The top 10 cities for successful aging has previously reported about the top 25 retirement living desginations in the U.S. Now, the Milken Institute, a California-based think tank, has created a narrower list of the top 10 small cities, and top 10 large cities, in the United States, for successful aging, according to a recent article in USA Today.

Their choices for the top to small cities:

1. Sioux Falls, South Dakota
2. Iowa City, Iowa
3. Bismarck, North Dakota
4. Columbia, Missouri
5. Rochester, Minnesota
6. Gainesville, Florida
7. Ann Arbor, Michigan
8. Missoula, Montana
9. Durham, North Carolina
10. Rapid City, South Dakota

And Milken’s top 10 large cities for aging are:

1. Provo, Utah
2. Madison, Wisconsin
3. Omaha, Nebraska
4. Boston, Massachusetts
5. New York, New York
6. Des Moines, Iowa
7. Salt Lake City, Iowa
8. Toledo, Ohio
9. Washington, D.C.
10. Pittsburgh, Pennsylvania

Their criteria for selecting these 20 cities as the best for retirement were based on a combination of 78 facts and details, including employment opportunities for seniors, healthcare, educational options (such as universities), as well as transportation.

Are you looking to retire in one of these top-ranked cities? Visit for a listing of local senior living communities, including Alzheimer’s Care and assisted living.