 65 and older who reported a time in the past 12 months when they needed to visit a doctor but could not because of cost	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Geriatric Clinicians	Number of family medicine and internal medicine geriatricians and nurse practitioners per 100,000 adults age 65 and older	U.S. HHS, CMS, National Plan and Provider Enumeration System	September 2025
Home Health Care Workers	Number of personal care and home health aides per 1,000 adults age 65 and older	U.S. DOL, Bureau of Labor Statistics, Occupational Employment and Wage Statistics Program	2024
Preventive Clinical Services
Cancer Screenings	Percentage of females ages 65-74 who reported receiving a mammogram in the past two years and percentage of adults ages 65-75 who reported receiving colorectal cancer screening within the recommended time period	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Flu Vaccination	Percentage of adults age 65 and older who reported receiving a seasonal flu vaccine in the past 12 months	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Pneumonia Vaccination	Percentage of adults age 65 and older who reported ever receiving a pneumonia vaccine	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
RSV Vaccination*	Percentage of adults age 60 and older who reported ever receiving a respiratory syncytial virus (RSV) vaccine	U.S. HHS, CDC, NIS-Adult COVID Module	8/18/2024-1/4/2025^†
Quality of Care
Dedicated Health Care Provider	Percentage of adults age 65 and older who reported having a personal doctor or health care provider	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Direct Care Worker Wage Competitiveness*	Dollar amount shortfall between the average hourly wages for direct care jobs and other comparable entry-level jobs	AARP Public Policy Institute, LTSS State Scorecard Report Series	2021^†
Hospice Care	Percentage of Medicare decedents who were in hospice at time of death	NHPCO Facts and Figures Report Series	2022^†
Nursing Home Quality	Percentage of certified nursing home beds rated four or five stars over a three-month period	U.S. HHS, CMS, Care Compare	September 2025-November 2025
Preventable Hospitalizations	Discharges following hospitalization for ambulatory care-sensitive conditions (PQI 90) per 100,000 Medicare beneficiaries ages 65-74 enrolled in the fee-for-service program	U.S. HHS, CMS, Mapping Medicare Disparities Tool	2023^†

Behaviors

Measure	Description	Source(s)	Data Year(s)
Nutrition and Physical Activity
Exercise^	Percentage of adults age 65 and older who met the federal physical activity guidelines (150 minutes of moderate or 75 minutes of vigorous aerobic activity and two days of muscle strengthening per week) in the past 30 days	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2023^†
Fruit and Vegetable Consumption	Percentage of adults age 65 and older who reported consuming two or more fruits and three or more vegetables daily	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2021^†
Physical Inactivity	Percentage of adults age 65 and older in fair or better health who reported doing no physical activity or exercise other than their regular job in the past 30 days	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Sleep Health
Insufficient Sleep	Percentage of adults age 65 and older who reported sleeping, on average, less than seven hours in a 24-hour period	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2022^†
Smoking and Tobacco Use
Cigarette Smoking	Percentage of adults age 65 and older who reported smoking at least 100 cigarettes in their lifetime and currently smoke daily or some days	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024

