Drill into performance indicators for a single state or compare  performance and rankings on measures of long-term services and supports across states.

View by State:

View by State

Compare Across States:

Compare Data Across States

California

State Rankings

  • Overall: 9
  • Affordability and Access: 19
  • Choice of Setting and Provider: 3
  • Quality of Life & Quality of Care: 21
  • Support for Family Caregivers: 8
  • Effective Transitions: 22

Number of indicators for which this state ranked in the:

  • Top Quartile: 10
  • 2nd Quartile: 7
  • 3rd Quartile: 5
  • Bottom Quartile: 3

Estimated Impact of Improvement

...if this state improved its performance to the level of the average of the top-five-performing states

  • 773,247 more place-based subsidized units and vouchers would be available to help low-income people with LTSS needs afford housing.
  • 176,180 more people of all ages would receive Medicaid LTSS to help them with daily activities.
  • 48,584 more home health and personal care aides would be available to provide care in the community.
  • 19,595 more low-/moderate-income adults with disabilities would have Medicaid coverage.
  • $573,100,000 more would go to home- and community-based services instead of nursing homes.
* State's performance is at or above the level of the top-five-performing states.
Dimension and Indicator Baseline Scorecard 2017 Scorecard Change in Performance Compare
Data Year State Rate Data Year State Rate All States Median Best State Rate Rank
Affordability and Access 19
Median annual nursing home private pay cost as a percentage of median household income age 65+ 2012-13 243% 2015-16 249% 233% 164% 34
Median annual home care private pay cost as a percentage of median household income age 65+ 2012-13 82% 2015-16 77% 81% 46% 19
Private long-term care insurance policies in effect per 1,000 people age 40+ 2012 49 2015 46 48 164 27
Percent of adults age 21+ with ADL disabilities at or below 250% of poverty receiving Medicaid 2011-12 62.8% 2014-15 66.8% 53.4% 78.1% 6
Medicaid LTSS beneficiaries per 100 people with ADL disabilities 2010 80 2012 76 54 111 5
ADRC/No Wrong Door Functions (composite indicator, scale 0-100%) * * 2016 0% 60% 92% 50 *
Choice of Setting and Provider 3
Percent of Medicaid and state-funded LTSS spending going to HCBS for older people and adults with physical disabilities 2011 56.1% 2014 58.4% 33.1% 68.5% 6
Percent of new Medicaid aged/disabled LTSS users first receiving services in the community 2009 67.6% 2012 74.6% 55.4% 83.6% 6
Number of people participant-directing services per 1,000 people with disabilities * * 2016 131.9 9.6 131.9 1 *
Home health and personal care aides per 100 adults age 18+ with ADL disabilities 2010-12 27 2013-15 28 19 41 8
Assisted living and residential care units per 1,000 population age 75+ 2010 72 2014 59 52 121 15
Subsidized housing opportunities (place-based and vouchers) as a percentage of all housing units 2011 5.4% 2015 5.8% 5.8% 17.7% 24
Quality of Life & Quality of Care 21
Rate of employment for adults with ADL disabilities ages 18-64 relative to rate of employment for adults without ADL disabilities ages 18-64 2011-12 22.6% 2014-15 20.9% 21.9% 43.3% 35
Percent of high-risk nursing home residents with pressure sores 2013 6.4% 2015-16 5.9% 5.5% 3.4% 31
Percent of long-stay nursing home residents who are receiving an antipsychotic medication 2013 17.4% 2015 13.2% 16.8% 8.0% 5
Support for Family Caregivers 8
Supporting working caregivers (composite indicator, scale 0-9.0) 2012-13 4.05 2014-16 4.75 1.00 6.50 3
Person- and Family-Centered Care (composite indicator, scale 0-5.5) 2012-13 2.00 2016 3.00 2.41 4.30 14
Nurse Delegation and Nurse Practitioner Scope of Practice (composite indicator, scale 0-5.0) 2013 0.50 2016 0.50 4.00 5.00 45
Transportation Policies (composite indicator, scale 0-5.0) 2010-12 2.50 2012-16 2.50 1.00 4.00 3
Effective Transitions 22
Percent of nursing home residents with low care needs 2012 11.2% 2014 10.7% 11.2% 4.1% 20
Percent of home health patients with a hospital admission 2012 23.6% 2015 23.4% 24.4% 18.3% 17
Percent of long-stay nursing home residents hospitalized within a six-month period 2012 19.9% 2014 18.5% 15.7% 5.0% 35
Percent of nursing home residents with moderate to severe dementia with one or more potentially burdensome transitions at end of life 2011 29.5% 2013 27.0% 23.8% 9.1% 44
Percent of new nursing home stays lasting 100 days or more 2009 19.0% 2012 18.3% 18.3% 8.9% 25
Percent of people with 90+ day nursing home stays successfully transitioning back to the community 2009 10.7% 2012 10.5% 7.4% 14.9% 6

Export Indicators

* Comparable data not available for baseline and/or current year. Rank cannot be calculated without current data. Change in performance cannot be calculated without both baseline and current data.
ADL = Activities of Daily Living; ADRC = Aging and Disability Resource Center; HCBS = Home- and Community-Based Services; LTSS = Long-Term Services and Supports.