2019 Senior Living Report

Best and Worst Places for Senior Living

By 2030, 20 percent of the US population will be 65 and over. To help serve this growing population, we looked at 70 metrics to rank the best and worst places for senior living.

Across the United States, the number of seniors is growing. In fact, according to the US Census Bureau, almost 20% of Americans will be age 65 or older by 2030. With such a fast-growing population, it’s critical for our communities to address the needs and socio-economic conditions of the elderly. And for families trying to find appropriate, high-quality care for their loved ones as they age, it’s important their needs are being met.

As the largest provider of senior living community reviews, we’ve compiled this report in order to shed light on the best and worst places in the nation for senior living. Not only have we looked at the basic, essential factors such as healthcare and affordable housing, but we’ve also taken a deeper look at factors like community engagement, transportation, and workforce development that drive quality of life.

What follows is an extensive examination of all 50 states and 300 cities across the United States using 70 different factors developed by our team of researchers.

Key Findings

Overall

Health Care

Senior Living & Housing

Community Involvement

Transportation

Quality Of Life

Affordability

The Best Overall

View The Best

View The Worst

The Worst Overall

Best States

Best Cities

Worst States

Worst Cities

Key Findings

Overall

Health Care

Senior Living & Housing

Community Involvement

Transportation

Quality Of Life

Affordability

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Best States

Best Cities

Worst States

Worst Cities

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Best States

Best Cities

Worst States

Worst Cities

Senior Living in the U.S.

Senior living options have evolved extensively over the past 50 years. For a long time, nursing homes were the only senior living option available. But now in 2019, an array of options are available for seniors. From those that still live independently to those that need extensive, around the clock care, senior living communities have been designed to match lifestyle needs and make life more enjoyable.

On one end of the spectrum independent living simply provides housekeeping and meals, while memory care facilities can provide the aid those with dementia need in every aspect of daily living. These customizable types of care have improved the quality of life for millions of seniors across the country. A broad range of services has also lead to a broad range of prices, which has been a boon for seniors who need some assistance but were reluctant to pay for services they did not need.

Other types of senior care include home health agencies who come to your home to administer care, CCRCs that provide every level of care in the same facility, and assisted living facilities that allow seniors to maintain independence while providing basic assistance.

Below is an overview of the various types of senior care available, as well as their average costs.

Assisted Living
Independent Living
Nursing Homes
Home Care
Home Health Agencies
Hospices
Continuing Care Retirement Communities
Adult Day Care
Geriatric Care Managers
Memory Care

Assisted Living
Independent Living
Nursing Homes
Home Care
Home Health Agencies
Hospices
Continuing Care Retirement Communities
Adult Day Care
Geriatric Care Managers
Memory Care

Assisted Living

For seniors who need low to moderate levels of assistance.

Assisted living facilities are communities constructed for seniors who need some assistance with the activities of daily living. These facilities also offer housekeeping services, dining, medication management, transportation, and community events. Private living spaces are often offered in one or two-bedroom options, with a focus on creating a home-like environment for the residents. The average cost for assisted living is $4,000 per month, but prices will vary based on location and facility.

20,649

Number of Providers

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Independent Living

For active and independent seniors.

Independent living communities are designed for seniors who are able to live on their own with no assistance but desire the conveniences and social aspects of a planned community. Not every facility offers the same amenities, but some common features include housekeeping services, on-site security, fitness areas, dining options, and transportation. The cost of independent living varies widely depending on location and community amenities. You can expect to pay anywhere between $1,500 – $6,000 per month.

5,364

Number of Providers

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Nursing Homes

For those that need intensive, round the clock care.

Nursing homes are designed to provide care to those who need constant medical and physical assistance because of illness or injury. Staff is available to help residents with personal care tasks such as bathing and grooming, while the skilled nursing staff members are on hand to provide medical treatment, wound care, and medication management (among other services). The national average cost for nursing home care is $7,441 – $8,365 per month, depending on the room type.

16,559

Number of Providers

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Home Care

For seniors who wish to age in place.

Home care is ideal for seniors who need assistance with the activities of daily living but would prefer to stay in their own homes instead of relocating to an assisted living facility. In some cases, the care provider will live in the patient’s home for round-the-clock care, but more often will visit at designated times of the day. Care providers also offer medication management, meal preparation, transportation, and companionship, but they do not provide extensive medical care. The average cost for home care is $4,004 per month, but this will vary depending on how much care is needed and how many hours a day the home care is provided.

