Health · Castle Rock

Castle Rock, ND health

Castle Rock differs from North Dakota on 17 of 40 measures. It has fewer adults facing a utility shut-off (4.6% vs 5.8%) and fewer binge drinkers (16.9% vs 21.3%). Where it trails the state: more older adults who have lost all their teeth (16.5% vs 10.8%).

CDC PLACES 2025 · adults 18+ · ZIP code 58646 (all of Castle Rock)
TownTapestry Health GradeNew

Not graded

Health Grades cover towns with 1,000 or more residents. CDC's estimates for a place of 33 people are less certain, so we show Castle Rock's figures without a grade.

Report card

How Castle Rock compares with North Dakota

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 Castle Rock adults…

41 of every 100 Castle Rock adults have high blood pressure
North Dakota: 32 in 100 · worse · margin 36.4–45.5%

Bars show Castle Rock; the black tick is North Dakota. Tap a condition to see it as people.

Habits

Everyday habits, side by side with the state

Castle Rock, betterCastle Rock, worseToo close to callNorth Dakota
Get no exerciseshare of adults 25.9% Castle Rock
ND 21.8%
Sleep under 7 hoursshare of adults 32.3% Castle Rock
ND 32.7%
Binge drinkshare of adults 16.9% Castle Rock
ND 21.3%
Smoke cigarettesshare of adults 14.1% Castle Rock
ND 13.1%
0%10%20%30%40%
Care & screenings

Keeping up with care

Share of Castle Rock adults getting routine care. The full ring is 100%; the dark tick marks North Dakota.

79%
Yearly checkup
ND 74%
63%
Dentist visit
ND 65%
88%
Cholesterol check
ND 83%
70%
Colon screening
ND 65%
76%
Mammogram
ND 78%
83%
Taking BP meds
ND 76%
1 in 15
working-age adults has no health insurance
Castle Rock 6.6% · North Dakota 1 in 14 (7.3%)
Mind & connection

How Castle Rock adults are doing

1 in 4Castle Rock adults feel lonely
27.9% · North Dakota 29.6% · too close to call
1 in 5Castle Rock adults have been diagnosed with depression
19% · North Dakota 21.3% · too close to call
1 in 5Castle Rock adults lack social or emotional support
20.5% · North Dakota 20.6% · too close to call
1 in 8Castle Rock adults are in frequent mental distress
12.5% · North Dakota 14.2% · 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 11
Castle Rock adults worry about having enough food
9.3% · ND 10.7% · about the same
1 in 14
Castle Rock adults worry about keeping their housing
7.2% · ND 8.9% · better
1 in 22
Castle Rock adults were threatened with a utility shut-off
4.6% · ND 5.8% · better
1 in 19
Castle Rock adults lack reliable transportation
5.3% · ND 6.5% · better

5.8% of Castle Rock adults receive SNAP (food stamps), compared with 6.7% across North Dakota.

Disability

Living with a disability

32.1%

of Castle Rock adults live with a disability (North Dakota 27.6%). Walking or climbing stairs is the most common.

Walking or climbing stairs15.7%
Thinking or memory11.6%
Hearing11.1%
Errands alone7.7%
Vision4.7%
Dressing or bathing3.9%

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

Around Castle Rock

Castle Rock and the towns around it

Pick a measure to shade the map. Darker is worse for health.

Mott: 36.4% Brittian: 37% Ashby: 37% Chilton: 37.1% Kern: 37% Mott: 37% Beery: 37% Cannon Ball: 39.4% Merrill: 37% Maine: 37% Chandler: 36.1% Farina: 39.4% Acme: 37% Castle Rock: 37% Castle Rock Mott Brittian Ashby Chilton Kern Mott
36.1%39.4%· darker is worse for health

Obesity

#3 of 14towns on this map, healthiest first
Mott36.4%
Castle Rock37%
Brittian37%
Ashby37%
Kern37%
Mott37%
Chilton37.1%
6 places to get careNearest ER 25.3 mi

Nearby towns are shaded from CDC's estimates for their ZIP codes, or CDC's own figure for cities and villages.