Health Outcomes

Measure	Description	Source(s)	Data Year(s)
Behavioral Health
Depression*	Percentage of adults age 65 and older who reported being told by a health professional that they had a depressive disorder, including depression, major depression, minor depression or dysthymia	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Drug Deaths*	Number of deaths due to drug injury (unintentional, suicide, homicide or undetermined) per 100,000 adults age 65 and older	U.S. HHS, Multiple Cause of Death Files via CDC WONDER	2022-2024
Excessive Drinking	Percentage of adults age 65 and older who reported binge drinking (four or more drinks on one occasion in the past 30 days for females or five or more for males) or heavy drinking (eight or more drinks per week for females or 15 or more for males)	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Frequent Mental Distress	Percentage of adults age 65 and older who reported their mental health was not good 14 or more days in the past 30 days	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Suicide	Number of deaths due to intentional self-harm per 100,000 adults age 65 and older	U.S. HHS, Multiple Cause of Death Files via CDC WONDER	2022-2024
Mortality
Early Death	Number of deaths per 100,000 adults ages 65-74	U.S. HHS, Multiple Cause of Death Files via CDC WONDER	2024
Early Death Racial Disparity*	Ratio of the early death rate of the racial/ethnic group with the highest rate (varies by state) to the non-Hispanic white rate among adults ages 65-74	U.S. HHS, Multiple Cause of Death Files via CDC WONDER	2024
Physical Health
Falls	Percentage of adults age 65 and older who reported falling in the past 12 months	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2023^†
Frequent Physical Distress	Percentage of adults age 65 and older who reported their physical health was not good 14 or more days in the past 30 days	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
High Health Status*	Percentage of adults age 65 and older who reported their health was very good or excellent	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Multiple Chronic Conditions	Percentage of Medicare beneficiaries ages 65-74 with three or more chronic conditions enrolled in the fee-for-service program	U.S. HHS, CMS, Mapping Medicare Disparities Tool	2023^†
Obesity^	Percentage of adults age 65 and older who have a body mass index of 30.0 or higher based on reported height and weight	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Teeth Extractions	Percentage of adults age 65 and older who have had all teeth removed due to tooth decay or gum disease	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024

Demographics

Measure	Description	Source(s)	Data Year(s)
Functional Disability*^	Percentage of adults age 65 and older who reported having a cognitive, visual, auditory, ambulatory, self-care and/or independent living difficulty disability	U.S. Census Bureau, American Community Survey, 1-Year Dataset	2024
Population - Age 65+*	Percentage of the population that is age 65 and older	U.S. Census Bureau, Single-Race Population Estimates via CDC WONDER	2024
Population - Age 65+ - Rural*	Percentage of adults age 65 and older who live in a rural area	U.S. Census Bureau, American Community Survey, 1-Year Dataset	2024

* Unweighted measure, excluded from the Overall and category composite measures.

^ Multicomponent measure. Data for each subcomponent are published on their respective measure pages, which can be found through the Explore Data section. 

† Data in this edition were repeated from the last edition.

