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Best Cities for Successful Aging | San Francisco-Oakland-Hayward, CA
#10
OVERALL RANKING
Mayors Pledge

San Francisco-Oakland-Hayward, CA


SCORE: 76.61

#9
FOR AGES 65-79
SCORE: 76.83
 
#10
FOR AGES 80+
SCORE: 75.35
 
Percent of Population 65+:  13.31%
Population 65+:  592,693
Total Population:  4,454,159

Indicator Rank Score Average
AvgScore
Percent
+/-
% +/-
General Livability 3 99.64 87.83 13.45 %
Health Care 68 59.62 62.09 -3.98 %
Wellness 5 83.01 72.07 15.18 %
Financial Security 28 90.87 88.25 2.97 %
Education 21 66.05 61.67 7.10 %
Transportation/
Convenience
Transport-
ation
3 67.49 46.42 45.39 %
Employment 30 67.23 63.96 5.11 %
Living ArrangementsArrange-
ments
93 57.31 69.42 -17.44 %
Community EngagementEngage-
ment
72 68.24 73.23 -6.81 %
(Three-tier color code: 1-25 Green, 26-75 Black, 76+ Red)
Find out about the methodology used for these indicators

Nailed It


Livability in booming economy

- Good drivers: few car crashes per capita
- Walkable communities and mild weather
- High income levels and employment growth; many small businesses
- Focus on prevention: abundant primary care; high Medicare enrollment

Quality health care

- Numerous five-star nursing homes and Joint Commission-accredited hospitals
- Enhanced independent living opportunities: many continuing-care facilities

Healthy, active lifestyle

- Educated population, with high college enrollment rates
- Many libraries and cultural opportunities
- A giving culture: high rates of philanthropy

Needs Work


Costs and convenience

- Expensive living; high taxes
- Aging in place: too few home health-care providers, few residents aging at home, pricey long-term care
- Few dialysis and diagnostic centers
- Significant unemployment among older adults
- Too much college-town binge drinking

Takeaway


Economic strength, fueled by the famed Bay Area tech industry, bumped this busy region up from No. 17 in “Best Cities” 2014. It enjoys strong transit and cultural and educational offerings, with diverse resources for older adults. Unfortunately, income inequality is high and the cost of living can be prohibitive, so many people commute long distances to work.

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General Indicators

Indicator Rank Score Average
Score
Cost of living 98 16.83 46.41
Crime rate 81 41.18 52.77
Internet access 12 93.83 83.51
Employment growth 9 92.35 86.82
Unemployment rate 19 73.77 64.06
Income distribution 87 81.63 86.33
Weather 2 97.74 65.13
Fatal car crashes 1 100.00 51.71

Health-Care Indicators

Indicator Rank Score Average
Score
Medicare enrollment 10 95.81 62.02
Primary-care physicians 4 82.35 57.60
Nurse practitioners and physicians' assistants 87 29.41 45.49
Number of nurses 86 29.30 38.33
Number of hospital beds 85 28.12 37.22
Long-term hospitals 63 10.37 22.49
Hospitals with geriatric services 46 36.83 37.70
Hospitals with rehabilitation services 58 37.47 43.27
Hospitals with Alzheimer's units 35 12.59 11.62
Hospitals with hospice services 57 23.67 31.78
Orthopedic surgeons 23 37.41 31.70
Dialysis centers 56 35.37 40.28
Medical and diagnostic centers 52 49.02 48.95
Physical therapists 66 49.11 56.09
Expenses per inpatient day 89 42.96 62.02
Joint Commission accreditation 19 95.45 83.71
Medical school affiliation 48 46.28 45.76
Magnet hospitals 48 10.91 14.40
ER wait times 68 30.02 40.01
 

Wellness Indicators

Indicator Rank Score Average
Score
Obesity rate 8 90.21 70.79
Smoking rate 9 50.86 30.34
Diabetes rate 32 52.01 48.54
Alzheimer's cases 17 92.36 81.26
Caregivers 90 29.35 39.21
Life expectancy at 65 4 95.22 84.59
Depression 7 54.10 43.31
Physical activity 8 86.25 65.43
Fitness and recreational sports centers 15 56.69 46.08
Fast-food outlets 69 56.66 61.73
Falls with injury 20 41.90 38.43
Binge drinking 48 39.92 40.64
Air quality 17 78.25 67.44

Financial Indicators

Indicator Rank Score Average
Score
Banks and financial institutions 5 59.73 47.44
Total bank deposits 7 16.00 7.24
Tax burden 77 52.36 68.14
Dependency ratio 3 96.95 84.57
Growth of small businesses 20 89.35 86.25
Older adults below poverty line 58 55.91 58.57
Capital gains 23 64.45 49.15
Income growth 5 92.68 84.11
Reverse mortgages 95 1.11 15.80
 

Living Arrangements Indicators

Indicator Rank Score Average
Score
Median house price 99 9.71 44.17
Median rental price 97 41.21 69.47
Households with older adults 36 56.36 55.52
Nursing beds 84 38.15 60.28
Cost of semi-private nursing room 65 57.14 64.62
Home health-care service providers 82 8.36 15.21
Continuing-care facilities 8 40.33 23.14
Cost of assisted living 57 76.80 80.63
Nursing-home rating 9 65.54 36.99
Older adults in family homes 52 84.05 84.60
Cost of adult day services 66 45.45 55.79

Employment Indicators

Indicator Rank Score Average
Score
Percent of 65+ employed 72.79
65+ unemployment rate 30.13
Employment growth in health,education,leisure and hospitality 85.90
Output of service sector/manufacturing 22.62
 

Transportation/Convenience Indicators

Indicator Rank Score Average
Score
Walk score 5 80.07 50.90
Commute times 98 60.50 78.27
Commuters who walk to work 7 78.13 38.41
Number of passenger trips 2 46.12 9.79
Public transport fare 94 7.79 16.65
Investment in public/senior transportation 77 59.80 67.65
Grocery stores 6 48.20 33.58
Special needs transportation 59 22.75 29.60

Community Engagement Indicators

Indicator Rank Score Average
Score
Percent of population 65+ 47 46.75 47.47
Arts, entertainment, and recreation facilities 18 39.23 30.60
Senior volunteer rates 62 48.10 53.28
Number of public libraries 60 37.86 44.65
Number of civic and religious organizations 87 37.83 60.15
Funding for older adults 54 73.53 75.84
 

Education Indicators

Indicator Rank Score Average
Score
Educational attainment 60 89.46 38.00
College enrollment 29 62.95 58.16
Number of community colleges 43 20.58 20.92
Number of universities 17 51.53 38.93