9,357

Number of Providers

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Home Health Agencies

For seniors living at home in need of medical care.

While home care provides basic assistance with daily living and housekeeping, home health agencies are able to provide more extensive medical care for seniors living at home. They offer skilled nursing services such as wound care, occupational therapy, physical therapy, administering medications, and medical tests. On average, home health agencies cost $4,195 per month, but the cost will vary depending on what services are needed.

15,864

Number of Providers

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Hospices

For the terminally ill and those needing end of life care.

Hospices are facilities designed to care for chronically ill and terminal patients that have been given less than 6 months to live. This end of life care is no longer focused on curing an illness and is instead designed to manage a patient’s comfort and attend to their emotional well-being. In addition to dedicated hospice facilities, care is sometimes provided in a patient’s own home. Hospice care is covered by Medicare Part A, but can cost anywhere between $150 – $500 per day, depending on the level of care needed and whether it’s home care or inpatient care.

6,125

Number of Providers

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Continuing Care Retirement Communities

For those that want an array of services in one location.

Continuing care retirement communities are planned communities that offer independent living, assisted living and nursing home care all in one location. They are designed so that a senior can move into the community when they’re still independent and remain there even if they later need more assistance or medical care. These communities are ideal to many because it means they can avoid moving from facility to facility as their needs change. The average monthly cost of continuing care retirement communities ranges from $3,000 to $5,000, but residents can also expect to pay an upfront fee to secure a unit as well as additional costs for optional amenities.

1,072

Number of Providers

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Adult Day Care

For adults who live at home, but need constant supervision.

Adult daycare provides adults with supervision and assistance during the day under the care of trained staff. It’s ideal for people who still live at home under the care of a family member who works throughout the day. This allows caregivers to work and take care of themselves without worrying about their loved one being alone at home. These facilities typically provide enrichment activities, meals, and medication management. The average cost of adult day care is about $1,500 per month depending on the services offered.

3,470

Number of Providers

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Geriatric Care Managers

For those who need help deciding the best course of care for their loved ones.

Geriatric care managers do not provide direct care to patients, instead, they consult with families to determine the best course of care for seniors. They are typically RNs or social workers who have extensive experience working with the elderly and excel at identifying the needs of seniors. Consulting with a geriatric care manager usually costs between $60 – $120 per hour.

960

Number of Providers

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Memory Care

For those with dementia.

Memory care is specifically designed to meet the needs of those who have Alzheimer’s or other forms of dementia. Specialized staff assists with the activities of daily living, as well as more intensive care for medical problems that often arise as a result of dementia. These facilities also offer community events and activities to keep residents active and engaged. The national average cost for memory care is $4,650 per month.

5,880

Number of Providers

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Browse Senior Living by Popular City

Why did we choose these metrics?

To learn more about our process, read about why each facet of our methodology is important, and what role it plays in determining the overall opportunity that seniors have to enjoy a healthy and happy lifestyle. While we did include the obvious factors, such as affordability and health care available, we expanded the usefulness of our report by taking a deep dive into more nuanced indicators, such as the availability of museums and parks, the quality of the transportation system, and the amount of air and water pollution.

Select a category on the right to learn more.

Health Care
Senior Living & Housing
Community Involvement
Transportation
Quality Of Life
Affordability

Health Care

The quality and availability of health care are of primary importance to many demographics, but it’s especially vital for older adults. When it comes to the overall quality of living in an area, health care places a huge role in determining how happy and healthy seniors are. This is the first and most important category we researched for each state.

View the full methodology

Senior Living & Housing

One of the major barriers seniors face to enjoying their retirement is budget concerns, namely insufficient savings and monthly income. Affordable and accessible housing is one of the biggest budget concerns for seniors, so states and areas that have an abundance of well-priced, senior-friendly homes provide a greater opportunity for a higher quality of life.

View the full methodology

Community Involvement

It’s important for seniors well-being and health to remain active and involved in their community, but they can’t do so without quality government and non-profit programs that are well run and targeted to the population of seniors with less opportunities. Overall, we created this group of metrics to gauge older adults’ opportunities for social and civic engagement.