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Measure	Description	Source(s)	Data Year(s)
Community and Family Safety
Firearm Deaths*^	Number of deaths among adults age 65 and older due to firearm injury of any intent (unintentional, suicide, homicide or undetermined) per 100,000 population	U.S. HHS, Multiple Cause of Death Files via CDC WONDER	2022-2024
Internet Crime*	Number of internet crime victim complaints per 10,000 adults age 60 and older	U.S. DOJ, FBI, Internet Crime Complaint Center Annual Reports	2024
Motor Vehicle Deaths	Number of deaths due to motor vehicle traffic crashes on a public roadway per 100,000 adults age 65 and older	U.S. DOT, National Highway Traffic Safety Administration, Fatality Analysis Reporting System	2023
Economic Resources
Community Support Expenditures^	Dollars per adult age 60 and older of Older Americans Act Title III funding spent on support services for older adults and caregivers, including congregate meals, home-delivered meals and senior centers	U.S. HHS, Administration for Community Living, State Program Reports	2024
Food Insecurity	Percentage of adults age 60 and older who lack access to enough food for an active and healthy life due to limited financial resources	Feeding America, Food Insecurity Among Seniors and Older Adults Report Series	2023
Poverty	Percentage of adults age 65 and older living below the poverty level	U.S. Census Bureau, American Community Survey, 1-Year Dataset	2024
Poverty Racial Disparity*	Ratio of the poverty rate of the racial/ethnic group with the highest rate (varies by state) to the non-Hispanic white rate among adults age 65 and older	U.S. Census Bureau, American Community Survey, 1-Year Dataset	2024
SNAP Reach	Number of adults age 60 and older who participated in the Supplemental Nutrition Assistance Program (SNAP) per 100 adults age 60 and older living in poverty	USDA, Characteristics of Supplemental Nutrition Assistance Program Households Report Series	2023
Education
College Graduate*	Percentage of adults age 65 and older who have a college degree	U.S. Census Bureau, American Community Survey, 1-Year Dataset	2024
Social Support and Engagement
High-Speed Internet	Percentage of households with one or more adults age 65 and older that have a broadband internet subscription and a computer, smartphone or tablet	U.S. Census Bureau, American Community Survey, 1-Year Dataset	2024
Low-Care Nursing Home Residents	Percentage of nursing home residents who do not require physical assistance for bed mobility, transferring, using the toilet or eating	Brown University School of Public Health, LTCFocus	2023
Risk of Social Isolation^	Index of social isolation risk factors (living in poverty; living alone; being divorced, separated or widowed; having never married; having a disability; and having independent living difficulty) among adults age 65 and older; normalized values are 1 to 100, with a higher value indicating greater risk	U.S. Census Bureau, American Community Survey, 5-Year Dataset	2020-2024
Unpaid Older Adult Care*	Percentage of the population age 15 and older that reported providing unpaid care or assistance to an adult age 65 or older who needed help because of a condition related to aging	U.S. DOL, Bureau of Labor Statistics, American Time Use Survey	2023-2024
Volunteerism	Percentage of adults age 65 and older who reported volunteering in the past 12 months	U.S. Census Bureau, Current Population Survey, Volunteering and Civic Life Supplement	2023^†
Voter Participation (Average)*	Average of the percentages of U.S. citizens age 65 and older who voted in the last presidential and the last midterm elections	U.S. Census Bureau, Current Population Survey, Voting and Registration Supplement	2022/2024
Voter Participation (Midterm)*	Percentage of U.S. citizens age 65 and older who voted in the last midterm election	U.S. Census Bureau, Current Population Survey, Voting and Registration Supplement	2022^†
Voter Participation (Presidential)*	Percentage of U.S. citizens age 65 and older who voted in the last presidential election	U.S. Census Bureau, Current Population Survey, Voting and Registration Supplement	2024

Measure

Description

Source(s)

Data Year(s)

Community and Family Safety

Firearm Deaths*^

Number of deaths among adults age 65 and older due to firearm injury of any intent (unintentional, suicide, homicide or undetermined) per 100,000 population

U.S. HHS, Multiple Cause of Death Files via CDC WONDER

2022-2024

Internet Crime*

Number of internet crime victim complaints per 10,000 adults age 60 and older

U.S. DOJ, FBI, Internet Crime Complaint Center Annual Reports

2024

Motor Vehicle Deaths

Number of deaths due to motor vehicle traffic crashes on a public roadway per 100,000 adults age 65 and older

U.S. DOT, National Highway Traffic Safety Administration, Fatality Analysis Reporting System

2023

Economic Resources

Community Support Expenditures^

Dollars per adult age 60 and older of Older Americans Act Title III funding spent on support services for older adults and caregivers, including congregate meals, home-delivered meals and senior centers

U.S. HHS, Administration for Community Living, State Program Reports

2024

Food Insecurity

Percentage of adults age 60 and older who lack access to enough food for an active and healthy life due to limited financial resources

Feeding America, Food Insecurity Among Seniors and Older Adults Report Series

2023

Poverty

Percentage of adults age 65 and older living below the poverty level

U.S. Census Bureau, American Community Survey, 1-Year Dataset

2024

Poverty Racial Disparity*

Ratio of the poverty rate of the racial/ethnic group with the highest rate (varies by state) to the non-Hispanic white rate among adults age 65 and older

U.S. Census Bureau, American Community Survey, 1-Year Dataset

2024

SNAP Reach

Number of adults age 60 and older who participated in the Supplemental Nutrition Assistance Program (SNAP) per 100 adults age 60 and older living in poverty

USDA, Characteristics of Supplemental Nutrition Assistance Program Households Report Series

2023

Education

College Graduate*

Percentage of adults age 65 and older who have a college degree

U.S. Census Bureau, American Community Survey, 1-Year Dataset

2024

Social Support and Engagement

High-Speed Internet

Percentage of households with one or more adults age 65 and older that have a broadband internet subscription and a computer, smartphone or tablet

