Health · Highlands

Highlands, NC health

Highlands differs from North Carolina on 24 of 40 measures. It has fewer adults facing housing insecurity (6% vs 12.2%) and fewer adults facing a utility shut-off (4% vs 8.1%). Where it trails the state: more adults who have had cancer (14.9% vs 7.9%).

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

Highlands’s Health Grade: B+

On seven CDC health estimates for adults, Highlands is healthier than 70% of U.S. towns, and than 86% of towns with similar incomes.

BSelf-rated healthBPhysical distressA+Mental distressA-ObesityC-DiabetesA-SmokingB+Exercise
All U.S. towns we grade (19,420)Healthier than 70%
Less healthyHealthier
North Carolina towns we grade (455)Healthier than 69%
Towns with similar incomes, $54K–$89K (9,697)Healthier than 86%

Better than its income would suggest. Highlands is healthier than most towns with similar incomes, even though its overall grade is B+.

These are estimates. At the ends of CDC’s likely ranges, Highlands 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 North Carolina 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 Highlands 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. Highlands 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 Highlands compares with North Carolina

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 Highlands adults…

46 of every 100 Highlands adults have high blood pressure
North Carolina: 37 in 100 · worse · margin 40.9–50.9%

Bars show Highlands; the black tick is North Carolina. Tap a condition to see it as people.

Habits

Everyday habits, side by side with the state

Highlands, betterHighlands, worseToo close to callNorth Carolina
Get no exerciseshare of adults 23.2% Highlands
NC 23.8%
Sleep under 7 hoursshare of adults 27.3% Highlands
NC 34.2%
Binge drinkshare of adults 11% Highlands
NC 14.7%
Smoke cigarettesshare of adults 10.4% Highlands
NC 13.5%
0%10%20%30%40%
Care & screenings

Keeping up with care

Share of Highlands adults getting routine care. The full ring is 100%; the dark tick marks North Carolina.

86%
Yearly checkup
NC 80%
70%
Dentist visit
NC 64%
93%
Cholesterol check
NC 88%
74%
Colon screening
NC 66%
78%
Mammogram
NC 79%
85%
Taking BP meds
NC 77%
1 in 14
working-age adults has no health insurance
Highlands 7.4% · North Carolina 1 in 10 (10.4%)
Mind & connection

How Highlands adults are doing

1 in 4Highlands adults feel lonely
26.5% · North Carolina 32.5% · better
1 in 4Highlands adults have been diagnosed with depression
22.5% · North Carolina 24.2% · too close to call
1 in 6Highlands adults lack social or emotional support
17% · North Carolina 22.5% · better
1 in 8Highlands adults are in frequent mental distress
12.3% · North Carolina 16.5% · better
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 12
Highlands adults worry about having enough food
8.4% · NC 15.2% · better
1 in 17
Highlands adults worry about keeping their housing
6% · NC 12.2% · better
1 in 25
Highlands adults were threatened with a utility shut-off
4% · NC 8.1% · better
1 in 20
Highlands adults lack reliable transportation
4.9% · NC 8.4% · better

6.3% of Highlands adults receive SNAP (food stamps), compared with 12.3% across North Carolina.

Disability

Living with a disability

35.2%

of Highlands adults live with a disability (North Carolina 32%). Walking or climbing stairs is the most common.

Walking or climbing stairs17.8%
Thinking or memory11.7%
Hearing11.7%
Errands alone7.7%
Vision5.1%
Dressing or bathing4%

Black tick: North Carolina. Shown without a better/worse judgment.

Getting care

Care in and near Highlands

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

HNearest ERHighlands Cashiers HospitalHighlands · 2.3 miDirections →
★Best rated nearbyHarris Regional Hospital★★★★★ · 22.8 miDirections →
+Low-cost careBlue Ridge Community Health ServicesHighlands · 2.4 mi · sliding-scale feesDirections →
2.3 mi
Highlands Cashiers Hospital
Highlands · not rated
ERRural critical access
2.4 mi
Blue Ridge Community Health Services
2 sites · nearest in Highlands
Sliding-scale fees
Directions to nearest
13.6 mi
Mahec Ob/Gyn Specialists Franklin
Franklin · community health center
Sliding-scale fees
14 mi
Mountain Lakes Medical Center
Clayton · not rated
ERRural critical access
15.2 mi
Angel Medical Center
Franklin · ★★★★★
ERRural critical access
22.8 mi
Harris Regional Hospital
Sylva · ★★★★★
ER
! Primary careHighlands's county is a federal shortage area for some residents.MI - Macon County · need score 19 of 25
! Dental careHighlands's county is a federal shortage area for some residents.Low-income residents, Jackson County · need score 18 of 25
! Mental healthHighlands's county is a federal shortage area for some residents.Low-income residents, Macon County · need score 16 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 Highlands. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 40 measures for Highlands
MeasureHighlandsMarginNorth Carolina
Chronic conditions
High blood pressure46.2%40.9–50.9%36.8%worse
High cholesterol45.6%40.2–50.4%35.6%worse
Obesity31%23.3–38.9%35.1%about the same
Arthritis38.4%33.9–42.7%26.9%worse
Depression22.5%18.7–26.2%24.2%about the same
Lost all teeth (65+)10.1%8.2–12.3%13.9%better
Asthma10%8.6–11.4%10.8%about the same
Cancer (not skin)14.9%13.4–16.4%7.9%worse
Diabetes14.1%11.8–16.5%12%about the same
COPD9.2%7.3–11.3%7.1%worse
Heart disease10.1%8.7–11.7%6.6%worse
Stroke4.8%4.1–5.6%3.6%worse
Habits
Smoke cigarettes10.4%8–13.1%13.5%better
Binge drink11%8.8–13.3%14.7%better
Get no exercise23.2%18.2–28.6%23.8%about the same
Sleep under 7 hours27.3%21.7–33.5%34.2%better
Care & screenings
Yearly checkup85.6%82.6–88%80%better
Dentist visit70.1%66.8–73.4%63.6%better
Cholesterol check92.8%91.5–93.9%87.5%better
Colon screening74.4%69.8–78.8%65.7%better
Mammogram77.7%70.1–84.1%78.7%about the same
Taking BP meds85.1%82.1–87.4%76.7%better
No health insurance7.4%5.8–9.4%10.4%better
Mind & connection
Feel lonely26.5%21.8–31.6%32.5%better
Lack emotional support17%14.1–20.4%22.5%better
Frequent mental distress12.3%10.4–14.2%16.5%better
Fair or poor health18.3%14.7–22.1%19%about the same
Frequent physical distress13.8%11.5–16.2%12.7%about the same
Everyday needs
Food insecurity8.4%6.4–10.8%15.2%better
Housing insecurity6%4.8–7.4%12.2%better
Utility shut-off threat4%3.3–4.8%8.1%better
No reliable transportation4.9%4–5.9%8.4%better
Receive SNAP6.3%4.7–8.3%12.3%
Disability
Any disability35.2%29.7–40.7%32%
Walking or climbing stairs17.8%14.4–21.4%14.2%
Thinking or memory11.7%9.7–13.9%14.8%
Hearing11.7%10–13.4%7.3%
Vision5.1%4.2–6%5.3%
Dressing or bathing4%3.3–4.8%4%
Errands alone7.7%6.2–9.4%8.2%
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 Highlands door to door.
Close calls stay grayEvery figure has a margin of error. When the North Carolina figure falls inside it, we don't call Highlands better or worse.
CDC's own town estimateCDC publishes Highlands directly, so these are its own figures.

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