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Participants
This interactive appendix shows long-term care communities and senior housing providers across the United States that have taken part in the Long-Term Care Equalty Index 2025 survey and agreed to be publically listed.
2025 Long-Term Care Equality Index Participants
What Does Each Tier of Recognition Mean?
Tiers of Recognition
The LEI recognizes participating long-term care and senior housing communities. Participating communities that have met all of Criteria 1's foundational non-discrimination policies and training can achieve one of three Tiers of Recognition. See below for a description and requirements for each tier
At this tier, communities are beginning their journey and have a solid foundation of key policies that are codified and communicated. To achieve this tier, communities must have all Criteria 1 practices in place. These practices include an LGBTQ+ inclusive resident non-discrimination policy, equal visitation policy, employee non-discrimination policy, and completion of the executive briefing.
At this tier, in addition to meeting the requirements for the Equality Builder tier, High Performer communities have adopted a minimum of practices in the areas of Resident Services and Supports, Employee Benefits and Policies, and Resident and Community Engagement. To achieve this tier, communities must reach a minimum number of best practices (see below) in Criteria 2, 3, and 4.
At this tier, in addition to meeting the requirements for the prior two tiers, Equality Leader communities have integrated the majority of practices in the areas of Resident Services and Supports, Employee Benefits and Policies, and Resident and Community Engagements. To achieve this tier, communities must reach a set number of best practices (see below) in Criteria 2, 3, and 4, including a transgender-inclusive insurance plan.
How to Participate
The Commitment to Caring Pledge is the first step to participating in the Long-Term Care Equality Index (LEI).
You can also read more about the LEI, explore the criteria, and find support for getting involved.
What is the Long-Term Care Equality Index?
Learn more about the LEI and find more supportive resources and tools to be included in the next survey.
Visit the LEI Landing Page
LEI Survey & Criteria Guide
The LEI Survey & Criteria Resource Guide is a comprehensive instructional and reference accompaniment to the Long-Term Care Equality Index (LEI) survey.
Explore the Criteria
Frequently Asked Questions
Have a question about the Long-Term Care Equality Index? View our Frequently Asked Questions page.
Visit FAQ’sTake the Commitment to Caring Pledge
The Commitment to Caring Pledge is the first step to participating in the Long-Term Care Equality Index (LEI). Visit our pledge page to learn more!