Best Cities for Successful Aging Small Metros
Small Metros

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METRO OVERALL Age 65-79 Age 80+
Rank Score Rank Score Rank Score
Sioux Falls, SD 1 100.00 1 100.00 2 97.58
Iowa City, IA 2 98.63 2 97.07 1 100.00
Bismarck, ND 3 95.44 3 93.30 3 96.26
Columbia, MO 4 94.43 4 93.26 5 94.00
Rochester, MN 5 92.49 12 89.06 4 94.34
Gainesville, FL 6 92.26 5 91.86 6 93.25
Ann Arbor, MI 7 91.82 7 91.23 9 92.00
Missoula, MT 8 91.44 9 90.49 16 88.98
Durham-Chapel Hill, NC 9 90.74 11 89.21 8 92.01
Rapid City, SD 10 90.71 10 89.71 12 89.72
Ames, IA 11 90.67 6 91.51 10 91.31
Anchorage, AK 12 89.68 8 91.02 67 85.11
Morgantown, WV 13 89.05 13 88.87 18 88.74
Dubuque, IA 14 88.47 25 86.56 17 88.94
Hattiesburg, MS 15 88.46 18 87.37 7 93.19
Lincoln, NE 16 88.07 16 88.09 30 87.38
Lubbock, TX 17 88.00 17 87.48 13 89.42
Fargo, ND-MN 18 87.94 20 87.35 27 87.70
Boulder, CO 19 87.80 15 88.26 60 85.51
Burlington-South Burlington, VT 20 87.62 18 87.37 48 86.20
Billings, MT 21 87.41 40 85.38 29 87.51
Sioux City, IA-NE-SD 22 87.40 30 86.06 20 88.66
Great Falls, MT 23 87.14 43 85.16 25 87.78
Grand Forks, ND-MN 24 87.12 29 86.13 21 88.17
Charlottesville, VA 25 87.10 24 86.72 26 87.71
Fort Wayne, IN 26 86.89 26 86.31 43 86.69
Ithaca, NY 27 86.82 14 88.36 50 85.90
Alexandria, LA 28 86.78 36 85.59 11 90.37
Champaign-Urbana, IL 29 86.33 22 87.05 28 87.67
Wheeling, WV-OH 29 86.33 57 84.16 22 88.13
Muncie, IN 31 86.23 44 85.10 37 86.91
Bloomington-Normal, IL 32 86.18 21 87.27 54 85.67
Lexington-Fayette, KY 33 86.07 46 84.84 44 86.68
Eau Claire, WI 34 86.03 52 84.43 41 86.74
La Crosse, WI-MN 35 85.84 48 84.56 49 85.96
Punta Gorda, FL 36 85.83 33 85.79 78 84.65
Lafayette, LA 37 85.74 39 85.41 15 89.00
Waterloo-Cedar Falls, IA 38 85.71 42 85.21 58 85.62
Trenton-Ewing, NJ 39 85.69 31 85.86 40 86.79
Logan, UT-ID 40 85.68 37 85.55 42 86.73
Manchester-Nashua, NH 41 85.66 28 86.14 69 85.08
Fort Collins-Loveland, CO 42 85.59 41 85.37 83 84.56
Santa Fe, NM 43 85.49 31 85.86 105 83.81
Evansville, IN-KY 44 85.43 38 85.45 38 86.82
St. Cloud, MN 45 85.31 67 83.40 77 84.75
Tyler, TX 46 85.29 55 84.22 47 86.34
Duluth, MN-WI 47 85.27 61 83.95 114 83.26
Killeen-Temple-Fort Hood, TX 48 85.21 50 84.51 31 87.37
State College, PA 49 85.20 22 87.05 64 85.34
Bend, OR 50 85.08 49 84.54 99 83.95
Barnstable Town, MA 51 84.97 54 84.35 111 83.32
College Station-Bryan, TX 52 84.84 27 86.29 81 84.63
Cheyenne, WY 52 84.84 59 84.03 35 87.11
Midland, TX 52 84.84 53 84.42 24 87.88
Bangor, ME 55 84.53 64 83.66 82 84.62
Davenport-Moline-Rock Island, IA-IL 56 84.44 62 83.93 92 84.24
Lawrence, KS 57 84.43 33 85.79 123 82.75
Santa Barbara-Santa Maria-Goleta, CA 58 84.41 55 84.22 19 88.69
Reno-Sparks, NV 59 84.39 35 85.72 113 83.28
Cedar Rapids, IA 60 84.35 66 83.53 90 84.34
Athens-Clarke County, GA 61 84.34 46 84.84 45 86.60
Rome, GA 62 84.32 97 81.38 35 87.11
San Luis Obispo-Paso Robles, CA 63 84.28 69 83.22 39 86.81
St. George, UT 64 84.24 60 83.97 88 84.35
Charleston, WV 64 84.24 51 84.44 106 83.72
