Health · Shell Valley

Shell Valley, ND health

Shell Valley differs from North Dakota on 25 of 40 measures. It has fewer binge drinkers (17.8% vs 21.3%). Where it trails the state: more adults facing food insecurity (21.8% vs 10.7%).

CDC PLACES 2025 · adults 18+ · ZIP codes 58366, 58316

D-Health Grade

TownTapestry Health GradeNew

D⁻

Shell Valley’s Health Grade: D−

On seven CDC health estimates for adults, Shell Valley is healthier than 2% of U.S. towns.

D-Self-rated healthD-Physical distressD-Mental distressD-ObesityDDiabetesD-SmokingDExercise

All U.S. towns we grade (19,420)Healthier than 2%

Less healthyHealthier

North Dakota towns we grade (68)Healthier than 0%

Towns with similar incomes, $35K–$58K (4,284)Healthier than 3%

About what its income would suggest. Shell Valley does about as well against towns with similar incomes as against all towns.

These are estimates. At the ends of CDC’s likely ranges, Shell Valley could be anywhere from D− to D.

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’s figures come from the ZIP codes that cover it, weighted by land area. 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.

Report card

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

Out of every 100 Shell Valley adults…

41 of every 100 Shell Valley adults have high blood pressure

North Dakota: 32 in 100 · worse · margin 36.9–45.3%

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

Habits

Everyday habits, side by side with the state

Shell Valley, betterShell Valley, worseToo close to callNorth Dakota

Get no exerciseshare of adults 32.1% Shell Valley
ND 21.8%

Sleep under 7 hoursshare of adults 37.3% Shell Valley
ND 32.7%

Binge drinkshare of adults 17.8% Shell Valley
ND 21.3%

Smoke cigarettesshare of adults 21.8% Shell Valley
ND 13.1%

0%10%20%30%40%

Care & screenings

Keeping up with care

Share of Shell Valley 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 10

working-age adults has no health insurance

Shell Valley 9.6% · North Dakota 1 in 14 (7.3%)

Mind & connection

How Shell Valley adults are doing

1 in 3Shell Valley adults feel lonely

31.2% · North Dakota 29.6% · too close to call

1 in 5Shell Valley adults have been diagnosed with depression

21.1% · North Dakota 21.3% · too close to call

1 in 4Shell Valley adults lack social or emotional support

25.7% · North Dakota 20.6% · worse

1 in 6Shell Valley adults are in frequent mental distress

16.8% · North Dakota 14.2% · worse

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 5

Shell Valley adults worry about having enough food

21.8% · ND 10.7% · worse

1 in 6

Shell Valley adults worry about keeping their housing

15.6% · ND 8.9% · worse

1 in 9

Shell Valley adults were threatened with a utility shut-off

10.7% · ND 5.8% · worse

1 in 8

Shell Valley adults lack reliable transportation

12.2% · ND 6.5% · worse

14.9% of Shell Valley adults receive SNAP (food stamps), compared with 6.7% across North Dakota.

Disability

Living with a disability

38.5%

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

Walking or climbing stairs19%

Thinking or memory16.7%

Hearing11.3%

Errands alone11.1%

Vision7.8%

Dressing or bathing5.6%

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

Around Shell Valley

Shell Valley and the towns around it

Care nearby

P H S Indian Hosp at Belcourt-Quentin N BurdickBelcourt · 4.8 mi · ★★★★★ · ER Directions Medicare profile

Presentation Medical CenterRolla · 12.1 mi · ER · rural critical access Directions Medicare profile

St. Andrew's HospitalBottineau · 28 mi · ER · rural critical access Directions Medicare profile

Heart of America Medical CenterRugby · 28.9 mi · ★★★★★ · ER · rural critical access Directions Medicare profile

Rolette ClinicRolette · 7.3 mi · community health center, sliding-scale fees Directions

St. John Health CenterSaint John · 13.2 mi · community health center, sliding-scale fees Directions

! Primary careShell Valley's county is a federal shortage area.Rolette County · need score 17 of 25

! Dental careShell Valley's county is a federal shortage area.Rolette County · need score 20 of 25

! Mental healthShell Valley's county is a federal shortage area.Region III Devils Lake Catchment · need score 16 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 Shell Valley. 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 Shell Valley

Measure	Shell Valley	Margin	North Dakota
Chronic conditions
High blood pressure	41.2%	36.9–45.3%	31.8%	worse
High cholesterol	38.8%	34.5–43%	33.8%	worse
Obesity	46.4%	38.8–53.4%	36.5%	worse
Arthritis	32.5%	28.9–35.9%	25.3%	worse
Depression	21.1%	17.8–24.5%	21.3%	about the same
Lost all teeth (65+)	19.2%	15.8–23%	10.8%	worse
Asthma	12.5%	11–14%	10.1%	worse
Cancer (not skin)	8.8%	7.9–9.7%	8.2%	about the same
Diabetes	16.3%	14.2–18.5%	9.8%	worse
COPD	9.7%	8.4–11.2%	5.9%	worse
Heart disease	8.9%	7.9–10%	6.1%	worse
Stroke	4.8%	4.4–5.4%	3.1%	worse
Habits
Smoke cigarettes	21.8%	18.7–25.1%	13.1%	worse
Binge drink	17.8%	14.5–20.9%	21.3%	better
Get no exercise	32.1%	27.3–37.2%	21.8%	worse
Sleep under 7 hours	37.3%	30.7–43.8%	32.7%	about the same
Care & screenings
Yearly checkup	75.8%	71.7–79.2%	74.4%	about the same
Dentist visit	50.3%	46.1–54.3%	64.5%	worse
Cholesterol check	82.5%	80–84.5%	82.7%	about the same
Colon screening	59.1%	53.3–64.5%	64.9%	worse
Mammogram	68.6%	59.2–76.7%	78%	worse
Taking BP meds	79.2%	76.1–81.7%	76.3%	about the same
No health insurance	9.6%	7.7–11.7%	7.3%	worse
Mind & connection
Feel lonely	31.2%	26.5–36.1%	29.6%	about the same
Lack emotional support	25.7%	22.1–29.7%	20.6%	worse
Frequent mental distress	16.8%	14.8–18.9%	14.2%	worse
Fair or poor health	26.4%	23–30.2%	16.1%	worse
Frequent physical distress	17%	14.9–19.1%	11.4%	worse
Everyday needs
Food insecurity	21.8%	18.7–25.1%	10.7%	worse
Housing insecurity	15.6%	13.5–18%	8.9%	worse
Utility shut-off threat	10.7%	9.3–12.2%	5.8%	worse
No reliable transportation	12.2%	10.7–13.9%	6.5%	worse
Receive SNAP	14.9%	12.4–17.5%	6.7%
Disability
Any disability	38.5%	33.9–43.2%	27.6%
Walking or climbing stairs	19%	16.4–21.7%	11.2%
Thinking or memory	16.7%	14.7–19.1%	12.6%
Hearing	11.3%	9.9–12.5%	7.8%
Vision	7.8%	6.9–8.7%	4.1%
Dressing or bathing	5.6%	4.9–6.3%	3.1%
Errands alone	11.1%	9.8–12.7%	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 Shell Valley 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 Shell Valley better or worse.

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