View the full methodology

Transportation

Since many seniors are unable to drive – either due to the cost of vehicles or because of disabilities/medical concerns. Since many are not able to afford private transportation (such as taxi’s or ridesharing services), the availability of public transportation to get to and from activities, employment, errands and doctor visits is a key indicator in overall quality of life.

View the full methodology

Quality Of Life

As our broadest category, Quality of Life measures numerous factors that contribute to the access and opportunity seniors have for an active, vibrant life. Not only is it important for older adults to have access to enriching activities such as museums and libraries, it’s also vital for them to live in an environment free from an overabundance of things like air and water pollution.

View the full methodology

Affordability

While some older adults have the luxury of being completely retired and not having to earn any more money after they reach the age of 65, many other seniors turn to part-time jobs to make ends meet. Therefore, it was important for us to factor in the earning potential for seniors in the state.

View the full methodology

Senior Living State Rankings

State Name	Overall Rank	Healthcare Rank	Senior Living Rank	Engagement Rank	Transportation Rank	Quality of Life Rank	Affordability Rank
Alabama	38	36	8	9	35	50	33
Alaska	18	3	39	32	48	20	28
Arizona	42	48	9	48	38	12	44
Arkansas	46	42	10	26	30	49	39
California	24	45	47	49	3	2	35
Colorado	22	13	48	27	23	7	36
Connecticut	34	6	45	31	47	16	38
Delaware	41	37	38	35	43	25	29
Florida	44	35	46	36	24	13	49
Georgia	47	47	22	39	33	35	46
Hawaii	35	33	49	38	49	5	18
Idaho	39	39	40	37	45	27	11
Illinois	30	26	36	46	9	8	32
Indiana	33	41	17	43	29	45	6
Iowa	7	32	11	1	19	34	1
Kansas	16	15	26	23	8	41	10
Kentucky	27	17	7	40	25	46	17
Louisiana	17	16	4	15	5	43	37
Maine	6	2	20	6	13	31	24
Maryland	21	38	37	28	36	9	13
Massachusetts	3	1	31	25	41	4	23
Michigan	31	21	30	29	22	30	26
Minnesota	5	24	19	4	10	19	3
Mississippi	19	10	6	16	11	40	48
Missouri	25	29	14	17	37	38	15
Montana	26	14	29	11	27	26	41
Nebraska	4	5	21	7	4	24	7
Nevada	50	50	33	50	15	21	42
New Hampshire	10	8	41	14	46	14	2
New Jersey	13	19	27	42	28	3	19
New Mexico	48	20	35	44	20	28	50
New York	2	7	25	45	1	1	45
North Carolina	36	23	34	20	34	39	31
North Dakota	15	27	2	3	18	44	14
Ohio	29	40	16	18	16	36	20
Oklahoma	32	18	12	33	31	32	43
Oregon	28	11	44	24	40	11	34
Pennsylvania	20	34	13	19	42	23	22
Rhode Island	11	9	3	41	7	6	47
South Carolina	49	46	28	21	44	48	40
South Dakota	8	12	5	2	6	37	25
Tennessee	43	31	18	34	39	47	30
Texas	45	49	32	47	17	29	21
Utah	23	43	50	8	26	15	5
Vermont	1	4	24	12	2	10	8
Virginia	37	44	42	22	32	22	16
Washington	40	28	43	30	50	18	12
West Virginia	14	25	1	10	21	42	27
Wisconsin	9	22	23	5	12	33	4
Wyoming	12	30	15	13	14	17	9

