Health · Middletown
Middletown, CA health
Middletown differs from California on 7 of 40 measures. It has fewer older adults who have lost all their teeth (8.3% vs 10.6%) and fewer adults facing food insecurity (14.4% vs 17.9%). Where it trails the state: more adults who have had cancer (8.6% vs 6.4%).
CDC PLACES 2025 · adults 18+ · CDC's estimate for MiddletownTownTapestry Health GradeNew
B
Middletown’s Health Grade: B
On seven CDC health estimates for adults, Middletown is healthier than 58% of U.S. towns.
CSelf-rated healthC+Physical distressB-Mental distressA-ObesityBDiabetesB+SmokingBExercise
All U.S. towns we grade (19,420)Healthier than 58%
Less healthyHealthier
California towns we grade (1,056)Healthier than 47%
These are estimates. At the ends of CDC’s likely ranges, Middletown could be anywhere from C− to A−.
How the Health Grade works
- Seven CDC estimates. Adults in fair or poor health, frequent physical distress, frequent mental distress, obesity, diabetes, smoking and no exercise (CDC PLACES, 2025 release). On each one a town earns the share of U.S. towns doing worse, and those shares are averaged. It’s the same score as our Healthiest towns in California ranking.
- Graded on a national curve. Every U.S. town with 1,000+ residents and all seven estimates (19,420 places) is lined up by score: A+ top 5%A next 10%A- next 10%B B+ to B−, next 30%C C+ to C−, next 30%D D and D−, bottom 15%
- Not adjusted for income. Wealthier towns are usually healthier, and the grade shows that as it is. The similar-incomes bar compares Middletown with U.S. towns whose median household income is within 25% of its own.
- Modeled, not measured. CDC combines national survey answers with each area’s age, sex, race and income mix. Middletown uses CDC’s own estimate for it. High blood pressure is left out because it tracks age more than anything else. The confidence line recomputes the grade with every estimate at the low, then the high, end of its range.
Report card
How Middletown compares with California
Each theme counts how many of its measures are better, worse or too close to call against the state. Tap one to jump to it.
Chronic conditions
30.6% have obesity
1 better7 close4 worse
Habits
23.5% get no exercise
0 better4 close0 worse
Care & screenings
72.8% had a checkup
1 better6 close0 worse
Mind & connection
35% feel lonely
0 better5 close0 worse
Everyday needs
14.4% face food insecurity
1 better4 close0 worse
Disability
31.9% have a disability
7 measures · shown without a better/worse judgment
Chronic conditions
Out of every 100 Middletown adults…
34 of every 100 Middletown adults have high blood pressure
California: 31 in 100 · too close to call · margin 30–38.4%
Bars show Middletown; the black tick is California. Tap a condition to see it as people.
Habits
Everyday habits, side by side with the state
Middletown, betterMiddletown, worseToo close to callCalifornia
Get no exerciseshare of adults
23.5% Middletown
CA 24.6%
CA 24.6%
Sleep under 7 hoursshare of adults
34.7% Middletown
CA 35.1%
CA 35.1%
Binge drinkshare of adults
16.9% Middletown
CA 15.3%
CA 15.3%
Smoke cigarettesshare of adults
12.3% Middletown
CA 10.9%
CA 10.9%
0%10%20%30%40%
Care & screenings
Keeping up with care
Share of Middletown adults getting routine care. The full ring is 100%; the dark tick marks California.
Yearly checkup
CA 72%Dentist visit
CA 63%Cholesterol check
CA 85%Colon screening
CA 58%Mammogram
CA 76%Taking BP meds
CA 71%1 in 11
working-age adults has no health insurance
Middletown 9.4% · California 1 in 9 (10.6%)
Mind & connection
How Middletown adults are doing
1 in 3Middletown adults feel lonely
35% · California 37.3% · too close to call
1 in 4Middletown adults have been diagnosed with depression
23.1% · California 20.1% · too close to call
1 in 4Middletown adults lack social or emotional support
25.5% · California 28.6% · too close to call
1 in 6Middletown adults are in frequent mental distress
17.2% · California 16.4% · too close to call
Everyday needs
Making ends meet
Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.
1 in 7
Middletown adults worry about having enough food
14.4% · CA 17.9% · better
1 in 8
Middletown adults worry about keeping their housing
13% · CA 14.9% · about the same
1 in 15
Middletown adults were threatened with a utility shut-off
6.6% · CA 7.3% · about the same
1 in 13
Middletown adults lack reliable transportation
8% · CA 9.3% · about the same
12.7% of Middletown adults receive SNAP (food stamps), compared with 15.6% across California.
Disability
Living with a disability
31.9%
of Middletown adults live with a disability (California 30.4%). Walking or climbing stairs is the most common.
Walking or climbing stairs15.1%
Thinking or memory14.9%
Hearing6.9%
Errands alone8.4%
Vision5.2%
Dressing or bathing4.1%
Black tick: California. Shown without a better/worse judgment.
Getting care
Care in and near Middletown
No hospital or community health center in Middletown itself. These are the nearest.
