BOSTON (CBS) – The best place to grow old in the United States isn’t Florida, Arizona or Hawaii. According to a new analysis, it’s South Dakota. looked at a number of factors in coming up with its ranking, including the quality of health care for older Americans, long-term care and support available for senior citizens and their family caregivers.

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“South Dakota came out at the top with the most favorable reviews,”’s Dayna Steele tells CBS Radio. “They also outranked all other states on pretty much a combination of the quality of life, the quality of health care and financial categories.”

It costs an average of $36,000 a year for assisted living in South Dakota, found.

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On the other end of the spectrum, West Virginia came in dead last for quality of life and healthcare offerings for seniors.

Massachusetts was named the 12th-worst state to grow old in thanks to the higher cost of senior care.’s Top 5 States To Grow Old In

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1. South Dakota
2. Iowa
3. Minnesota
4. Alaska
5. Oregon