Health · Preston

Preston, SD health

Preston differs from South Dakota on 10 of 33 measures. It has fewer older adults who have lost all their teeth (6.5% vs 12.7%) and fewer uninsured adults (6.7% vs 8.8%). Where it trails the state: more adults who have had cancer (10.5% vs 9.2%).

CDC PLACES 2025 · adults 18+ · ZIP codes 57220, 57234
TownTapestry Health GradeNew

Not graded

Health Grades cover towns with 1,000 or more residents. CDC's estimates for a place of 60 people are less certain, so we show Preston's figures without a grade.

Report card

How Preston 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 Preston adults…

33 of every 100 Preston adults have high blood pressure
South Dakota: 33 in 100 · too close to call · margin 29.8–36.1%

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

Habits

Everyday habits, side by side with the state

Preston, betterPreston, worseToo close to callSouth Dakota
Get no exerciseshare of adults 19.4% Preston
SD 24.1%
Sleep under 7 hoursshare of adults 29.7% Preston
SD 29.7%
Binge drinkshare of adults 19.2% Preston
SD 18.8%
Smoke cigarettesshare of adults 11.8% Preston
SD 15.2%
0%10%20%30%40%
Care & screenings

Keeping up with care

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

78%
Yearly checkup
SD 77%
73%
Dentist visit
SD 69%
88%
Cholesterol check
SD 85%
71%
Colon screening
SD 66%
82%
Mammogram
SD 77%
79%
Taking BP meds
SD 76%
1 in 15
working-age adults has no health insurance
Preston 6.7% · South Dakota 1 in 11 (8.8%)
Mind & connection

How Preston adults are doing

1 in 5Preston adults have been diagnosed with depression
20.9% · South Dakota 21.2% · too close to call
1 in 8Preston adults are in frequent mental distress
13.1% · South Dakota 15.3% · better
Disability

Living with a disability

25.5%

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

Walking or climbing stairs10.7%
Thinking or memory11.3%
Hearing7.8%
Errands alone6.2%
Vision3.6%
Dressing or bathing3%

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

Around Preston

Preston and the towns around it

Pick a measure to shade the map. Darker is worse for health. Pins are hospitals and community health centers in and near Preston.

Estelline: 34.7% Laketon: 36.7% Eureka: 37.6% Oakwood: 38.4% Grange: 34.5% Florence: 35.1% Lake Poinsett: 36.7% Norden: 34.8% Winsor: 37.1% Badger: 36% Argo: 37.9% Sterling: 37.5% Volga: 37.4% Bruce: 37.6% Preston: 38.2% Preston Estelline Laketon Eureka Oakwood Brookings Health System · Brookings · 16.2 mi · 4★ MedicareH Access Health - Brookings · Brookings · 16.1 mi+
34.5%38.4%· darker is worse for health

Obesity

#14 of 15towns on this map, healthiest first
Estelline34.7%
Laketon36.7%
Eureka37.6%
Preston38.2%
Oakwood38.4%
6 places to get careNearest ER 16.2 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 Preston

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

HNearest ERBrookings Health SystemBrookings · 16.2 miDirections →
★Best rated nearbyPrairie Lakes Healthcare System★★★★★ · 29.3 miDirections →
+Low-cost careRural Health CareBrookings · 16.1 mi · sliding-scale feesDirections →
16.1 mi
Rural Health Care
2 sites · nearest in Brookings
Sliding-scale fees
Directions to nearest
16.2 mi
Brookings Health System
Brookings · ★★★★★
ER
22.3 mi
Sanford Clear Lake Medical Center
Clear Lake · not rated
ERRural critical access
23.5 mi
Horizon Health Care
5 sites · nearest in Lake Preston
Sliding-scale fees
Directions to nearest
25.6 mi
Hendricks Community Hospital
Hendricks · not rated
ERRural critical access
29.3 mi
Prairie Lakes Healthcare System
Watertown · ★★★★★
ER
! Primary carePreston's county is a federal shortage area for some residents.Low-income residents, Brooking County · need score 15 of 25
! Dental carePreston's county is a federal shortage area for some residents.LI Brooking County · need score 15 of 25
! Mental healthPreston's county is a federal shortage area.Brookings County · need score 17 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 Preston. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 33 measures for Preston
MeasurePrestonMarginSouth Dakota
Chronic conditions
High blood pressure32.8%29.8–36.1%33.3%about the same
High cholesterol35.2%32–38.5%34%about the same
Obesity38.2%33.5–43.1%35.9%about the same
Arthritis25.8%23.1–28.5%25.8%about the same
Depression20.9%18.3–23.8%21.2%about the same
Lost all teeth (65+)6.5%5.3–7.9%12.7%better
Asthma9.5%8.4–10.6%10.1%about the same
Cancer (not skin)10.5%9.5–11.5%9.2%worse
Diabetes11.1%9.7–12.8%11.7%about the same
COPD5.9%5–7%6.7%about the same
Heart disease6.6%5.8–7.4%6.8%about the same
Stroke3.2%2.9–3.6%3.5%about the same
Habits
Smoke cigarettes11.8%9.5–14.3%15.2%better
Binge drink19.2%16.6–21.8%18.8%about the same
Get no exercise19.4%16.2–22.9%24.1%better
Sleep under 7 hours29.7%26.1–33.4%29.7%about the same
Care & screenings
Yearly checkup78.4%75.4–81.1%76.5%about the same
Dentist visit73.4%70.8–75.9%69.2%better
Cholesterol check88.3%86.5–89.8%84.8%better
Colon screening71%67.3–74.2%65.5%better
Mammogram81.6%76.5–85.9%76.6%about the same
Taking BP meds78.7%75.8–81.4%75.9%about the same
No health insurance6.7%5.4–8.2%8.8%better
Mind & connection
Frequent mental distress13.1%11.5–14.9%15.3%better
Fair or poor health14.2%12–16.6%17.3%better
Frequent physical distress11.3%9.8–13%12.3%about the same
Disability
Any disability25.5%22.1–29.2%30.1%
Walking or climbing stairs10.7%9–12.7%12.9%
Thinking or memory11.3%9.7–13%13.7%
Hearing7.8%6.9–8.8%8.2%
Vision3.6%3.1–4.1%4.7%
Dressing or bathing3%2.5–3.4%3.5%
Errands alone6.2%5.4–7.2%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 Preston 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 Preston better or worse.
Why a ZIP codeCDC publishes towns like Preston by ZIP code. We weight the ZIP codes that cover Preston by how much of its land each one covers.

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/15 · 2025-01-01