Senior Living City Rankings

City Name	State Code	Overall Rank	Healthcare Rank	Senior Living Rank	Engagement Rank	Transportation Rank	Quality of Life Rank	Affordability Rank
Albuquerque	NM	259	121	200	171	168	175	280
Allen	TX	131	162	260	175	87	159	9
Alpharetta	GA	59	97	221	154	93	77	29
Anaheim	CA	76	173	168	241	159	24	90
Antioch	CA	218	122	255	214	196	202	57
Appleton	WI	67	172	172	11	208	221	1
Arlington	TX	220	232	94	183	235	242	93
Arvada	CO	170	244	243	108	248	60	63
Atlanta	GA	62	126	2	155	227	46	297
Aurora	CO	187	119	224	170	152	102	221
Austin	TX	166	229	74	122	247	148	125
Bakersfield	CA	294	297	272	297	22	154	213
Baltimore	MD	37	27	22	117	40	96	292
Baton Rouge	LA	112	34	90	14	97	252	267
Birmingham	AL	173	83	49	19	279	280	225
Boca Raton	FL	274	269	170	127	275	114	256
Boise	ID	69	86	214	75	56	109	67
Bowie	MD	295	299	263	173	297	170	41
Boynton Beach	FL	228	248	68	130	110	171	286
Bradenton	FL	254	289	109	73	229	196	195
Carlsbad	CA	214	238	278	191	30	93	146
Carmichael	CA	231	216	207	207	258	113	120
Centennial	CO	168	142	247	157	183	72	162
Chandler	AZ	206	277	118	232	242	82	105
Charlotte	NC	144	137	178	106	128	138	150
Chicago	IL	75	93	96	229	14	49	270
Chula Vista	CA	191	114	256	191	124	105	167
Cincinnati	OH	106	104	14	39	153	200	289
Citrus Heights	CA	250	215	218	204	212	139	189
Clearwater	FL	93	87	65	55	101	219	208
Clovis	CA	262	189	297	294	15	145	164
Colorado Springs	CO	225	159	217	96	174	158	245
Columbia	SC	101	88	72	63	88	241	175
Columbus	GA	253	70	176	115	33	290	288
Columbus	OH	113	138	76	66	36	247	169
Concord	CA	182	111	226	214	223	140	87
Conroe	TX	158	252	33	212	123	215	100
Coral Springs	FL	194	230	147	144	221	97	190
Corpus Christi	TX	263	282	211	228	60	191	176
Costa Mesa	CA	63	103	186	248	158	23	75
Dallas	TX	174	237	35	222	176	161	178
Dayton	OH	85	136	32	45	71	184	241
Decatur	GA	129	169	91	133	162	131	135
Denver	CO	70	58	116	140	139	38	252
Des Moines	IA	53	92	112	10	244	179	17
Edmond	OK	102	8	241	165	215	189	141
El Paso	TX	290	280	212	296	77	251	200
Elk Grove	CA	248	178	289	204	222	117	82
Escondido	CA	165	153	222	191	48	130	158
Fair Oaks	CA	283	216	253	207	273	224	126
Farmington Hills	MI	60	21	288	83	37	125	76
Flint	MI	267	227	107	101	170	265	264
Fort Lauderdale	FL	120	154	50	144	276	73	215
Fort Myers	FL	232	220	36	148	186	232	276
Fort Wayne	IN	205	212	143	162	142	276	51
Fort Worth	TX	251	281	87	184	256	249	84
Fountain Valley	CA	124	177	259	248	210	21	77
Fredericksburg	VA	2	1	1	97	65	239	258
Fremont	CA	88	42	265	223	201	48	44
Fresno	CA	234	253	238	294	11	126	204
Fullerton	CA	98	166	219	241	220	28	46
Garden Grove	CA	90	186	201	248	187	22	77
Garland	TX	229	200	124	227	205	199	160
Gilbert	AZ	273	265	184	232	278	190	96
Glendale	AZ	252	292	55	232	286	160	113
Green Bay	WI	68	184	135	18	17	259	23
Greenville	SC	111	113	64	57	246	183	138
Hayward	CA	125	47	215	223	234	67	127
Hemet	CA	300	302	106	299	185	204	229
Henderson	NV	277	286	111	289	192	230	142
Hialeah	FL	219	196	67	271	200	62	295
