With the share of U.S. adults aged 65 and older expected to be 1 in 5 by the year 2030 and as many as 13 out of every 14 elder-abuse cases going unreported, the personal-finance website WalletHub released its report on 2019’s States with the Best Elder-Abuse Protections as well as accompanying videos.

To determine which states fight the hardest against elder abuse, WalletHub compared the 50 states and the District of Columbia across 16 key metrics. The data set ranges from share of elder-abuse, gross-neglect and exploitation complaints to presence of financial elder-abuse laws.

States with the Best Elder-Abuse Protections States with the Worst Elder-Abuse Protections
1. Massachusetts 42. Arkansas
2. Wisconsin 43. Arizona
3. Rhode Island 44. Tennessee
4. Michigan 45. Nebraska
5. Iowa 46. South Dakota
6. Vermont 47. Nevada
7. Pennsylvania 48. Montana
T-8. Louisiana 49. California
T-8. North Carolina 50. South Carolina
10. West Virginia 51. New Jersey

Ohio ranked 14th on the list.


Key Stats

  • Alaska has the highest total long-term care Ombudsman program funding (per resident aged 65 and older), $9.84, which is 14.9 times higher than in Florida, the state with the lowest at $0.66.
  • The District of Columbia has the most certified volunteer Ombudsmen (per 100,000 residents aged 65 and older), 70, whereas Alabama, Montana, Mississippi, South Dakota, West Virginia and Wyoming are among the states that have none.
  • Arizona, Pennsylvania and Texas have among the most frequent assisted-living facility inspections, once per year, which is five times more frequent than in California, the state with the least frequent at once every five years.
  • Hawaii has the highest nursing-home quality (share of certified nursing-home beds rated 4 or 5 stars), 67.90 percent, which is 2.3 times higher than in Texas, the state with the lowest at 30.10 percent.

To view the full report and your state or the District’s rank, please visit:

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