Health · Royal

Royal, ND health

Royal differs from North Dakota on 17 of 40 measures. It has fewer adults facing food insecurity (7.7% vs 10.7%) and fewer adults facing a utility shut-off (4.3% vs 5.8%). Where it trails the state: more adults who have had cancer (11.1% vs 8.2%).

CDC PLACES 2025 · adults 18+ · ZIP codes 58377, 58338
TownTapestry Health GradeNew

Not graded

Health Grades cover towns with 1,000 or more residents. CDC's estimates for a place of 5 people are less certain, so we show Royal's figures without a grade.

Report card

How Royal 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 Royal adults…

37 of every 100 Royal adults have high blood pressure
North Dakota: 32 in 100 · worse · margin 33.3–40.5%

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

Habits

Everyday habits, side by side with the state

Royal, betterRoyal, worseToo close to callNorth Dakota
Get no exerciseshare of adults 22.1% Royal
ND 21.8%
Sleep under 7 hoursshare of adults 30.1% Royal
ND 32.7%
Binge drinkshare of adults 18.4% Royal
ND 21.3%
Smoke cigarettesshare of adults 12.6% Royal
ND 13.1%
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 North Dakota.

78%
Yearly checkup
ND 74%
69%
Dentist visit
ND 65%
88%
Cholesterol check
ND 83%
70%
Colon screening
ND 65%
79%
Mammogram
ND 78%
81%
Taking BP meds
ND 76%
1 in 18
working-age adults has no health insurance
Royal 5.7% · North Dakota 1 in 14 (7.3%)
Mind & connection

How Royal adults are doing

1 in 4Royal adults feel lonely
25.1% · North Dakota 29.6% · better
1 in 5Royal adults have been diagnosed with depression
19.1% · North Dakota 21.3% · too close to call
1 in 5Royal adults lack social or emotional support
19.5% · North Dakota 20.6% · too close to call
1 in 8Royal adults are in frequent mental distress
12.3% · North Dakota 14.2% · 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 13
Royal adults worry about having enough food
7.7% · ND 10.7% · better
1 in 15
Royal adults worry about keeping their housing
6.6% · ND 8.9% · better
1 in 23
Royal adults were threatened with a utility shut-off
4.3% · ND 5.8% · better
1 in 20
Royal adults lack reliable transportation
4.9% · ND 6.5% · better

4.8% of Royal adults receive SNAP (food stamps), compared with 6.7% across North Dakota.

Disability

Living with a disability

26.9%

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

Walking or climbing stairs12.5%
Thinking or memory10.8%
Hearing9.2%
Errands alone6.6%
Vision4%
Dressing or bathing3.4%

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

Around Royal

Royal and the towns around it

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

Sullivan: 38.5% Northfield: 37.1% Klingstrup: 38.6% Banner: 39.3% Hammer: 38.6% Harding: 36.1% Overland: 36.8% Prospect: 36.7% Storlie: 38.3% Seivert: 39.5% Bethel: 42.7% Alsen: 40.3% Henderson: 40.2% Royal: 38.5% Royal Sullivan Northfield Klingstrup Banner
36.1%42.7%· darker is worse for health

Obesity

#6 of 14towns on this map, healthiest first
Northfield37.1%
Royal38.5%
Sullivan38.5%
Klingstrup38.6%
Banner39.3%
6 places to get careNearest ER 19.1 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 Royal

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

HNearest ERTowner County Medical CenterCando · 19.1 miDirections →
★Best rated nearbyChi St. Alexius Health Devils Lake★★★★★ · 26.8 miDirections →
+Low-cost careNorthland Health CentersRolette · 49.5 mi · sliding-scale feesDirections →
19.1 mi
Towner County Medical Center
Cando · not rated
ERRural critical access
26.5 mi
Cavalier County Memorial Hospital Association
Langdon · not rated
ERRural critical access
26.8 mi
Chi St. Alexius Health Devils Lake
Devils Lake · ★★★★★
ERRural critical access
45.2 mi
Presentation Medical Center
Rolla · not rated
ERRural critical access
49.5 mi
Northland Health Centers
3 sites · nearest in Rolette
Sliding-scale fees
Directions to nearest
62.7 mi
Community Health Service Inc. - Grafton
Grafton · community health center
Sliding-scale fees
✓ Primary careRoyal is not a shortage area
✓ Dental careRoyal is not a shortage area
! Mental healthRoyal's county is a federal shortage area.Region III Devils Lake Catchment · 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 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
MeasureRoyalMarginNorth Dakota
Chronic conditions
High blood pressure36.8%33.3–40.5%31.8%worse
High cholesterol39.8%36.2–43.7%33.8%worse
Obesity38.5%32.6–44.7%36.5%about the same
Arthritis30.6%27.5–33.7%25.3%worse
Depression19.1%16.5–22.1%21.3%about the same
Lost all teeth (65+)10.5%9–12.3%10.8%about the same
Asthma9.5%8.4–10.7%10.1%about the same
Cancer (not skin)11.1%10.1–12.1%8.2%worse
Diabetes11.2%9.7–12.8%9.8%about the same
COPD6.8%5.7–8%5.9%about the same
Heart disease7.6%6.7–8.4%6.1%worse
Stroke3.7%3.3–4.1%3.1%worse
Habits
Smoke cigarettes12.6%10.3–15.4%13.1%about the same
Binge drink18.4%15.7–21.4%21.3%about the same
Get no exercise22.1%18.5–26%21.8%about the same
Sleep under 7 hours30.1%25.2–35.2%32.7%about the same
Care & screenings
Yearly checkup78.3%75.1–81.1%74.4%better
Dentist visit68.6%65.5–71.6%64.5%better
Cholesterol check87.8%86–89.4%82.7%better
Colon screening70.3%65.9–74.4%64.9%better
Mammogram78.8%72.1–84.2%78%about the same
Taking BP meds81%78.5–83.3%76.3%better
No health insurance5.7%4.3–7.3%7.3%about the same
Mind & connection
Feel lonely25.1%22–28.6%29.6%better
Lack emotional support19.5%17–22.4%20.6%about the same
Frequent mental distress12.3%10.7–14%14.2%better
Fair or poor health15.9%13.6–18.4%16.1%about the same
Frequent physical distress12.2%10.7–13.9%11.4%about the same
Everyday needs
Food insecurity7.7%6.2–9.6%10.7%better
Housing insecurity6.6%5.5–7.9%8.9%better
Utility shut-off threat4.3%3.7–5.1%5.8%better
No reliable transportation4.9%4.2–5.7%6.5%better
Receive SNAP4.8%3.7–6.1%6.7%
Disability
Any disability26.9%23.4–30.8%27.6%
Walking or climbing stairs12.5%10.6–14.5%11.2%
Thinking or memory10.8%9.3–12.6%12.6%
Hearing9.2%8.1–10.2%7.8%
Vision4%3.5–4.6%4.1%
Dressing or bathing3.4%3–3.9%3.1%
Errands alone6.6%5.6–7.5%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 Royal 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 Royal better or worse.
Why a ZIP codeCDC publishes towns like Royal by ZIP code. We weight the ZIP codes that cover Royal 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