Hollywood	FL	79	53	97	144	251	59	217
Houston	TX	230	271	30	291	255	134	207
Huntington Beach	CA	122	242	237	241	232	11	60
Indianapolis	IN	209	124	105	164	211	279	148
Jacksonville	FL	149	77	80	9	282	255	196
Kansas City	MO	161	101	92	152	113	266	159
Katy	TX	284	279	225	265	298	152	72
Knoxville	TN	132	75	52	110	214	272	122
Laguna Niguel	CA	171	167	277	241	102	71	54
Lakeland	FL	197	145	190	99	53	268	183
Lakewood	CO	92	204	174	103	228	50	61
Lancaster	CA	282	256	239	279	63	220	212
Lantana	FL	74	201	9	130	52	85	291
Largo	FL	159	135	77	55	132	243	222
Las Vegas	NV	255	275	62	289	165	218	186
Lawrenceville	GA	139	260	41	187	136	173	89
Lexington	KY	30	6	157	112	89	176	115
Lincoln	NE	27	48	148	17	12	178	55
Littleton	CO	123	146	183	159	207	68	110
Long Beach	CA	140	236	179	279	105	17	226
Los Angeles	CA	128	209	171	279	130	8	250
Louisville	KY	151	94	51	198	230	210	177
Macon	GA	207	38	139	43	73	300	261
Marietta	GA	89	211	44	143	171	64	211
Mckinney	TX	77	155	191	175	28	197	8
Melbourne	FL	240	183	127	49	281	208	239
Memphis	TN	268	175	95	151	240	240	281
Mesa	AZ	193	251	61	232	249	103	174
Miami	FL	57	64	11	271	90	41	296
Minneapolis	MN	12	82	39	15	13	69	197
Mission Viejo	CA	156	149	286	241	149	43	52
Mobile	AL	190	133	117	20	144	297	133
Modesto	CA	291	274	261	273	184	153	210
Murrieta	CA	288	291	254	299	126	79	220
Nashville	TN	80	73	7	138	277	235	184
Northridge	CA	78	40	25	276	268	42	266
Oakland	CA	51	59	88	223	160	29	203
Ocala	FL	213	194	128	70	131	291	128
Oceanside	CA	239	258	252	191	55	132	153
Oklahoma City	OK	84	11	152	168	206	194	188
Omaha	NE	22	22	158	46	32	150	104
Orange	CA	116	150	236	248	179	37	71
Orangevale	CA	258	188	285	207	187	151	98
Orlando	FL	73	141	15	185	264	168	80
Ormond Beach	FL	278	129	251	89	225	209	283
Overland Park	KS	49	43	246	78	31	121	37
Palm Bay	FL	272	131	262	49	295	198	230
Pasadena	CA	107	134	228	279	148	10	214
Peoria	AZ	275	288	126	231	290	166	94
Philadelphia	PA	94	116	31	109	104	61	298
Phoenix	AZ	204	247	58	232	280	127	134
Pittsburgh	PA	39	69	21	47	98	123	233
Plano	TX	105	164	196	177	166	133	12
Pompano Beach	FL	100	158	28	144	263	87	205
Port St. Lucie	FL	297	249	291	137	127	174	287
Portland	OR	16	12	138	72	114	45	193
Raleigh	NC	147	107	223	61	289	177	25
Rancho Palos Verdes	CA	287	210	298	279	294	51	140
Richmond	VA	127	35	59	116	91	192	290
Riverside	CA	293	300	149	299	260	95	216
Rockford	IL	242	144	103	264	62	245	263
Rockville	MD	56	55	187	91	237	27	143
Roseville	CA	142	68	267	111	198	136	47
Round Rock	TX	146	250	181	141	167	212	2
Sacramento	CA	175	179	161	204	193	98	137
St. Paul	MN	10	51	37	28	57	78	86
St. Petersburg	FL	160	171	81	59	122	237	209
Salt Lake City	UT	36	98	89	113	120	100	21
San Antonio	TX	221	198	120	259	194	181	149
San Diego	CA	154	180	235	191	82	66	170
San Francisco	CA	1	3	60	218	7	1	231
San Jose	CA	137	118	192	275	292	52	28
San Mateo	CA	152	240	233	262	34	65	92
Santa Barbara	CA	114	76	230	210	79	56	187
Santa Monica	CA	20	109	156	279	54	2	157
Santa Rosa	CA	210	91	209	181	178	116	253