Carson City, NV 66 84.07 58 84.08 33 87.31
Blacksburg-Christiansburg-Radford, VA 67 84.04 45 84.93 94 84.12
San Angelo, TX 68 84.01 81 82.33 32 87.34
Lynchburg, VA 68 84.01 73 82.67 56 85.66
Florence, SC 70 83.99 80 82.39 62 85.44
Winston-Salem, NC 71 83.96 72 82.75 78 84.65
Lewiston, ID-WA 72 83.85 96 81.53 67 85.11
Wichita Falls, TX 73 83.81 85 82.13 23 87.89
Waco, TX 74 83.78 75 82.60 59 85.55
Hot Springs, AR 75 83.64 107 81.11 71 85.02
Texarkana, TX-AR 76 83.62 103 81.15 34 87.13
Roanoke, VA 77 83.60 79 82.46 54 85.67
Lima, OH 78 83.40 97 81.38 84 84.50
Jefferson City, MO 79 83.37 86 82.08 75 84.82
Fairbanks, AK 79 83.37 63 83.75 172 80.59
Portland-South Portland-Biddeford, ME 81 83.32 71 82.76 127 82.58
Corvallis, OR 82 83.25 70 83.21 112 83.30
Spokane, WA 83 83.16 83 82.25 126 82.64
Myrtle Beach-North Myrtle Beach-Conway, SC 84 83.09 68 83.39 169 80.73
Altoona, PA 85 82.97 126 80.45 57 85.63
Springfield, IL 86 82.96 89 81.97 103 83.85
Johnstown, PA 87 82.92 114 80.83 95 84.11
Brownsville-Harlingen, TX 88 82.83 124 80.48 80 84.64
Greenville, NC 89 82.76 88 82.02 76 84.76
Naples-Marco Island, FL 89 82.76 65 83.54 156 81.14
Bowling Green, KY 91 82.66 78 82.47 93 84.21
Casper, WY 92 82.65 83 82.25 96 84.03
Napa, CA 93 82.54 106 81.13 46 86.54
Topeka, KS 93 82.54 103 81.15 110 83.48
Abilene, TX 95 82.52 92 81.79 71 85.02
Lansing-East Lansing, MI 96 82.50 74 82.66 104 83.82
El Centro, CA 97 82.47 82 82.30 14 89.06
Saginaw-Saginaw Township North, MI 98 82.41 133 80.23 66 85.12
Jackson, TN 99 82.40 129 80.37 73 84.93
Kalamazoo-Portage, MI 100 82.38 92 81.79 133 82.24
Sherman-Denison, TX 101 82.29 117 80.68 91 84.27
Weirton-Steubenville, WV-OH 102 82.10 116 80.69 86 84.39
Springfield, MO 103 82.09 87 82.04 150 81.42
Lawton, OK 104 81.96 105 81.14 53 85.75
Amarillo, TX 104 81.96 110 80.96 102 83.87
Laredo, TX 106 81.95 109 80.97 115 83.21
Odessa, TX 106 81.95 122 80.55 60 85.51
Grand Junction, CO 108 81.94 100 81.24 141 81.97
Lake Charles, LA 109 81.93 94 81.66 52 85.81
Monroe, LA 110 81.92 112 80.87 51 85.85
Danville, IL 111 81.90 165 79.20 65 85.20
Utica-Rome, NY 112 81.85 91 81.81 137 82.16
Columbus, IN 113 81.84 136 80.09 109 83.63
Olympia, WA 114 81.80 95 81.64 142 81.91
Owensboro, KY 114 81.80 138 79.98 63 85.35
Decatur, IL 116 81.79 139 79.94 74 84.89
Shreveport-Bossier City, LA 117 81.78 101 81.23 96 84.03
Medford, OR 118 81.69 137 80.01 98 83.99
Huntington-Ashland, WV-KY-OH 119 81.60 120 80.61 143 81.88
Canton-Massillon, OH 120 81.59 107 81.11 138 82.09
Joplin, MO 121 81.56 131 80.34 122 82.82
Lewiston-Auburn, ME 121 81.56 135 80.17 119 82.99
Terre Haute, IN 123 81.49 115 80.77 151 81.41
Harrisonburg, VA 124 81.47 90 81.93 108 83.65
Bloomington, IN 125 81.45 76 82.59 170 80.62
Dothan, AL 125 81.45 127 80.42 70 85.05
Anderson, SC 127 81.42 145 79.77 127 82.58
Lebanon, PA 128 81.31 161 79.33 107 83.69
Albany, GA 129 81.26 141 79.82 87 84.37
Pueblo, CO 130 81.23 153 79.52 116 83.16
Victoria, TX 131 81.21 148 79.61 85 84.47
Johnson City, TN 132 81.20 130 80.35 117 83.15
