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Methodology




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Living Arrangements Indicators

Weights*
Indicator
Methodology
Year
100 large
281 small
Median house price
Divided by corresponding U.S. value, †
Data sources: National Association of Realtors, Moody's Analytics
2013 0.131 0.141
Median rental price
Divided by corresponding U.S. value, †
Data source: Census Bureau
2014 0.162 0.168
Households with older adults
Percent of households with residents 65+, ‡
Data source: Census Bureau
2014 0.060 0.053
Older adults in family homes
Percent of population 65+ living in family households, ‡
Data source: Census Bureau
2014 0.078 0.040
Nursing beds
Per population 65+, ‡
Data source: Centers for Medicare and Medicaid Services
2016 0.044 0.082
Cost of semiprivate nursing room
Average daily cost divided by corresponding U.S. value (state-level data), †
Data source: Genworth
2015 0.159 0.141
Home health-care service providers
Per population 65+, NAICS code: 6216, ‡
Data sources: Bureau of Labor Statistics, Moody's Analytics
2014 0.095 0.098
Cost of adult day services
Average daily cost, divided by corresponding U.S. value (state-level data), †
Data source: Genworth
2015 0.052 0.069
Continuing-care facilities
Number of facilities per population 65+, NAICS code: 62331
Data source: Census Bureau
2014 0.060 0.070
Cost of assisted living
Average monthly cost divided by corresponding U.S. value (state-level data), †
Data source: Genworth
2015 0.087 0.078
Nursing home rating
Percent with 5-star rating, ‡
Data source: Centers for Medicare and Medicaid Services
2016 0.073 0.060
* Figures may not add up to 1 due to rounding. † The lowest value is ranked highest. ‡ The highest value is ranked highest.

Most older adults want to "age in place," maintaining their home-community social support systems and avoiding unnecessary use of nursing homes. As part of this category, we include indicators that quantify the percent of households with older adults and the percentage of older adults aging in place. With cost also playing a large role in determining where to live, we measure availability of affordable housing as a crucial element of a city's livability.

As individuals age, some require more support with activities of daily living, such as eating or bathing. While many rely on family caregivers, some require assistance by home health-care service providers or adult day services to continue living in their own homes. Some need nursing-home care or other around the-clock support. While an increasing number of people require some sort of support with activities of daily living, this care is unaffordable to many. For those who do not qualify for Medicaid, such care is not covered by insurance and must be paid out of pocket.

Access to a range of affordable long-term supports and services can improve quality of life for older adults, family, and caregivers. Our 2017 BCSA report uses the same indicators as the 2014 report, but the sources for some of these indicators have changed, which may alter scores and ranks. Number of nursing beds is now calculated using data from the Center for Medicare and Medicaid Services instead of the Kaiser Family Foundation. Previous data on cost of semiprivate nursing rooms, assisted living, and adult day services is from the Metlife Mature Market Institute, while the new data is obtained from a similar survey by Genworth.

Go to Community Engagement Indicators