Sarasota	FL	215	221	133	40	181	124	268
Scottsdale	AZ	238	287	114	232	267	83	139
Silver Spring	MD	19	65	43	94	163	30	179
Simi Valley	CA	196	197	283	201	10	76	227
Southfield	MI	55	20	244	83	119	144	85
Spring Hill	FL	223	163	146	80	59	302	79
Springfield	MO	31	10	123	25	112	250	83
Spring	TX	298	239	185	292	272	283	201
Stockton	CA	299	301	231	293	199	149	228
Surprise	AZ	261	246	130	232	236	231	116
Tallahassee	FL	138	192	122	12	51	246	185
Tampa	FL	54	60	46	68	145	107	218
Thousand Oaks	CA	241	213	290	199	155	74	161
Torrance	CA	141	214	268	279	219	5	132
Troy	MI	48	13	295	83	67	104	68
Tucson	AZ	285	270	38	220	259	248	282
Tulsa	OK	91	9	140	92	262	169	244
Tyler	TX	108	78	167	65	95	263	48
Vallejo	CA	270	222	249	257	197	84	249
Vero Beach	FL	265	283	115	35	23	234	299
Vista	CA	235	259	242	191	47	156	163
Walnut Creek	CA	211	139	248	214	213	206	40
Warren	MI	266	206	279	166	245	225	42
West Hills	CA	217	49	301	276	293	18	168
West Palm Beach	FL	157	152	27	127	116	157	293
Whittier	CA	192	185	271	279	266	19	156
Wichita	KS	233	112	188	169	189	270	151
Wilmington	DE	11	102	5	119	81	63	145
Winter Haven	FL	279	207	154	99	118	301	198
St. Louis	MO	133	39	19	48	253	162	300
New York	NY	43	254	83	267	2	13	272
Palm Beach	FL	169	226	3	130	283	120	294
Brookhaven	NY	286	191	296	186	238	269	69
Hackensack	NJ	61	31	177	240	39	80	154
Hartford	CT	13	5	29	88	109	172	191
Bridgeport	CT	236	123	24	102	133	262	301
New Haven	CT	38	15	12	120	103	233	262
Middletown	NJ	289	132	274	26	271	281	257
St. Charles	IL	246	228	293	266	135	119	31
Plant City	FL	109	85	79	69	203	187	166
Alamo	CA	198	140	300	217	19	147	30
San Clemente	CA	260	170	302	248	254	44	59
San Bruno	CA	65	71	250	260	35	33	99
Irvine	CA	17	56	216	241	64	6	56
San Marcos	CA	208	257	232	191	45	122	129
Santa Maria	CA	180	125	220	213	121	101	194
Madison	WI	5	25	104	1	29	75	14
Woodland Hills	CA	50	49	164	276	288	3	173
Laguna Hills	CA	72	127	270	248	41	26	43
Eau Claire	WI	29	17	125	6	134	261	45
Camarillo	CA	243	243	264	199	21	99	248
Castle Rock	CO	153	273	280	71	157	94	4
Claremont	CA	264	245	276	279	231	70	131
Loma Linda	CA	292	267	69	302	296	226	199
Lake Forest	CA	33	143	129	248	96	9	70
Sunnyvale	CA	64	96	195	274	172	34	26
Newport Beach	CA	86	105	282	241	151	12	58
Metairie	LA	247	225	159	87	85	260	242
Buena Park	CA	95	174	203	248	154	35	65
Kissimmee	FL	45	193	18	202	177	128	20
Alexandria	VA	18	202	47	5	129	20	223
Reading	PA	40	234	13	64	6	141	254
West Bloomfield	MI	58	4	292	86	111	185	107
Washington	DC	7	18	6	2	50	25	302
Wisconsin Rapids	WI	15	30	100	7	72	267	3
Richardson	TX	155	182	160	211	180	92	101
Ogden	UT	172	156	93	98	250	167	202
Denton	TX	87	203	73	189	204	142	13
Frisco	TX	117	160	269	179	83	112	6
Redwood City	CA	126	90	240	262	84	57	130
Englewood	CO	97	81	180	157	146	54	206
Fayetteville	NC	212	23	205	139	169	274	265
Gainesville	GA	162	241	70	178	76	205	136
Sugar Land	TX	119	263	102	219	224	90	11
Coeur D'alene	ID	150	168	108	107	9	289	155
Roswell	GA	177	95	165	153	141	86	279
Lansing	MI	164	44	101	76	140	273	246
