Health · Keystone

Keystone, ND health

On most measures Keystone looks like North Dakota as a whole. Where it trails the state most: more adults with heart disease (7.1% vs 6.1%) and more adults who have had cancer (9.5% vs 8.2%).

CDC PLACES 2025 · adults 18+ · ZIP codes 58436, 58441

TownTapestry Health GradeNew

Not graded

Health Grades cover towns with 1,000 or more residents. CDC's estimates for a place of 21 people are less certain, so we show Keystone's figures without a grade.

Report card

How Keystone 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 Keystone adults…

34 of every 100 Keystone adults have high blood pressure

North Dakota: 32 in 100 · too close to call · margin 30.3–37.7%

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

Habits

Everyday habits, side by side with the state

Keystone, betterKeystone, worseToo close to callNorth Dakota

Get no exerciseshare of adults 22.5% Keystone
ND 21.8%

Sleep under 7 hoursshare of adults 32.8% Keystone
ND 32.7%

Binge drinkshare of adults 20% Keystone
ND 21.3%

Smoke cigarettesshare of adults 12.7% Keystone
ND 13.1%

0%10%20%30%40%

Care & screenings

Keeping up with care

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

Yearly checkup

ND 74%

Dentist visit

ND 65%

Cholesterol check

ND 83%

Colon screening

ND 65%

Mammogram

ND 78%

Taking BP meds

ND 76%

1 in 15

working-age adults has no health insurance

Keystone 6.5% · North Dakota 1 in 14 (7.3%)

Mind & connection

How Keystone adults are doing

1 in 4Keystone adults feel lonely

28.3% · North Dakota 29.6% · too close to call

1 in 5Keystone adults have been diagnosed with depression

20.2% · North Dakota 21.3% · too close to call

1 in 5Keystone adults lack social or emotional support

19.9% · North Dakota 20.6% · too close to call

1 in 7Keystone adults are in frequent mental distress

14% · 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

Keystone adults worry about having enough food

9.6% · ND 10.7% · about the same

1 in 13

Keystone adults worry about keeping their housing

7.9% · ND 8.9% · about the same

1 in 19

Keystone adults were threatened with a utility shut-off

5.2% · ND 5.8% · about the same

1 in 17

Keystone adults lack reliable transportation

5.9% · ND 6.5% · about the same

6% of Keystone adults receive SNAP (food stamps), compared with 6.7% across North Dakota.

Disability

Living with a disability

28.9%

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

Walking or climbing stairs12.5%

Thinking or memory12.3%

Hearing8.7%

Errands alone7.2%

Vision4.2%

Dressing or bathing3.3%

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

Around Keystone

Keystone 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 Keystone.

35.7%38.7%· darker is worse for health

Obesity

#9 of 13towns on this map, healthiest first

Hamburg36.9%

Valley37.1%

Elden37.2%

Keystone37.3%

Maple38.7%

Care nearby

Chi Oakes HospitalOakes · 22.8 mi · ER · rural critical access Directions Medicare profile

Ashley Medical CenterAshley · 39.4 mi · ER · rural critical access Directions Medicare profile

Lisbon Area Health ServicesLisbon · 46.6 mi · ER · rural critical access Directions Medicare profile

Marshall County Healthcare Center - CahBritton · 46.8 mi · ER · rural critical access Directions Medicare profile

Family Healthcare Lamoure, North DakotaLamoure · 19.1 mi · community health center, sliding-scale fees Directions

Horizon Health - AberdeenAberdeen · 48.3 mi · community health center, sliding-scale fees Directions

✓ Primary careKeystone is not a shortage area

✓ Dental careKeystone is not a shortage area

! Mental healthKeystone's county is a federal shortage area.Jamestown Mental Health Catchment Area · need score 14 of 25

Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes). Hospitals: Medicare overall star ratings, 1–5. Distances are straight-line from the center of Keystone. Nearby towns are shaded from CDC's estimates for their ZIP codes, or CDC's own figure for cities and villages.

All 40 measures for Keystone

Measure	Keystone	Margin	North Dakota
Chronic conditions
High blood pressure	34.2%	30.3–37.7%	31.8%	about the same
High cholesterol	35.9%	31.8–39.6%	33.8%	about the same
Obesity	37.3%	30.1–43.8%	36.5%	about the same
Arthritis	28.4%	25.3–31.3%	25.3%	about the same
Depression	20.2%	17.1–23.3%	21.3%	about the same
Lost all teeth (65+)	11.8%	9.5–14.4%	10.8%	about the same
Asthma	10.1%	8.9–11.4%	10.1%	about the same
Cancer (not skin)	9.5%	8.6–10.4%	8.2%	worse
Diabetes	10.6%	9.1–12.2%	9.8%	about the same
COPD	6.6%	5.7–7.6%	5.9%	about the same
Heart disease	7.1%	6.2–7.9%	6.1%	worse
Stroke	3.4%	3.1–3.8%	3.1%	about the same
Habits
Smoke cigarettes	12.7%	10.5–15%	13.1%	about the same
Binge drink	20%	16.7–23.2%	21.3%	about the same
Get no exercise	22.5%	18.7–26.6%	21.8%	about the same
Sleep under 7 hours	32.8%	26.8–39%	32.7%	about the same
Care & screenings
Yearly checkup	75%	71.1–78.5%	74.4%	about the same
Dentist visit	64.7%	60.9–68.3%	64.5%	about the same
Cholesterol check	84%	81.6–86.1%	82.7%	about the same
Colon screening	68.1%	63.3–72.5%	64.9%	about the same
Mammogram	75.2%	67.7–81.9%	78%	about the same
Taking BP meds	78.4%	75.5–80.9%	76.3%	about the same
No health insurance	6.5%	5.1–8.2%	7.3%	about the same
Mind & connection
Feel lonely	28.3%	23.6–33.5%	29.6%	about the same
Lack emotional support	19.9%	16.6–23.6%	20.6%	about the same
Frequent mental distress	14%	12.1–15.8%	14.2%	about the same
Fair or poor health	16.1%	13.8–18.7%	16.1%	about the same
Frequent physical distress	12%	10.5–13.6%	11.4%	about the same
Everyday needs
Food insecurity	9.6%	7.5–11.8%	10.7%	about the same
Housing insecurity	7.9%	6.3–9.5%	8.9%	about the same
Utility shut-off threat	5.2%	4.3–6.1%	5.8%	about the same
No reliable transportation	5.9%	5–7%	6.5%	about the same
Receive SNAP	6%	4.6–7.6%	6.7%
Disability
Any disability	28.9%	24.9–33%	27.6%
Walking or climbing stairs	12.5%	10.7–14.5%	11.2%
Thinking or memory	12.3%	10.6–14.3%	12.6%
Hearing	8.7%	7.7–9.8%	7.8%
Vision	4.2%	3.7–4.7%	4.1%
Dressing or bathing	3.3%	2.9–3.7%	3.1%
Errands alone	7.2%	6.3–8.3%	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 Keystone 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 Keystone better or worse.

Why a ZIP codeCDC publishes towns like Keystone by ZIP code. We weight the ZIP codes that cover Keystone 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.