Health · Center

Center, TX health

Center differs from Texas on 18 of 33 measures. It has fewer binge drinkers (13.4% vs 17%) and more adults treating high blood pressure (78.2% vs 74.1%). Where it trails the state: more older adults who have lost all their teeth (23.6% vs 12.5%).

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

Center’s Health Grade: D−

On seven CDC health estimates for adults, Center is healthier than 3% of U.S. towns.

D-Self-rated healthDPhysical distressDMental distressDObesityD-DiabetesDSmokingD-Exercise
All U.S. towns we grade (19,420)Healthier than 3%
Less healthyHealthier
Texas towns we grade (1,011)Healthier than 4%
Towns with similar incomes, $36K–$60K (4,778)Healthier than 6%

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

These are estimates. At the ends of CDC’s likely ranges, Center could be anywhere from D− to C−.
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 Texas 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 Center 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. Center 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.
Report card

How Center compares with Texas

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 Center adults…

44 of every 100 Center adults have high blood pressure
Texas: 33 in 100 · worse · margin 39.8–48.6%

Bars show Center; the black tick is Texas. Tap a condition to see it as people.

Habits

Everyday habits, side by side with the state

Center, betterCenter, worseToo close to callTexas
Get no exerciseshare of adults 40.3% Center
TX 27.8%
Sleep under 7 hoursshare of adults 42.8% Center
TX 38.2%
Binge drinkshare of adults 13.4% Center
TX 17%
Smoke cigarettesshare of adults 19.9% Center
TX 12.5%
0%10%20%30%40%50%
Care & screenings

Keeping up with care

Share of Center adults getting routine care. The full ring is 100%; the dark tick marks Texas.

76%
Yearly checkup
TX 74%
43%
Dentist visit
TX 55%
82%
Cholesterol check
TX 85%
56%
Colon screening
TX 58%
70%
Mammogram
TX 74%
78%
Taking BP meds
TX 74%
1 in 4
working-age adults has no health insurance
Center 23.1% · Texas 1 in 5 (19.1%)
Mind & connection

How Center adults are doing

1 in 4Center adults have been diagnosed with depression
22.3% · Texas 21.2% · too close to call
1 in 5Center adults are in frequent mental distress
20.1% · Texas 16.9% · worse
Disability

Living with a disability

42%

of Center adults live with a disability (Texas 30.9%). Walking or climbing stairs is the most common.

Walking or climbing stairs22.9%
Thinking or memory20.2%
Hearing8.4%
Errands alone13.6%
Vision10.3%
Dressing or bathing7.4%

Black tick: Texas. Shown without a better/worse judgment.

Getting care

Care in and near Center

1 community health center in Center, plus the nearest just outside it.

HNearest ERChi St. Lukes Health Memorial San AugustineSan Augustine · 18.6 miDirections →
★Best rated nearbyNacogdoches Medical Center★★★★★ · 29.5 miDirections →
+Low-cost careHealth Opportunities for the People of East TexasCenter · 0.9 mi · sliding-scale feesDirections →
0.9 mi
Health Opportunities for the People of East Texas
4 sites · nearest in Center
Sliding-scale feesIn Center
Directions to nearest
18.6 mi
Chi St. Lukes Health Memorial San Augustine
San Augustine · not rated
ER
29.1 mi
East Texas Community Health Services
4 sites · nearest in Nacogdoches
Sliding-scale fees
Directions to nearest
29.5 mi
Nacogdoches Medical Center
Nacogdoches · ★★★★★
ER
30.2 mi
Nacogdoches Memorial Hospital
Nacogdoches · ★★★★★
ER
32.3 mi
Desoto Regional Health System
Mansfield · ★★★★★
ER
! Primary careCenter's county is a federal shortage area.Shelby County · need score 18 of 25
! Dental careCenter's county is a federal shortage area for some residents.Low-income residents, Shelby County · need score 19 of 25
! Mental healthCenter's county is a federal shortage area.Shelby County · 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 Center. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 33 measures for Center
MeasureCenterMarginTexas
Chronic conditions
High blood pressure44.1%39.8–48.6%33.1%worse
High cholesterol38.8%34.3–43.6%35.1%about the same
Obesity44.1%35.4–53.4%35.6%about the same
Arthritis28.6%25.4–32%21.6%worse
Depression22.3%19–26.2%21.2%about the same
Lost all teeth (65+)23.6%19.8–28%12.5%worse
Asthma11.3%10–12.8%9.5%worse
Cancer (not skin)6.5%5.9–7.2%6.1%about the same
Diabetes18.8%16.6–21.3%12.7%worse
COPD10.5%9.2–11.8%5.7%worse
Heart disease8.5%7.6–9.5%5.6%worse
Stroke5.4%4.9–5.9%3.2%worse
Habits
Smoke cigarettes19.9%17.2–22.8%12.5%worse
Binge drink13.4%10.9–16.4%17%better
Get no exercise40.3%34.7–46.3%27.8%worse
Sleep under 7 hours42.8%34.8–50.8%38.2%about the same
Care & screenings
Yearly checkup76%72.3–79.8%73.8%about the same
Dentist visit43.4%39.6–47.4%54.6%worse
Cholesterol check82.2%80.2–84.1%84.6%worse
Colon screening55.9%50–61.6%57.9%about the same
Mammogram69.9%60.8–78.1%74.1%about the same
Taking BP meds78.2%75.8–80.6%74.1%better
No health insurance23.1%20–26%19.1%worse
Mind & connection
Frequent mental distress20.1%17.9–22.5%16.9%worse
Fair or poor health33.5%29.6–37.4%21.8%worse
Frequent physical distress18.1%16–20.5%13.2%worse
Disability
Any disability42%37–47.3%30.9%
Walking or climbing stairs22.9%20.3–25.8%14%
Thinking or memory20.2%17.8–22.6%15.1%
Hearing8.4%7.5–9.5%6.3%
Vision10.3%9.3–11.3%6.1%
Dressing or bathing7.4%6.7–8.2%4%
Errands alone13.6%12.1–15.3%8.2%
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 Center door to door.
Close calls stay grayEvery figure has a margin of error. When the Texas figure falls inside it, we don't call Center better or worse.
CDC's own town estimateCDC publishes Center directly, so these are its own figures.

CDC PLACES: Local Data for Better Health, 2025 release. The Texas 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