U.S. Census Bureau, American Community Survey, 1-Year Dataset

2024

Low-Care Nursing Home Residents

Percentage of nursing home residents who do not require physical assistance for bed mobility, transferring, using the toilet or eating

Brown University School of Public Health, LTCFocus

2023

Risk of Social Isolation^

Index of social isolation risk factors (living in poverty; living alone; being divorced, separated or widowed; having never married; having a disability; and having independent living difficulty) among adults age 65 and older; normalized values are 1 to 100, with a higher value indicating greater risk

U.S. Census Bureau, American Community Survey, 5-Year Dataset

2020-2024

Unpaid Older Adult Care*

Percentage of the population age 15 and older that reported providing unpaid care or assistance to an adult age 65 or older who needed help because of a condition related to aging

U.S. DOL, Bureau of Labor Statistics, American Time Use Survey

2023-2024

Volunteerism

Percentage of adults age 65 and older who reported volunteering in the past 12 months

U.S. Census Bureau, Current Population Survey, Volunteering and Civic Life Supplement

2023†

Voter Participation (Average)*

Average of the percentages of U.S. citizens age 65 and older who voted in the last presidential and the last midterm elections

U.S. Census Bureau, Current Population Survey, Voting and Registration Supplement

2022/2024

Voter Participation (Midterm)*

Percentage of U.S. citizens age 65 and older who voted in the last midterm election

U.S. Census Bureau, Current Population Survey, Voting and Registration Supplement

2022†

Voter Participation (Presidential)*

Percentage of U.S. citizens age 65 and older who voted in the last presidential election

U.S. Census Bureau, Current Population Survey, Voting and Registration Supplement

2024

Measure	Description	Source(s)	Data Year(s)
Air and Water Quality
Air Pollution	Average exposure of the general public to particulate matter of 2.5 microns or less, measured in micrograms per cubic meter	U.S. EPA	2022-2024
Drinking Water Violations	Average number of health-based drinking water violations per community water system in a state	U.S. EPA, Safe Drinking Water Information System via ECHO	2024
Smoke-Free Policies*	Percentage of the population covered by 100% smoke-free laws for restaurants, bars and nonhospitality workplaces	American Nonsmokers' Rights Foundation	2026
Climate and Health
Emergency Management Plan*	State has an enhanced state hazard mitigation plan approved by the Federal Emergency Management Agency that uses a social vulnerability index accounting for older adults and people with disabilities	AARP Public Policy Institute, LTSS State Scorecard Report Series	2023^†
Housing and Transit
Housing Cost Burden	Percentage of households with one or more adults age 65 and older for which housing costs are 30% or more of household income	U.S. Census Bureau, American Community Survey, 1-Year Dataset	2024
Severe Housing Problems*	Percentage of one- and two-person households inhabited by adults age 62 or older with at least one of the following problems: lack of complete kitchen facilities, lack of plumbing facilities, overcrowding or cost-burdened occupants	U.S. HUD, Comprehensive Housing Affordability Strategy	2018-2022

Measure

Description

Source(s)

Data Year(s)

Air and Water Quality

Air Pollution

Average exposure of the general public to particulate matter of 2.5 microns or less, measured in micrograms per cubic meter

U.S. EPA

2022-2024

Drinking Water Violations

Average number of health-based drinking water violations per community water system in a state

U.S. EPA, Safe Drinking Water Information System via ECHO

2024

Smoke-Free Policies*

Percentage of the population covered by 100% smoke-free laws for restaurants, bars and nonhospitality workplaces

American Nonsmokers' Rights Foundation

2026

Climate and Health

Emergency Management Plan*

State has an enhanced state hazard mitigation plan approved by the Federal Emergency Management Agency that uses a social vulnerability index accounting for older adults and people with disabilities

AARP Public Policy Institute, LTSS State Scorecard Report Series

2023†

Housing and Transit

Housing Cost Burden

Percentage of households with one or more adults age 65 and older for which housing costs are 30% or more of household income

