Health · San Augustine

San Augustine, TX health

San Augustine differs from Texas on 20 of 33 measures. It has fewer binge drinkers (11% vs 17%) and more adults treating high blood pressure (82.1% vs 74.1%). Where it trails the state: more adults with COPD (15% vs 5.7%).

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

San Augustine’s Health Grade: D−

On seven CDC health estimates for adults, San Augustine is in the bottom 1% of U.S. towns.

D-Self-rated healthD-Physical distressDMental distressD-ObesityD-DiabetesD-SmokingD-Exercise
All U.S. towns we grade (19,420)Healthier than 0%
Less healthyHealthier
Texas towns we grade (1,011)Healthier than 0%
Towns with similar incomes, $21K–$34K (366)Healthier than 13%

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

These are estimates. At the ends of CDC’s likely ranges, San Augustine 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 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 San Augustine 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. San Augustine 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 San Augustine 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 San Augustine adults…

54 of every 100 San Augustine adults have high blood pressure
Texas: 33 in 100 · worse · margin 49–58.2%

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

Habits

Everyday habits, side by side with the state

San Augustine, betterSan Augustine, worseToo close to callTexas
Get no exerciseshare of adults 45.9% San Augustine
TX 27.8%
Sleep under 7 hoursshare of adults 43.9% San Augustine
TX 38.2%
Binge drinkshare of adults 11% San Augustine
TX 17%
Smoke cigarettesshare of adults 24.5% San Augustine
TX 12.5%
0%10%20%30%40%50%
Care & screenings

Keeping up with care

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

79%
Yearly checkup
TX 74%
41%
Dentist visit
TX 55%
84%
Cholesterol check
TX 85%
58%
Colon screening
TX 58%
71%
Mammogram
TX 74%
82%
Taking BP meds
TX 74%
1 in 5
working-age adults has no health insurance
San Augustine 22.1% · Texas 1 in 5 (19.1%)
Mind & connection

How San Augustine adults are doing

1 in 4San Augustine adults have been diagnosed with depression
22.6% · Texas 21.2% · too close to call
1 in 5San Augustine adults are in frequent mental distress
20.8% · Texas 16.9% · worse
Disability

Living with a disability

49.4%

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

Walking or climbing stairs31.3%
Thinking or memory22.1%
Hearing11.1%
Errands alone17.7%
Vision14%
Dressing or bathing10.8%

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

Getting care

Care in and near San Augustine

1 hospital and 1 community health center in San Augustine, plus the nearest just outside it.

HNearest ERChi St. Lukes Health Memorial San AugustineSan Augustine · 0.4 miDirections →
★Best rated nearbyNacogdoches Medical Center★★★★★ · 33.1 miDirections →
+Low-cost careHealth Opportunities for the People of East TexasSan Augustine · 0.5 mi · sliding-scale feesDirections →
0.4 mi
Chi St. Lukes Health Memorial San Augustine
San Augustine · not rated
ERIn San Augustine
0.5 mi
Health Opportunities for the People of East Texas
4 sites · nearest in San Augustine
Sliding-scale feesIn San Augustine
Directions to nearest
21.6 mi
Sabine County Hospital
Hemphill · not rated
ERRural critical access
31.8 mi
East Texas Community Health Services
4 sites · nearest in Nacogdoches
Sliding-scale fees
Directions to nearest
32.2 mi
Nacogdoches Memorial Hospital
Nacogdoches · ★★★★★
ER
33.1 mi
Nacogdoches Medical Center
Nacogdoches · ★★★★★
ER
! Primary careSan Augustine's county is a federal shortage area.San Augustine County · need score 12 of 25
! Dental careSan Augustine's county is a federal shortage area for some residents.Low-income residents, San Augustine County · need score 20 of 25
! Mental healthSan Augustine's county is a federal shortage area.San Augustine 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 San Augustine. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

All 33 measures for San Augustine
MeasureSan AugustineMarginTexas
Chronic conditions
High blood pressure53.7%49–58.2%33.1%worse
High cholesterol41.8%37.1–46.5%35.1%worse
Obesity49.2%39.9–58.4%35.6%worse
Arthritis35.7%31.9–39.4%21.6%worse
Depression22.6%19.1–26.4%21.2%about the same
Lost all teeth (65+)30.3%25.6–35.3%12.5%worse
Asthma12.3%10.8–13.9%9.5%worse
Cancer (not skin)7.9%7.1–8.8%6.1%worse
Diabetes24.8%21.9–27.8%12.7%worse
COPD15%13–17.1%5.7%worse
Heart disease12.1%10.7–13.5%5.6%worse
Stroke8%7.1–8.9%3.2%worse
Habits
Smoke cigarettes24.5%20.9–28.3%12.5%worse
Binge drink11%8.9–13.5%17%better
Get no exercise45.9%39.8–52.1%27.8%worse
Sleep under 7 hours43.9%36.4–51.4%38.2%about the same
Care & screenings
Yearly checkup79.3%75.8–82.6%73.8%better
Dentist visit41%37.4–44.9%54.6%worse
Cholesterol check83.8%81.7–85.8%84.6%about the same
Colon screening57.6%51.6–63.3%57.9%about the same
Mammogram70.5%62–78.1%74.1%about the same
Taking BP meds82.1%79.8–84.4%74.1%better
No health insurance22.1%18.7–25.8%19.1%about the same
Mind & connection
Frequent mental distress20.8%18.4–23.3%16.9%worse
Fair or poor health40.4%36.1–45.2%21.8%worse
Frequent physical distress21.7%19–24.4%13.2%worse
Disability
Any disability49.4%44.1–54.9%30.9%
Walking or climbing stairs31.3%27.6–34.8%14%
Thinking or memory22.1%19.6–25.1%15.1%
Hearing11.1%9.8–12.4%6.3%
Vision14%12.4–15.7%6.1%
Dressing or bathing10.8%9.4–12.1%4%
Errands alone17.7%15.5–20.1%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 San Augustine door to door.
Close calls stay grayEvery figure has a margin of error. When the Texas figure falls inside it, we don't call San Augustine better or worse.
CDC's own town estimateCDC publishes San Augustine 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