Health · Lower Brule

Lower Brule, SD health

Lower Brule differs from South Dakota on 23 of 33 measures. It has fewer adults who have had cancer (4.3% vs 9.2%) and fewer adults with high cholesterol (28.9% vs 34%). Where it trails the state: more older adults who have lost all their teeth (51.9% vs 12.7%).

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

Not graded

Health Grades cover towns with 1,000 or more residents. CDC's estimates for a place of 743 people are less certain, so we show Lower Brule's figures without a grade.

Report card

How Lower Brule 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 Lower Brule adults…

36 of every 100 Lower Brule adults have high blood pressure
South Dakota: 33 in 100 · too close to call · margin 32–41.2%

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

Habits

Everyday habits, side by side with the state

Lower Brule, betterLower Brule, worseToo close to callSouth Dakota
Get no exerciseshare of adults 42.9% Lower Brule
SD 24.1%
Sleep under 7 hoursshare of adults 42.9% Lower Brule
SD 29.7%
Binge drinkshare of adults 17.2% Lower Brule
SD 18.8%
Smoke cigarettesshare of adults 40.4% Lower Brule
SD 15.2%
0%10%20%30%40%50%
Care & screenings

Keeping up with care

Share of Lower Brule adults getting routine care. The full ring is 100%; the dark tick marks South Dakota.

71%
Yearly checkup
SD 77%
36%
Dentist visit
SD 69%
69%
Cholesterol check
SD 85%
43%
Colon screening
SD 66%
65%
Mammogram
SD 77%
66%
Taking BP meds
SD 76%
1 in 5
working-age adults has no health insurance
Lower Brule 19.5% · South Dakota 1 in 11 (8.8%)
Mind & connection

How Lower Brule adults are doing

1 in 4Lower Brule adults have been diagnosed with depression
25.6% · South Dakota 21.2% · worse
1 in 4Lower Brule adults are in frequent mental distress
27.1% · South Dakota 15.3% · worse
Disability

Living with a disability

52%

of Lower Brule adults live with a disability (South Dakota 30.1%). Thinking or memory is the most common.

Walking or climbing stairs23.8%
Thinking or memory29.5%
Hearing11.7%
Errands alone20.3%
Vision15.6%
Dressing or bathing8.7%

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

Getting care

Care in and near Lower Brule

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

HNearest ERSanford Chamberlain Medical CenterChamberlain · 23.7 miDirections →
★Best rated nearbyAvera St. Mary's Hospital★★★★★ · 42.5 miDirections →
+Low-cost careHorizon Health CareFort Thompson · 7.7 mi · sliding-scale feesDirections →
7.7 mi
Horizon Health Care
2 sites · nearest in Fort Thompson
Sliding-scale fees
Directions to nearest
18.1 mi
Rural Health Care
6 sites · nearest in Kennebec
Sliding-scale fees
Directions to nearest
23.7 mi
Sanford Chamberlain Medical Center
Chamberlain · not rated
ERRural critical access
42.5 mi
Avera St. Mary's Hospital
Pierre · ★★★★★
ER
42.5 mi
Avera Hand County Memorial Hospital and Clinic
Miller · not rated
ERRural critical access
48.7 mi
Avera Gregory Hospital
Gregory · not rated
ERRural critical access
! Primary careLower Brule's county is a federal shortage area.Lyman County · need score 18 of 25
! Dental careLower Brule's county is a federal shortage area.Lyman County · need score 20 of 25
! Mental healthLower Brule's county is a federal shortage area.Capital Area Counseling Services MHCA · need score 19 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 Lower Brule. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 33 measures for Lower Brule
MeasureLower BruleMarginSouth Dakota
Chronic conditions
High blood pressure36.4%32–41.2%33.3%about the same
High cholesterol28.9%25.1–33.2%34%better
Obesity50.3%41.2–59.9%35.9%worse
Arthritis24.6%21.6–27.9%25.8%about the same
Depression25.6%21.5–30.1%21.2%worse
Lost all teeth (65+)51.9%46.3–57.6%12.7%worse
Asthma15.5%13.5–17.5%10.1%worse
Cancer (not skin)4.3%3.8–4.8%9.2%better
Diabetes18.6%16.4–21.1%11.7%worse
COPD12.1%10.2–14.1%6.7%worse
Heart disease8.1%7.2–9.2%6.8%worse
Stroke5.4%4.7–6.1%3.5%worse
Habits
Smoke cigarettes40.4%34.5–45.9%15.2%worse
Binge drink17.2%13.9–21.1%18.8%about the same
Get no exercise42.9%36–49.8%24.1%worse
Sleep under 7 hours42.9%35.3–50.6%29.7%worse
Care & screenings
Yearly checkup70.6%65.7–75.5%76.5%worse
Dentist visit35.6%31.8–39.3%69.2%worse
Cholesterol check69%64.9–73.4%84.8%worse
Colon screening42.9%37–48.7%65.5%worse
Mammogram64.8%54.3–74.1%76.6%worse
Taking BP meds65.8%62.4–69.4%75.9%worse
No health insurance19.5%14.8–24.9%8.8%worse
Mind & connection
Frequent mental distress27.1%23.7–30.5%15.3%worse
Fair or poor health40.1%34.3–46%17.3%worse
Frequent physical distress22.4%19.4–25.5%12.3%worse
Disability
Any disability52%45.6–58.3%30.1%
Walking or climbing stairs23.8%20.3–27.3%12.9%
Thinking or memory29.5%25.1–33.9%13.7%
Hearing11.7%10.4–13.2%8.2%
Vision15.6%13.3–18%4.7%
Dressing or bathing8.7%7.4–10.2%3.5%
Errands alone20.3%17–23.6%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 Lower Brule 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 Lower Brule better or worse.
CDC's own town estimateCDC publishes Lower Brule 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/19 · 2025-01-01