Tallahassee, FL 133 81.16 77 82.56 147 81.76
Wausau, WI 134 81.15 168 79.09 125 82.68
Kankakee-Bradley, IL 135 81.08 158 79.39 152 81.38
Santa Rosa-Petaluma, CA 136 81.03 123 80.49 120 82.93
Port St. Lucie-Fort Pierce, FL 137 80.97 99 81.30 159 81.09
Appleton, WI 138 80.96 149 79.57 139 82.08
Macon, GA 139 80.93 141 79.82 100 83.93
Sandusky, OH 140 80.89 194 78.00 144 81.85
St. Joseph, MO-KS 141 80.81 155 79.51 129 82.37
Coeur d'Alene, ID 142 80.78 124 80.48 195 79.81
Tuscaloosa, AL 143 80.68 128 80.38 135 82.19
Glens Falls, NY 144 80.65 173 78.80 132 82.25
Holland-Grand Haven, MI 145 80.63 102 81.17 194 79.86
Ocean City, NJ 146 80.47 131 80.34 227 78.28
Savannah, GA 147 80.46 133 80.23 124 82.72
Deltona-Daytona Beach-Ormond Beach, FL 148 80.42 121 80.57 184 80.27
Idaho Falls, ID 149 80.30 166 79.18 146 81.78
Peoria, IL 149 80.30 151 79.56 160 81.07
Oshkosh-Neenah, WI 151 80.28 174 78.76 158 81.10
Longview, TX 152 80.21 160 79.34 121 82.89
Huntsville, AL 152 80.21 113 80.86 154 81.30
Parkersburg-Marietta-Vienna, WV-OH 154 80.16 156 79.49 166 80.83
Pittsfield, MA 155 80.14 179 78.48 164 80.84
Williamsport, PA 156 80.11 191 78.04 130 82.36
Winchester, VA-WV 157 80.07 170 79.05 140 82.03
South Bend-Mishawaka, IN-MI 158 80.05 157 79.44 174 80.53
Beaumont-Port Arthur, TX 159 80.04 167 79.13 148 81.55
Houma-Bayou Cane-Thibodaux, LA 160 80.03 143 79.79 88 84.35
Bellingham, WA 161 80.00 147 79.69 192 79.99
Mobile, AL 162 79.96 164 79.23 149 81.54
Flint, MI 163 79.88 170 79.05 177 80.36
Warner Robins, GA 164 79.86 144 79.78 101 83.90
Asheville, NC 165 79.81 159 79.36 168 80.76
Kingsport-Bristol-Bristol, TN-VA 166 79.76 149 79.57 180 80.32
Bremerton-Silverdale, WA 167 79.72 153 79.52 179 80.35
Pensacola-Ferry Pass-Brent, FL 168 79.68 146 79.74 184 80.27
Mansfield, OH 169 79.65 176 78.69 171 80.61
Corpus Christi, TX 170 79.64 168 79.09 162 81.05
Santa Cruz-Watsonville, CA 171 79.59 118 80.64 160 81.07
Lafayette, IN 172 79.54 111 80.93 213 79.16
Las Cruces, NM 173 79.52 163 79.26 155 81.29
Eugene-Springfield, OR 174 79.48 162 79.32 201 79.58
Auburn-Opelika, AL 174 79.48 119 80.62 183 80.29
Fort Smith, AR-OK 176 79.45 185 78.23 134 82.21
Valdosta, GA 176 79.45 177 78.57 136 82.17
Wilmington, NC 178 79.39 140 79.84 204 79.50
Fort Walton Beach-Crestview-Destin, FL 178 79.39 181 78.40 156 81.14
Cumberland, MD-WV 180 79.33 201 77.51 167 80.77
Sheboygan, WI 181 79.32 191 78.04 177 80.36
Erie, PA 182 79.27 187 78.18 193 79.96
Fond du Lac, WI 183 79.26 200 77.64 173 80.57
Decatur, AL 184 79.24 199 77.67 145 81.81
Pocatello, ID 185 79.23 152 79.55 216 79.05
Gulfport-Biloxi, MS 186 79.16 180 78.46 153 81.35
Elizabethtown, KY 187 79.13 182 78.38 130 82.36
Flagstaff, AZ 188 79.11 174 78.76 206 79.42
Jonesboro, AR 188 79.11 196 77.77 118 83.05
Salisbury, MD 190 78.91 193 78.03 199 79.78
Mount Vernon-Anacortes, WA 191 78.90 207 77.22 212 79.17
Binghamton, NY 192 78.86 177 78.57 188 80.06
Fayetteville-Springdale-Rogers, AR-MO 193 78.75 172 78.83 188 80.06
Panama City-Lynn Haven-Panama City Beach, FL 193 78.75 188 78.17 175 80.47