U.S. Census Bureau, American Community Survey, 1-Year Dataset

2024

Severe Housing Problems*

Percentage of one- and two-person households inhabited by adults age 62 or older with at least one of the following problems: lack of complete kitchen facilities, lack of plumbing facilities, overcrowding or cost-burdened occupants

U.S. HUD, Comprehensive Housing Affordability Strategy

2018-2022

Measure	Description	Source(s)	Data Year(s)
Access to Care
Avoided Care Due to Cost	Percentage of adults age 65 and older who reported a time in the past 12 months when they needed to visit a doctor but could not because of cost	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Geriatric Clinicians	Number of family medicine and internal medicine geriatricians and nurse practitioners per 100,000 adults age 65 and older	U.S. HHS, CMS, National Plan and Provider Enumeration System	September 2025
Home Health Care Workers	Number of personal care and home health aides per 1,000 adults age 65 and older	U.S. DOL, Bureau of Labor Statistics, Occupational Employment and Wage Statistics Program	2024
Preventive Clinical Services
Cancer Screenings	Percentage of females ages 65-74 who reported receiving a mammogram in the past two years and percentage of adults ages 65-75 who reported receiving colorectal cancer screening within the recommended time period	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Flu Vaccination	Percentage of adults age 65 and older who reported receiving a seasonal flu vaccine in the past 12 months	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Pneumonia Vaccination	Percentage of adults age 65 and older who reported ever receiving a pneumonia vaccine	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
RSV Vaccination*	Percentage of adults age 60 and older who reported ever receiving a respiratory syncytial virus (RSV) vaccine	U.S. HHS, CDC, NIS-Adult COVID Module	8/18/2024-1/4/2025^†
Quality of Care
Dedicated Health Care Provider	Percentage of adults age 65 and older who reported having a personal doctor or health care provider	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Direct Care Worker Wage Competitiveness*	Dollar amount shortfall between the average hourly wages for direct care jobs and other comparable entry-level jobs	AARP Public Policy Institute, LTSS State Scorecard Report Series	2021^†
Hospice Care	Percentage of Medicare decedents who were in hospice at time of death	NHPCO Facts and Figures Report Series	2022^†
Nursing Home Quality	Percentage of certified nursing home beds rated four or five stars over a three-month period	U.S. HHS, CMS, Care Compare	September 2025-November 2025
Preventable Hospitalizations	Discharges following hospitalization for ambulatory care-sensitive conditions (PQI 90) per 100,000 Medicare beneficiaries ages 65-74 enrolled in the fee-for-service program	U.S. HHS, CMS, Mapping Medicare Disparities Tool	2023^†

Measure

Description

Source(s)

Data Year(s)

Access to Care

Avoided Care Due to Cost

Percentage of adults age 65 and older who reported a time in the past 12 months when they needed to visit a doctor but could not because of cost

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2024

Geriatric Clinicians

Number of family medicine and internal medicine geriatricians and nurse practitioners per 100,000 adults age 65 and older

U.S. HHS, CMS, National Plan and Provider Enumeration System

September 2025

Home Health Care Workers

Number of personal care and home health aides per 1,000 adults age 65 and older

U.S. DOL, Bureau of Labor Statistics, Occupational Employment and Wage Statistics Program

2024

Preventive Clinical Services

Cancer Screenings

Percentage of females ages 65-74 who reported receiving a mammogram in the past two years and percentage of adults ages 65-75 who reported receiving colorectal cancer screening within the recommended time period

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2024

Flu Vaccination

Percentage of adults age 65 and older who reported receiving a seasonal flu vaccine in the past 12 months

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2024

Pneumonia Vaccination

Percentage of adults age 65 and older who reported ever receiving a pneumonia vaccine

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2024

RSV Vaccination*

Percentage of adults age 60 and older who reported ever receiving a respiratory syncytial virus (RSV) vaccine

