Shell Valley, ND health
Shell Valley differs from North Dakota on 27 of 40 measures. It has fewer adults who have had cancer (5.6% vs 8.2%) and fewer binge drinkers (18% vs 21.3%). Where it trails the state: more adults facing food insecurity (36.2% vs 10.7%).
CDC PLACES 2025 · adults 18+ · CDC's estimate for Shell ValleyShell Valley’s Health Grade: D−
On seven CDC health estimates for adults, Shell Valley is healthier than 2% of U.S. towns.
About what its income would suggest. Shell Valley does about as well against towns with similar incomes as against all towns.
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 Dakota 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 Shell Valley 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. Shell Valley 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.
How Shell Valley 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
Habits
Care & screenings
Mind & connection
Everyday needs
Disability
Out of every 100 Shell Valley adults…
Bars show Shell Valley; the black tick is North Dakota. Tap a condition to see it as people.
Everyday habits, side by side with the state
ND 21.8%
ND 32.7%
ND 21.3%
ND 13.1%
Keeping up with care
Share of Shell Valley adults getting routine care. The full ring is 100%; the dark tick marks North Dakota.
How Shell Valley adults are doing
Making ends meet
Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.
26% of Shell Valley adults receive SNAP (food stamps), compared with 6.7% across North Dakota.
Living with a disability
of Shell Valley adults live with a disability (North Dakota 27.6%). Thinking or memory is the most common.
Black tick: North Dakota. Shown without a better/worse judgment.
Care in and near Shell Valley
1 hospital in Shell Valley, plus the nearest just outside it.
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 Shell Valley. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).
All 40 measures for Shell Valley
| Measure | Shell Valley | Margin | North Dakota | |
|---|---|---|---|---|
| Chronic conditions | ||||
| High blood pressure | 37.6% | 33.2–41.7% | 31.8% | worse |
| High cholesterol | 32.6% | 28.5–36.5% | 33.8% | about the same |
| Obesity | 51.6% | 43.5–58.7% | 36.5% | worse |
| Arthritis | 28.1% | 24.7–31.3% | 25.3% | about the same |
| Depression | 23.4% | 19.6–27.1% | 21.3% | about the same |
| Lost all teeth (65+) | 25.4% | 20.8–30.3% | 10.8% | worse |
| Asthma | 15.3% | 13.4–17.2% | 10.1% | worse |
| Cancer (not skin) | 5.6% | 5–6.3% | 8.2% | better |
| Diabetes | 17.6% | 15.2–20.1% | 9.8% | worse |
| COPD | 9.3% | 7.7–11.2% | 5.9% | worse |
| Heart disease | 7.6% | 6.6–8.6% | 6.1% | worse |
| Stroke | 4.9% | 4.3–5.6% | 3.1% | worse |
| Habits | ||||
| Smoke cigarettes | 28.1% | 23.3–33.1% | 13.1% | worse |
| Binge drink | 18% | 14.7–21.2% | 21.3% | better |
| Get no exercise | 35.9% | 29.7–42% | 21.8% | worse |
| Sleep under 7 hours | 42.3% | 35.1–49.1% | 32.7% | worse |
| Care & screenings | ||||
| Yearly checkup | 73.4% | 69–77.2% | 74.4% | about the same |
| Dentist visit | 47.2% | 42.8–51.2% | 64.5% | worse |
| Cholesterol check | 77.5% | 74.1–80.6% | 82.7% | worse |
| Colon screening | 56% | 50.2–61.5% | 64.9% | worse |
| Mammogram | 68.1% | 58.2–76.5% | 78% | worse |
| Taking BP meds | 73.6% | 70.4–76.5% | 76.3% | about the same |
| No health insurance | 11.6% | 8.6–14.9% | 7.3% | worse |
| Mind & connection | ||||
| Feel lonely | 35.2% | 29.8–40.7% | 29.6% | worse |
| Lack emotional support | 30.1% | 25.5–34.9% | 20.6% | worse |
| Frequent mental distress | 21.3% | 18.5–24.3% | 14.2% | worse |
| Fair or poor health | 31.7% | 26.8–36.6% | 16.1% | worse |
| Frequent physical distress | 19.1% | 16.4–21.8% | 11.4% | worse |
| Everyday needs | ||||
| Food insecurity | 36.2% | 30–42.9% | 10.7% | worse |
| Housing insecurity | 26% | 21.4–30.8% | 8.9% | worse |
| Utility shut-off threat | 18.4% | 15.5–21.6% | 5.8% | worse |
| No reliable transportation | 20.6% | 17.4–24.2% | 6.5% | worse |
| Receive SNAP | 26% | 20.8–32.4% | 6.7% | |
| Disability | ||||
| Any disability | 43.3% | 37.3–48.6% | 27.6% | |
| Walking or climbing stairs | 20.7% | 17.5–23.9% | 11.2% | |
| Thinking or memory | 21.1% | 17.8–24.4% | 12.6% | |
| Hearing | 11% | 9.6–12.5% | 7.8% | |
| Vision | 10.8% | 9.2–12.5% | 4.1% | |
| Dressing or bathing | 6.4% | 5.3–7.6% | 3.1% | |
| Errands alone | 14.6% | 12.2–16.9% | 7.1% | |
How CDC estimates town health
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.