Getting care

Care in and near Castle Rock

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

HNearest ERWest River Regional Medical CenterHettinger · 25.3 miDirections →
★Best rated nearbyChi St. Alexius Health Dickinson★★★★★ · 44.6 miDirections →
+Low-cost careHorizon Health CareBison · 55.3 mi · sliding-scale feesDirections →
25.3 mi
West River Regional Medical Center
Hettinger · ★★★★★
ERRural critical access
25.9 mi
Jacobson Memorial Hospital Care Center
Elgin · not rated
ERRural critical access
44.6 mi
Chi St. Alexius Health Dickinson
Dickinson · ★★★★★
ERRural critical access
50.4 mi
Southwest Healthcare Services
Bowman · not rated
ERRural critical access
55.3 mi
Horizon Health Care
2 sites · nearest in Bison
Sliding-scale fees
Directions to nearest
71.7 mi
Coal Country Community Health Center
4 sites · nearest in Beulah
Sliding-scale fees
Directions to nearest
! Primary careCastle Rock's county is a federal shortage area.Hettinger County · need score 16 of 25
✓ Dental careCastle Rock is not a shortage area
! Mental healthCastle Rock's county is a federal shortage area.Region VIII Badlands Human Service Center MHCA · need score 17 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 Castle Rock. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 40 measures for Castle Rock
MeasureCastle RockMarginNorth Dakota
Chronic conditions
High blood pressure41%36.4–45.5%31.8%worse
High cholesterol41%36.3–45.8%33.8%worse
Obesity37%29.2–45.5%36.5%about the same
Arthritis34.2%30.3–38%25.3%worse
Depression19%16–22.3%21.3%about the same
Lost all teeth (65+)16.5%13.5–19.8%10.8%worse
Asthma10%8.7–11.3%10.1%about the same
Cancer (not skin)12.3%11.1–13.6%8.2%worse
Diabetes12.9%11–15%9.8%worse
COPD8.3%6.9–9.8%5.9%worse
Heart disease9.1%7.9–10.3%6.1%worse
Stroke4.4%3.9–5%3.1%worse
Habits
Smoke cigarettes14.1%11.5–16.8%13.1%about the same
Binge drink16.9%14–20.1%21.3%better
Get no exercise25.9%21.2–31.2%21.8%about the same
Sleep under 7 hours32.3%25.8–39.4%32.7%about the same
Care & screenings
Yearly checkup79.2%75.8–82.5%74.4%better
Dentist visit63.2%59.2–67.1%64.5%about the same
Cholesterol check88.3%86.7–89.9%82.7%better
Colon screening69.5%63.9–74.6%64.9%about the same
Mammogram76.1%68–83.1%78%about the same
Taking BP meds83.4%80.7–85.8%76.3%better
No health insurance6.6%5.2–8.4%7.3%about the same
Mind & connection
Feel lonely27.9%23.2–33%29.6%about the same
Lack emotional support20.5%17.1–24.1%20.6%about the same
Frequent mental distress12.5%10.9–14.3%14.2%about the same
Fair or poor health18.5%15.5–21.9%16.1%about the same
Frequent physical distress13.7%11.8–15.8%11.4%worse
Everyday needs
Food insecurity9.3%7.3–11.4%10.7%about the same
Housing insecurity7.2%5.9–8.6%8.9%better
Utility shut-off threat4.6%3.9–5.5%5.8%better
No reliable transportation5.3%4.4–6.1%6.5%better
Receive SNAP5.8%4.5–7.3%6.7%
Disability
Any disability32.1%27.4–36.9%27.6%
Walking or climbing stairs15.7%13.2–18.6%11.2%
Thinking or memory11.6%9.9–13.4%12.6%
Hearing11.1%9.7–12.5%7.8%
Vision4.7%4–5.5%4.1%
Dressing or bathing3.9%3.3–4.6%3.1%
Errands alone7.7%6.5–9%7.1%
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 Castle Rock door to door.
Close calls stay grayEvery figure has a margin of error. When the North Dakota figure falls inside it, we don't call Castle Rock better or worse.
Why a ZIP codeCDC publishes towns like Castle Rock by ZIP code. We weight the ZIP codes that cover Castle Rock by how much of its land each one covers.

CDC PLACES: Local Data for Better Health, 2025 release. The North Dakota 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/15 · 2025-01-01