U.S. HHS, CDC, NIS-Adult COVID Module

8/18/2024-1/4/2025†

Quality of Care

Dedicated Health Care Provider

Percentage of adults age 65 and older who reported having a personal doctor or health care provider

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2024

Direct Care Worker Wage Competitiveness*

Dollar amount shortfall between the average hourly wages for direct care jobs and other comparable entry-level jobs

AARP Public Policy Institute, LTSS State Scorecard Report Series

2021†

Hospice Care

Percentage of Medicare decedents who were in hospice at time of death

NHPCO Facts and Figures Report Series

2022†

Nursing Home Quality

Percentage of certified nursing home beds rated four or five stars over a three-month period

U.S. HHS, CMS, Care Compare

September 2025-November 2025

Preventable Hospitalizations

Discharges following hospitalization for ambulatory care-sensitive conditions (PQI 90) per 100,000 Medicare beneficiaries ages 65-74 enrolled in the fee-for-service program

U.S. HHS, CMS, Mapping Medicare Disparities Tool

2023†

Measure	Description	Source(s)	Data Year(s)
Nutrition and Physical Activity
Exercise^	Percentage of adults age 65 and older who met the federal physical activity guidelines (150 minutes of moderate or 75 minutes of vigorous aerobic activity and two days of muscle strengthening per week) in the past 30 days	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2023^†
Fruit and Vegetable Consumption	Percentage of adults age 65 and older who reported consuming two or more fruits and three or more vegetables daily	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2021^†
Physical Inactivity	Percentage of adults age 65 and older in fair or better health who reported doing no physical activity or exercise other than their regular job in the past 30 days	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Sleep Health
Insufficient Sleep	Percentage of adults age 65 and older who reported sleeping, on average, less than seven hours in a 24-hour period	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2022^†
Smoking and Tobacco Use
Cigarette Smoking	Percentage of adults age 65 and older who reported smoking at least 100 cigarettes in their lifetime and currently smoke daily or some days	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024

Measure

Description

Source(s)

Data Year(s)

Nutrition and Physical Activity

Exercise^

Percentage of adults age 65 and older who met the federal physical activity guidelines (150 minutes of moderate or 75 minutes of vigorous aerobic activity and two days of muscle strengthening per week) in the past 30 days

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2023†

Fruit and Vegetable Consumption

Percentage of adults age 65 and older who reported consuming two or more fruits and three or more vegetables daily

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2021†

Physical Inactivity

Percentage of adults age 65 and older in fair or better health who reported doing no physical activity or exercise other than their regular job in the past 30 days

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2024

Sleep Health

Insufficient Sleep

Percentage of adults age 65 and older who reported sleeping, on average, less than seven hours in a 24-hour period

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2022†

Smoking and Tobacco Use

Cigarette Smoking

Percentage of adults age 65 and older who reported smoking at least 100 cigarettes in their lifetime and currently smoke daily or some days

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2024

Measure	Description	Source(s)	Data Year(s)
Behavioral Health
Depression*	Percentage of adults age 65 and older who reported being told by a health professional that they had a depressive disorder, including depression, major depression, minor depression or dysthymia	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Drug Deaths*	Number of deaths due to drug injury (unintentional, suicide, homicide or undetermined) per 100,000 adults age 65 and older	U.S. HHS, Multiple Cause of Death Files via CDC WONDER	2022-2024
Excessive Drinking	Percentage of adults age 65 and older who reported binge drinking (four or more drinks on one occasion in the past 30 days for females or five or more for males) or heavy drinking (eight or more drinks per week for females or 15 or more for males)	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Frequent Mental Distress	Percentage of adults age 65 and older who reported their mental health was not good 14 or more days in the past 30 days	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Suicide	Number of deaths due to intentional self-harm per 100,000 adults age 65 and older	U.S. HHS, Multiple Cause of Death Files via CDC WONDER	2022-2024
Mortality
Early Death	Number of deaths per 100,000 adults ages 65-74	U.S. HHS, Multiple Cause of Death Files via CDC WONDER	2024
Early Death Racial Disparity*	Ratio of the early death rate of the racial/ethnic group with the highest rate (varies by state) to the non-Hispanic white rate among adults ages 65-74	U.S. HHS, Multiple Cause of Death Files via CDC WONDER	2024
Physical Health
Falls	Percentage of adults age 65 and older who reported falling in the past 12 months	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2023^†
Frequent Physical Distress	Percentage of adults age 65 and older who reported their physical health was not good 14 or more days in the past 30 days	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
High Health Status*	Percentage of adults age 65 and older who reported their health was very good or excellent	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Multiple Chronic Conditions	Percentage of Medicare beneficiaries ages 65-74 with three or more chronic conditions enrolled in the fee-for-service program	U.S. HHS, CMS, Mapping Medicare Disparities Tool	2023^†
Obesity^	Percentage of adults age 65 and older who have a body mass index of 30.0 or higher based on reported height and weight	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024
Teeth Extractions	Percentage of adults age 65 and older who have had all teeth removed due to tooth decay or gum disease	U.S. HHS, CDC, Behavioral Risk Factor Surveillance System	2024

