Health · Keystone

Keystone, SD health

Keystone differs from South Dakota on 10 of 33 measures. It has fewer older adults who have lost all their teeth (9% vs 12.7%) and fewer smokers (11.8% vs 15.2%). Where it trails the state: more adults who have had cancer (11.7% vs 9.2%).

CDC PLACES 2025 · adults 18+ · CDC's estimate for Keystone
TownTapestry Health GradeNew

Not graded

Health Grades cover towns with 1,000 or more residents. CDC's estimates for a place of 336 people are less certain, so we show Keystone's figures without a grade.

Report card

How Keystone compares with South 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…

37 of every 100 Keystone adults have high blood pressure
South Dakota: 33 in 100 · worse · margin 34–40.8%

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

Habits

Everyday habits, side by side with the state

Keystone, betterKeystone, worseToo close to callSouth Dakota
Get no exerciseshare of adults 21.6% Keystone
SD 24.1%
Sleep under 7 hoursshare of adults 29.1% Keystone
SD 29.7%
Binge drinkshare of adults 18.4% Keystone
SD 18.8%
Smoke cigarettesshare of adults 11.8% Keystone
SD 15.2%
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 South Dakota.

79%
Yearly checkup
SD 77%
74%
Dentist visit
SD 69%
90%
Cholesterol check
SD 85%
70%
Colon screening
SD 66%
77%
Mammogram
SD 77%
81%
Taking BP meds
SD 76%
1 in 13
working-age adults has no health insurance
Keystone 7.5% · South Dakota 1 in 11 (8.8%)
Mind & connection

How Keystone adults are doing

1 in 5Keystone adults have been diagnosed with depression
18.8% · South Dakota 21.2% · too close to call
1 in 8Keystone adults are in frequent mental distress
12.1% · South Dakota 15.3% · better
Disability

Living with a disability

29.6%

of Keystone adults live with a disability (South Dakota 30.1%). Walking or climbing stairs is the most common.

Walking or climbing stairs13.2%
Thinking or memory10.5%
Hearing9.6%
Errands alone6.3%
Vision4.1%
Dressing or bathing3.2%

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

Getting care

Care in and near Keystone

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

HNearest ERMonument Health Rapid City HospitalRapid City · 15.4 miDirections →
+Low-cost careCommunity Health Center of the Black HillsRapid City · 16.5 mi · sliding-scale feesDirections →
14.6 mi
Black Hills Surgical Hospital
Rapid City · not rated
15 mi
Same Day Surgery Center
Rapid City · not rated
15.4 mi
Monument Health Rapid City Hospital
Rapid City · ★★★★★
ER
16.1 mi
Monument Health Custer Hospital
Custer · not rated
ERRural critical access
16.5 mi
Community Health Center of the Black Hills
2 sites · nearest in Rapid City
Sliding-scale fees
Directions to nearest
76.6 mi
Capwn Dental Clinic-Chadron
Chadron · community health center
Sliding-scale fees
✓ Primary careKeystone is not a shortage area
✓ Dental careKeystone is not a shortage area
! Mental healthKeystone's county is a federal shortage area.Behavior Management Systems MHCA · need score 18 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 Keystone. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 33 measures for Keystone
MeasureKeystoneMarginSouth Dakota
Chronic conditions
High blood pressure37.4%34–40.8%33.3%worse
High cholesterol37.2%33.9–40.5%34%about the same
Obesity31.6%27.2–36.2%35.9%about the same
Arthritis29.1%26.2–32.3%25.8%worse
Depression18.8%16.3–21.6%21.2%about the same
Lost all teeth (65+)9%7.4–10.8%12.7%better
Asthma9.3%8.2–10.5%10.1%about the same
Cancer (not skin)11.7%10.6–12.9%9.2%worse
Diabetes12.6%10.7–14.7%11.7%about the same
COPD6.4%5.1–8%6.7%about the same
Heart disease8%6.8–9.4%6.8%about the same
Stroke3.7%3.1–4.4%3.5%about the same
Habits
Smoke cigarettes11.8%8.8–15.1%15.2%better
Binge drink18.4%15.9–21.2%18.8%about the same
Get no exercise21.6%17.6–26.3%24.1%about the same
Sleep under 7 hours29.1%25.5–33%29.7%about the same
Care & screenings
Yearly checkup79.4%76.4–82.1%76.5%about the same
Dentist visit73.7%71–76.3%69.2%better
Cholesterol check89.6%87.7–91.3%84.8%better
Colon screening69.8%66–73.6%65.5%better
Mammogram77%71–82.4%76.6%about the same
Taking BP meds80.8%78–83.4%75.9%better
No health insurance7.5%5.6–10%8.8%about the same
Mind & connection
Frequent mental distress12.1%10.4–14.2%15.3%better
Fair or poor health15.4%12.5–18.8%17.3%about the same
Frequent physical distress11.7%9.9–13.8%12.3%about the same
Disability
Any disability29.6%25.4–34.3%30.1%
Walking or climbing stairs13.2%10.7–16.1%12.9%
Thinking or memory10.5%8.7–12.6%13.7%
Hearing9.6%8.3–11%8.2%
Vision4.1%3.3–4.9%4.7%
Dressing or bathing3.2%2.6–3.9%3.5%
Errands alone6.3%5.1–7.7%7.8%
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 South Dakota figure falls inside it, we don't call Keystone better or worse.
CDC's own town estimateCDC publishes Keystone directly, so these are its own figures.

CDC PLACES: Local Data for Better Health, 2025 release. The South 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/18 · 2025-01-01