Many states are not prepared to meet seniors’ needs as they grow older and should look at more housing assistance that can accommodate them, new report results suggest.

In 2007, only 4% of the over-65 Medicare population resided in long-term care facilities while 15% of those over age 85 lived in a facility, finds a report from the Center for Housing Policy. Despite a strong stated desire by many seniors to “age in place,” many need assistance with activities of daily living.

Of particular concern, the authors note, are the elderly poor and disabled, who face a lack of affordable housing options.

The researchers said potential solutions include expanding the Home- and Community-Based Services Medicaid waiver program; supporting the growth of Continuing Care Retirement Communities and assisted living; creating flexible zoning rules; and expanding transportation services for seniors.