Measure

Description

Source(s)

Data Year(s)

Behavioral Health

Depression*

Percentage of adults age 65 and older who reported being told by a health professional that they had a depressive disorder, including depression, major depression, minor depression or dysthymia

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2024

Drug Deaths*

Number of deaths due to drug injury (unintentional, suicide, homicide or undetermined) per 100,000 adults age 65 and older

U.S. HHS, Multiple Cause of Death Files via CDC WONDER

2022-2024

Excessive Drinking

Percentage of adults age 65 and older who reported binge drinking (four or more drinks on one occasion in the past 30 days for females or five or more for males) or heavy drinking (eight or more drinks per week for females or 15 or more for males)

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2024

Frequent Mental Distress

Percentage of adults age 65 and older who reported their mental health was not good 14 or more days in the past 30 days

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2024

Suicide

Number of deaths due to intentional self-harm per 100,000 adults age 65 and older

U.S. HHS, Multiple Cause of Death Files via CDC WONDER

2022-2024

Mortality

Early Death

Number of deaths per 100,000 adults ages 65-74

U.S. HHS, Multiple Cause of Death Files via CDC WONDER

2024

Early Death Racial Disparity*

Ratio of the early death rate of the racial/ethnic group with the highest rate (varies by state) to the non-Hispanic white rate among adults ages 65-74

U.S. HHS, Multiple Cause of Death Files via CDC WONDER

2024

Physical Health

Falls

Percentage of adults age 65 and older who reported falling in the past 12 months

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2023†

Frequent Physical Distress

Percentage of adults age 65 and older who reported their physical health was not good 14 or more days in the past 30 days

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2024

High Health Status*

Percentage of adults age 65 and older who reported their health was very good or excellent

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2024

Multiple Chronic Conditions

Percentage of Medicare beneficiaries ages 65-74 with three or more chronic conditions enrolled in the fee-for-service program

U.S. HHS, CMS, Mapping Medicare Disparities Tool

2023†

Obesity^

Percentage of adults age 65 and older who have a body mass index of 30.0 or higher based on reported height and weight

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2024

Teeth Extractions

Percentage of adults age 65 and older who have had all teeth removed due to tooth decay or gum disease

U.S. HHS, CDC, Behavioral Risk Factor Surveillance System

2024

Measure

Description

Source(s)

Data Year(s)

Functional Disability*^

Percentage of adults age 65 and older who reported having a cognitive, visual, auditory, ambulatory, self-care and/or independent living difficulty disability

U.S. Census Bureau, American Community Survey, 1-Year Dataset

2024

Population - Age 65+*

Percentage of the population that is age 65 and older

U.S. Census Bureau, Single-Race Population Estimates via CDC WONDER

2024

Population - Age 65+ - Rural*

Percentage of adults age 65 and older who live in a rural area

U.S. Census Bureau, American Community Survey, 1-Year Dataset

2024

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