Health · Royal

Royal, IA health

On every measure CDC estimates, Royal looks like Iowa as a whole: no difference is outside the margin of error.

CDC PLACES 2025 · adults 18+ · CDC's estimate for Royal
TownTapestry Health GradeNew

Not graded

Health Grades cover towns with 1,000 or more residents. CDC's estimates for a place of 585 people are less certain, so we show Royal's figures without a grade.

Report card

How Royal compares with Iowa

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

Out of every 100 Royal adults…

35 of every 100 Royal adults have high blood pressure
Iowa: 34 in 100 · too close to call · margin 30.9–39.2%

Bars show Royal; the black tick is Iowa. Tap a condition to see it as people.

Habits

Everyday habits, side by side with the state

Royal, betterRoyal, worseToo close to callIowa
Get no exerciseshare of adults 25% Royal
IA 24.8%
Sleep under 7 hoursshare of adults 32% Royal
IA 32.5%
Binge drinkshare of adults 20.9% Royal
IA 20.5%
Smoke cigarettesshare of adults 16% Royal
IA 14.5%
0%10%20%30%40%
Care & screenings

Keeping up with care

Share of Royal adults getting routine care. The full ring is 100%; the dark tick marks Iowa.

77%
Yearly checkup
IA 78%
65%
Dentist visit
IA 67%
85%
Cholesterol check
IA 84%
69%
Colon screening
IA 67%
74%
Mammogram
IA 79%
78%
Taking BP meds
IA 78%
1 in 15
working-age adults has no health insurance
Royal 6.5% · Iowa 1 in 14 (7.3%)
Mind & connection

How Royal adults are doing

1 in 3Royal adults feel lonely
31.4% · Iowa 32.3% · too close to call
1 in 5Royal adults have been diagnosed with depression
20.4% · Iowa 20.7% · too close to call
1 in 4Royal adults lack social or emotional support
23.7% · Iowa 23.3% · too close to call
1 in 6Royal adults are in frequent mental distress
16.3% · Iowa 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 9
Royal adults worry about having enough food
10.6% · IA 12% · about the same
1 in 12
Royal adults worry about keeping their housing
8.4% · IA 9.4% · about the same
1 in 17
Royal adults were threatened with a utility shut-off
5.8% · IA 6.4% · about the same
1 in 16
Royal adults lack reliable transportation
6.1% · IA 6.8% · about the same

9% of Royal adults receive SNAP (food stamps), compared with 10% across Iowa.

Disability

Living with a disability

27.7%

of Royal adults live with a disability (Iowa 28.1%). Thinking or memory is the most common.

Walking or climbing stairs12.9%
Thinking or memory13.3%
Hearing7.5%
Errands alone7.1%
Vision4%
Dressing or bathing3.3%

Black tick: Iowa. Shown without a better/worse judgment.

Getting care

Care in and near Royal

No hospital or community health center in Royal itself. These are the nearest.

HNearest ERSpencer Municipal HospitalSpencer · 9.2 miDirections →
★Best rated nearbyCherokee Regional Medical Center★★★★★ · 25 miDirections →
+Low-cost careCommunity Health Center of Fort DodgeSpencer · 8.8 mi · sliding-scale feesDirections →
8.8 mi
Community Health Center of Fort Dodge
2 sites · nearest in Spencer
Sliding-scale fees
Directions to nearest
9.2 mi
Spencer Municipal Hospital
Spencer · ★★★★★
ER
25 mi
Cherokee Regional Medical Center
Cherokee · ★★★★★
ERRural critical access
29 mi
United Community Health Center of Storm Lake - Replacement
Storm Lake · community health center
Sliding-scale fees
32.8 mi
Osceola Community Hospital
Sibley · not rated
ERRural critical access
32.9 mi
Avera Holy Family Hospital
Estherville · ★★★★★
ERRural critical access
✓ Primary careRoyal is not a shortage area
! Dental careRoyal's county is a federal shortage area for some residents.Medicaid Eligible - Clay County · need score 6 of 25
! Mental healthRoyal's county is a federal shortage area.Spencer/ Spirit Lake Area · need score 15 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 Royal. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 40 measures for Royal
MeasureRoyalMarginIowa
Chronic conditions
High blood pressure35%30.9–39.2%33.9%about the same
High cholesterol35.1%30.9–39.5%35.3%about the same
Obesity35.4%28.1–43.6%37.7%about the same
Arthritis27.7%24.4–31.2%27%about the same
Depression20.4%17.2–23.9%20.7%about the same
Lost all teeth (65+)10.8%8.6–13.4%11.6%about the same
Asthma10%8.8–11.3%9.9%about the same
Cancer (not skin)9.2%8.2–10.2%8.7%about the same
Diabetes11.4%9.6–13.4%11.2%about the same
COPD7.3%6–8.8%6.9%about the same
Heart disease6.7%5.8–7.7%6.6%about the same
Stroke3.3%2.9–3.8%3.3%about the same
Habits
Smoke cigarettes16%12.8–19.3%14.5%about the same
Binge drink20.9%17.5–24.6%20.5%about the same
Get no exercise25%20.3–30.2%24.8%about the same
Sleep under 7 hours32%25.8–38.6%32.5%about the same
Care & screenings
Yearly checkup76.9%73.1–80.2%77.5%about the same
Dentist visit64.7%60.9–68.3%66.8%about the same
Cholesterol check84.5%82–86.7%84.1%about the same
Colon screening68.5%63.1–73.3%66.6%about the same
Mammogram74.2%65.8–80.9%78.7%about the same
Taking BP meds78.4%75.2–81.1%77.8%about the same
No health insurance6.5%4.8–8.4%7.3%about the same
Mind & connection
Feel lonely31.4%26.7–36.8%32.3%about the same
Lack emotional support23.7%19.9–27.8%23.3%about the same
Frequent mental distress16.3%14.2–18.6%16.4%about the same
Fair or poor health17.1%14.2–20.2%17.8%about the same
Frequent physical distress13%11.2–15.1%12.7%about the same
Everyday needs
Food insecurity10.6%8.3–13.2%12%about the same
Housing insecurity8.4%6.7–10.2%9.4%about the same
Utility shut-off threat5.8%4.8–7%6.4%about the same
No reliable transportation6.1%5.1–7.3%6.8%about the same
Receive SNAP9%7–11.3%10%
Disability
Any disability27.7%23.4–32.2%28.1%
Walking or climbing stairs12.9%10.7–15.2%12.7%
Thinking or memory13.3%11.2–15.4%13.5%
Hearing7.5%6.6–8.6%7.4%
Vision4%3.4–4.7%4.3%
Dressing or bathing3.3%2.8–3.9%3.4%
Errands alone7.1%6–8.3%7.4%
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 Royal door to door.
Close calls stay grayEvery figure has a margin of error. When the Iowa figure falls inside it, we don't call Royal better or worse.
CDC's own town estimateCDC publishes Royal directly, so these are its own figures.

CDC PLACES: Local Data for Better Health, 2025 release. The Iowa 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.

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Boundary source: https://tigerweb.geo.census.gov/arcgis/rest/services/TIGERweb/Places_CouSub_ConCity_SubMCD/MapServer/18 · 2025-01-01