HNearest ERAdventist Health ClearlakeClearlake · 15.3 miDirections →
+Low-cost careOle HealthCalistoga · 12.3 mi · sliding-scale feesDirections →
12.3 mi
Ole Health
2 sites · nearest in Calistoga
Ole Health - CalistogaCalistoga · 12.3 mi
Ole Health - St. HelenaSaint Helena · 18.8 mi
15.7 mi
Alliance Medical Center
6 sites · nearest in Healdsburg
Alliance Medical CenterHealdsburg · 15.7 mi
Comprehensive Wellness CenterHealdsburg · 15.9 mi
Windsor Dental ClinicWindsor · 17.3 mi
Windsor Wellness CenterWindsor · 17.3 mi
Windsor Dental ClinicWindsor · 17.3 mi
Alliance Medical Center - WindsorWindsor · 17.4 mi
Nothing matches.
✓ Primary careMiddletown is not a shortage area
✓ Dental careMiddletown is not a shortage area
! Mental healthMiddletown's county is a federal shortage area for some residents.Low-income residents, MFW-Lake County · need score 19 of 25
Hospitals: Medicare overall star ratings, 1–5. Community health centers charge on a sliding scale by income. Distances are straight-line from the center of Middletown. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).
All 40 measures for Middletown
| Measure | Middletown | Margin | California | |
|---|---|---|---|---|
| Chronic conditions | ||||
| High blood pressure | 34.1% | 30–38.4% | 30.5% | about the same |
| High cholesterol | 36.7% | 32.4–41.2% | 35.4% | about the same |
| Obesity | 30.6% | 23.5–38.5% | 27.8% | about the same |
| Arthritis | 25.4% | 22.1–28.7% | 20.8% | worse |
| Depression | 23.1% | 19.6–26.8% | 20.1% | about the same |
| Lost all teeth (65+) | 8.3% | 6.6–10.2% | 10.6% | better |
| Asthma | 10.3% | 9.1–11.7% | 9.3% | about the same |
| Cancer (not skin) | 8.6% | 7.7–9.5% | 6.4% | worse |
| Diabetes | 11.5% | 9.8–13.3% | 11.7% | about the same |
| COPD | 6.4% | 5.4–7.6% | 5.1% | worse |
| Heart disease | 6.6% | 5.8–7.5% | 5.6% | worse |
| Stroke | 3.5% | 3.1–3.9% | 3.1% | about the same |
| Habits | ||||
| Smoke cigarettes | 12.3% | 10.1–14.8% | 10.9% | about the same |
| Binge drink | 16.9% | 13.9–20.2% | 15.3% | about the same |
| Get no exercise | 23.5% | 19.1–28% | 24.6% | about the same |
| Sleep under 7 hours | 34.7% | 28.5–41.4% | 35.1% | about the same |
| Care & screenings | ||||
| Yearly checkup | 72.8% | 68.7–76.8% | 71.9% | about the same |
| Dentist visit | 61.1% | 57.4–64.8% | 62.8% | about the same |
| Cholesterol check | 87.3% | 85.5–89.1% | 85.4% | better |
| Colon screening | 61.7% | 56.2–67% | 57.5% | about the same |
| Mammogram | 74% | 66–81.3% | 75.7% | about the same |
| Taking BP meds | 73% | 69.5–76.3% | 71.3% | about the same |
| No health insurance | 9.4% | 7.3–11.6% | 10.6% | about the same |
| Mind & connection | ||||
| Feel lonely | 35% | 29.6–40.6% | 37.3% | about the same |
| Lack emotional support | 25.5% | 21.7–29.7% | 28.6% | about the same |
| Frequent mental distress | 17.2% | 15.2–19.4% | 16.4% | about the same |
| Fair or poor health | 21.7% | 18.5–25.3% | 22.1% | about the same |
| Frequent physical distress | 14.9% | 12.9–17% | 13.4% | about the same |
| Everyday needs | ||||
| Food insecurity | 14.4% | 11.7–17.4% | 17.9% | better |
| Housing insecurity | 13% | 10.9–15.4% | 14.9% | about the same |
| Utility shut-off threat | 6.6% | 5.6–7.8% | 7.3% | about the same |
| No reliable transportation | 8% | 6.9–9.3% | 9.3% | about the same |
| Receive SNAP | 12.7% | 10.1–15.4% | 15.6% | |
| Disability | ||||
| Any disability | 31.9% | 27.2–36.7% | 30.4% | |
| Walking or climbing stairs | 15.1% | 12.8–17.5% | 13.8% | |
| Thinking or memory | 14.9% | 13–17.2% | 14.6% | |
| Hearing | 6.9% | 6–7.8% | 5.9% | |
| Vision | 5.2% | 4.5–5.9% | 5.6% | |
| Dressing or bathing | 4.1% | 3.5–4.7% | 3.9% | |
| Errands alone | 8.4% | 7.2–9.6% | 8.1% | |
About these numbers
How CDC estimates town health
They're modeled estimatesCDC combines a large national health survey with each area's age, sex, race and income mix to estimate local rates. Nobody surveyed Middletown door to door.
Close calls stay grayEvery figure has a margin of error. When the California figure falls inside it, we don't call Middletown better or worse.
CDC's own town estimateCDC publishes Middletown directly, so these are its own figures.
CDC PLACES: Local Data for Better Health, 2025 release. The California figure combines its counties, weighted by adult population.
Health estimates: CDC PLACES. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. Town boundaries: U.S. Census Bureau.