Health · Gem

Gem, ND health

Gem differs from North Dakota on 8 of 40 measures. It has more adults treating high blood pressure (80.7% vs 76.3%) and more adults getting cholesterol checked (85.9% vs 82.7%). Where it trails the state: more adults with heart disease (7.9% vs 6.1%).

CDC PLACES 2025 · adults 18+ · ZIP code 58623 (all of Gem)
TownTapestry Health GradeNew

Not graded

CDC doesn't publish all seven estimates the grade is built on for Gem, so we show its figures without a grade.

Report card

How Gem 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 Gem adults…

37 of every 100 Gem adults have high blood pressure
North Dakota: 32 in 100 · worse · margin 32.1–41.1%

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

Habits

Everyday habits, side by side with the state

Gem, betterGem, worseToo close to callNorth Dakota
Get no exerciseshare of adults 24.5% Gem
ND 21.8%
Sleep under 7 hoursshare of adults 33.2% Gem
ND 32.7%
Binge drinkshare of adults 18.7% Gem
ND 21.3%
Smoke cigarettesshare of adults 13.9% Gem
ND 13.1%
0%10%20%30%40%
Care & screenings

Keeping up with care

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

76%
Yearly checkup
ND 74%
63%
Dentist visit
ND 65%
86%
Cholesterol check
ND 83%
67%
Colon screening
ND 65%
76%
Mammogram
ND 78%
81%
Taking BP meds
ND 76%
1 in 13
working-age adults has no health insurance
Gem 7.7% · North Dakota 1 in 14 (7.3%)
Mind & connection

How Gem adults are doing

1 in 4Gem adults feel lonely
27.9% · North Dakota 29.6% · too close to call
1 in 5Gem adults have been diagnosed with depression
19.2% · North Dakota 21.3% · too close to call
1 in 5Gem adults lack social or emotional support
20.4% · North Dakota 20.6% · too close to call
1 in 8Gem adults are in frequent mental distress
13.1% · 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 10
Gem adults worry about having enough food
10.1% · ND 10.7% · about the same
1 in 13
Gem adults worry about keeping their housing
7.8% · ND 8.9% · about the same
1 in 20
Gem adults were threatened with a utility shut-off
4.9% · ND 5.8% · about the same
1 in 18
Gem adults lack reliable transportation
5.7% · ND 6.5% · about the same

6.2% of Gem adults receive SNAP (food stamps), compared with 6.7% across North Dakota.

Disability

Living with a disability

29.8%

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

Walking or climbing stairs13.9%
Thinking or memory12.2%
Hearing9.8%
Errands alone7.5%
Vision4.6%
Dressing or bathing3.6%

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

Around Gem

Gem and the towns around it

Pick a measure to shade the map. Darker is worse for health. Pins are hospitals and community health centers in and near Gem.

Boyesen: 36.6% Amor: 36.2% Ladd: 36.2% Bowman: 36.2% Talbot: 36.2% Whiting: 37.1% Minnehaha: 36.4% Nebo: 38.4% Grand River: 36.2% Star: 36.2% Gem: 36.2% Gem Boyesen Amor Ladd Bowman Southwest Healthcare Services · Bowman · 7.7 miH
36.2%38.4%· darker is worse for health

Obesity

#1 of 11towns on this map, healthiest first
Gem36.2%
Amor36.2%
Ladd36.2%
Bowman36.2%
Boyesen36.6%
6 places to get careNearest ER 7.7 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 Gem

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

HNearest ERSouthwest Healthcare ServicesBowman · 7.7 miDirections →
★Best rated nearbyWest River Regional Medical Center★★★★★ · 38.2 miDirections →
+Low-cost careHorizon Health CareBison · 59.7 mi · sliding-scale feesDirections →
7.7 mi
Southwest Healthcare Services
Bowman · not rated
ERRural critical access
38.2 mi
West River Regional Medical Center
Hettinger · ★★★★★
ERRural critical access
42.7 mi
Fallon Medical Complex Hospital
Baker · not rated
ERRural critical access
55.7 mi
Dahl Memorial Healthcare Association
Ekalaka · not rated
ERRural critical access
59.7 mi
Horizon Health Care
3 sites · nearest in Bison
Sliding-scale fees
Directions to nearest
94.7 mi
Coal Country Community Health Center
2 sites · nearest in Killdeer
Sliding-scale fees
Directions to nearest
! Primary careGem's county is a federal shortage area.Bowman County · need score 9 of 25
✓ Dental careGem is not a shortage area
! Mental healthGem'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 Gem. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 40 measures for Gem
MeasureGemMarginNorth Dakota
Chronic conditions
High blood pressure36.6%32.1–41.1%31.8%worse
High cholesterol37.6%33–42.3%33.8%about the same
Obesity36.2%28.1–44.8%36.5%about the same
Arthritis30.2%26.5–33.9%25.3%worse
Depression19.2%16–22.7%21.3%about the same
Lost all teeth (65+)13.1%10.8–15.7%10.8%about the same
Asthma9.8%8.6–11.2%10.1%about the same
Cancer (not skin)10.6%9.5–11.7%8.2%worse
Diabetes11.4%9.6–13.3%9.8%about the same
COPD7.4%6–8.8%5.9%worse
Heart disease7.9%6.8–8.9%6.1%worse
Stroke3.9%3.3–4.4%3.1%worse
Habits
Smoke cigarettes13.9%11.3–16.7%13.1%about the same
Binge drink18.7%15.4–22.5%21.3%about the same
Get no exercise24.5%19.8–29.6%21.8%about the same
Sleep under 7 hours33.2%26.7–39.9%32.7%about the same
Care & screenings
Yearly checkup76.3%72.1–80.1%74.4%about the same
Dentist visit62.8%59.1–66.3%64.5%about the same
Cholesterol check85.9%83.7–87.9%82.7%better
Colon screening67.3%62.1–72.1%64.9%about the same
Mammogram75.5%67.8–82.2%78%about the same
Taking BP meds80.7%77.6–83.4%76.3%better
No health insurance7.7%6–9.9%7.3%about the same
Mind & connection
Feel lonely27.9%23.2–33.1%29.6%about the same
Lack emotional support20.4%17–24.1%20.6%about the same
Frequent mental distress13.1%11.3–15%14.2%about the same
Fair or poor health17.7%14.6–21.1%16.1%about the same
Frequent physical distress12.8%10.9–14.9%11.4%about the same
Everyday needs
Food insecurity10.1%8–12.6%10.7%about the same
Housing insecurity7.8%6.4–9.6%8.9%about the same
Utility shut-off threat4.9%4.1–5.9%5.8%about the same
No reliable transportation5.7%4.7–6.7%6.5%about the same
Receive SNAP6.2%4.7–8%6.7%
Disability
Any disability29.8%25.1–34.7%27.6%
Walking or climbing stairs13.9%11.4–16.5%11.2%
Thinking or memory12.2%10.3–14.2%12.6%
Hearing9.8%8.4–11.1%7.8%
Vision4.6%3.9–5.4%4.1%
Dressing or bathing3.6%3–4.3%3.1%
Errands alone7.5%6.3–8.9%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 Gem 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 Gem better or worse.
Why a ZIP codeCDC publishes towns like Gem by ZIP code. We weight the ZIP codes that cover Gem 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