Reading, PA 195 78.68 183 78.33 225 78.34
Kokomo, IN 196 78.54 198 77.68 209 79.30
Elmira, NY 197 78.51 205 77.31 182 80.31
Spartanburg, SC 198 78.46 195 77.95 202 79.57
Columbus, GA-AL 199 78.30 184 78.30 176 80.38
Sumter, SC 200 78.27 202 77.45 186 80.14
York-Hanover, PA 201 78.21 189 78.16 207 79.40
Gainesville, GA 202 78.18 210 77.08 163 81.02
Norwich-New London, CT 203 78.00 215 76.77 214 79.10
Cleveland, TN 204 77.86 190 78.08 216 79.05
Montgomery, AL 205 77.81 197 77.73 197 79.80
Wenatchee-East Wenatchee, WA 206 77.65 220 76.26 224 78.36
Hickory-Lenoir-Morganton, NC 207 77.63 222 76.25 211 79.24
Atlantic City-Hammonton, NJ 208 77.61 186 78.21 248 76.59
Green Bay, WI 209 77.58 204 77.33 235 77.82
Salem, OR 209 77.58 214 76.89 230 78.19
Battle Creek, MI 211 77.54 225 76.11 218 79.01
Gadsden, AL 212 77.50 222 76.25 164 80.84
Danville, VA 213 77.43 232 75.62 190 80.03
Michigan City-La Porte, IN 213 77.43 226 76.05 228 78.26
Niles-Benton Harbor, MI 215 77.41 230 75.71 223 78.39
Ocala, FL 216 77.36 209 77.11 221 78.57
Springfield, OH 217 77.17 232 75.62 220 78.74
Anniston-Oxford, AL 218 77.11 226 76.05 187 80.13
Fayetteville, NC 219 77.10 203 77.39 205 79.48
Prescott, AZ 220 77.09 211 77.04 239 77.37
Brunswick, GA 221 77.07 212 76.98 210 79.29
Hagerstown-Martinsburg, MD-WV 222 77.05 213 76.94 240 77.35
Kennewick-Pasco-Richland, WA 222 77.05 208 77.17 198 79.79
Anderson, IN 224 76.85 236 75.35 231 78.13
Hinesville-Fort Stewart, GA 225 76.78 217 76.63 180 80.32
Pascagoula, MS 225 76.78 219 76.44 191 80.02
Redding, CA 227 76.64 218 76.48 232 77.99
Janesville, WI 228 76.61 231 75.69 249 76.48
Racine, WI 229 76.56 238 75.30 238 77.40
Salinas, CA 230 76.53 216 76.71 203 79.51
Chico, CA 231 76.51 206 77.30 244 77.01
Greeley, CO 232 76.22 234 75.51 246 76.88
Burlington, NC 233 76.14 243 74.98 234 77.96
Pine Bluff, AR 234 76.12 251 74.15 195 79.81
Madera-Chowchilla, CA 235 76.09 241 75.08 200 79.63
Kingston, NY 236 75.93 229 75.75 247 76.80
Rockford, IL 237 75.85 237 75.31 254 75.78
Rocky Mount, NC 237 75.85 247 74.51 219 78.77
Goldsboro, NC 239 75.82 245 74.65 222 78.45
Bay City, MI 240 75.76 248 74.35 226 78.31
Clarksville, TN-KY 241 75.64 224 76.23 235 77.82
Yuba City, CA 242 75.63 235 75.39 207 79.40
Vallejo-Fairfield, CA 243 75.56 228 75.85 232 77.99
Elkhart-Goshen, IN 244 75.39 246 74.64 237 77.43
Dover, DE 245 75.33 240 75.17 245 76.93
Jacksonville, NC 246 75.21 220 76.26 229 78.24
Vineland-Millville-Bridgeton, NJ 247 75.19 242 75.03 242 77.33
Jackson, MI 248 75.14 250 74.17 252 76.19
Hanford-Corcoran, CA 248 75.14 239 75.27 215 79.06
Farmington, NM 250 74.93 244 74.70 250 76.31
Monroe, MI 251 74.70 253 73.77 255 75.08
Yakima, WA 252 74.45 255 73.34 253 75.93
Merced, CA 253 74.31 254 73.65 241 77.34
Dalton, GA 254 74.17 256 73.03 243 77.26
Visalia-Porterville, CA 255 74.09 252 73.89 250 76.31
Muskegon-Norton Shores, MI 256 73.80 259 72.03 258 74.57
Longview, WA 257 73.66 257 72.52 256 74.88
Yuma, AZ 258 73.65 249 74.24 256 74.88
Morristown, TN 259 72.86 258 72.25 259 74.53