Connecticut outperforms most states in addressing elder long-term care, but needs to improve support for family caregivers, transitions between hospitals and other settings and affordability of nursing homes, according to a national report card. The state ranks 12th overall among all 50 states and the District of Columbia in meeting 26 indicators across five key dimensions of care. It scored high in offering choice of setting and provider, quality of life and quality of care. And while it ranks high for access to care, it needs to substantially improve affordability. The state fares poorly in care transitions (39th) – the process of shifting care from one setting to another – and in support for family caregivers (30th).