Chapel Hill	NC	6	2	142	24	117	195	124
Potomac	MD	136	46	294	94	261	53	97
Stevens Point	WI	42	161	153	8	66	165	19
Altamonte Springs	FL	26	151	45	134	137	55	35
Burlingame	CA	52	71	132	260	70	40	112
San Leandro	CA	66	45	193	223	217	36	95
Hampton	VA	256	235	175	53	218	286	144
La Habra	CA	103	165	204	248	233	32	53
Richmond	TX	181	290	48	221	291	129	15
Longview	TX	195	223	208	82	94	285	32
Westlake	OH	185	26	206	93	241	293	117
Waldorf	MD	276	298	198	114	147	299	10
Goodyear	AZ	143	218	34	232	61	253	102
Covington	GA	244	296	20	136	284	288	50
Naperville	IL	163	37	299	163	252	108	18
Tucker	GA	145	148	162	156	107	88	219
Pflugerville	TX	224	115	202	120	209	277	106
Huntsville	AL	203	205	119	16	138	294	118
Mansfield	TX	249	231	245	182	173	258	39
Gurnee	IL	134	33	258	180	42	217	103
Williamsburg	VA	222	147	189	27	80	211	285
Palm Coast	FL	280	199	281	62	270	164	232
Rock Hill	SC	186	268	136	44	92	256	88
Seattle	WA	24	54	75	124	216	31	109
Milwaukee	WI	118	61	131	23	38	201	260
Vancouver	WA	148	276	141	118	226	91	38
Grand Rapids	MI	121	74	98	58	100	203	236
Tacoma	WA	245	130	197	142	300	275	33
Eugene	OR	200	106	199	81	285	137	180
Salem	OR	201	99	227	135	190	236	114
Cleveland	OH	47	29	16	90	143	146	278
New Port Richey	FL	202	187	26	77	195	298	192
Rochester	NY	35	28	4	188	25	143	284
Detroit	MI	226	84	144	161	243	207	247
Greensboro	NC	99	63	173	32	156	188	121
Pensacola	FL	199	117	151	42	182	228	238
Venice	FL	281	266	169	40	239	238	259
Reno	NV	227	233	121	258	125	182	172
Roanoke	VA	71	120	82	54	26	222	123
Bellevue	WA	179	208	234	124	299	47	74
Everett	WA	167	285	71	160	301	115	7
Winston Salem	NC	135	52	150	52	27	244	240
Loveland	CO	130	128	182	30	75	118	224
Cape Coral	FL	301	295	275	148	191	223	271
Sterling Heights	MI	178	181	266	166	74	213	22
Prescott	AZ	271	293	229	123	202	278	24
Lancaster	PA	8	272	17	21	1	111	62
Boulder	CO	9	16	134	29	115	39	81
Federal Way	WA	216	57	137	124	302	214	147
Annapolis	MD	115	195	40	79	274	227	36
Durham	NC	21	7	99	38	164	229	66
Cary	NC	184	108	287	60	287	163	16
La Mesa	CA	176	110	194	190	78	106	235
Longmont	CO	41	19	166	33	175	135	152
Little Rock	AR	183	36	113	22	257	284	255
Waco	TX	269	261	145	150	46	295	181
Rio Rancho	NM	302	294	284	298	265	271	91
Delray Beach	FL	189	262	57	127	161	110	251
Glendale	CA	83	176	213	279	150	4	171
Aurora	IL	257	219	273	230	99	180	111
Akron	OH	104	157	54	37	49	216	234
Port Charlotte	FL	296	284	257	74	108	287	243
Sioux Falls	SD	28	89	110	13	24	254	5
Fargo	ND	81	224	66	34	43	282	27
Anchorage	AK	82	41	210	104	86	193	73
Honolulu	HI	96	190	78	203	106	58	182
Portland	ME	4	24	23	4	8	81	165
Boston	MA	3	14	8	172	16	7	277
Jackson	MS	237	80	63	105	269	296	237
Billings	MT	110	79	163	67	44	257	108
Manchester	NH	23	66	53	51	18	155	119
Providence	RI	32	32	10	174	69	89	269
Burlington	VT	25	62	42	36	68	186	64
Charleston	WV	34	100	56	3	58	264	34
Cheyenne	WY	188	278	155	31	20	292	49
Brooklyn	NY	14	67	83	267	2	13	272
Queens	NY	43	254	83	267	2	13	272
Bronx	NY	46	264	83	267	2	13	272