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–Not graded
Health in Iron Horse · CDC PLACES 2025

Where Iron Horse residents get care

CDC publishes only some of its health estimates for Iron Horse, not the seven a Health Grade needs; here is what we do have.

Modeled estimates for adults 18+, CDC’s own estimate for Iron Horse. How CDC estimates town health

What stands out · In brief

What stands out about health in Iron Horse

COPD, heart disease and cancer run high in Iron Horse

1 in 10 adults have COPD (9.8%), about twice the California rate. 1 in 11 adults have heart disease (9.4%), vs 5.6% across California. Cancer is also above the state: 10.4%, vs 6.4% across California. In all, Iron Horse runs above California on nine of 11 chronic conditions. Age is part of it: 38% of residents are 65 or older (California 16%), and COPD, heart disease and cancer are more common later in life. Conditions ↓

Smoking is more common in Iron Horse

1 in 6 adults smoke cigarettes (16.4%), vs 10.9% across California. Habits ↓

Depression is more common in Iron Horse

1 in 4 adults have been diagnosed with depression (24.8%), vs 20.1% across California. Frequent mental distress is above the state too: 18.7%, vs 16.4% across California. Mind & connection ↓

Written from the CDC, Medicare and HRSA data on this page. CDC PLACES 2025 release: modeled estimates for adults, not counts; “higher” and “lower” mean the California figure falls outside Iron Horse’s likely range.

★ What stands out · Chronic conditions

Out of every 100 Iron Horse adults…

Iron Horse runs above CA on 10 of 12 conditions. Tap one to see it as people.

10 of every 100 Iron Horse adults have COPD
California: 5 in 100 · worse · likely 8.2–11.6%
Better than CAWorseAbout the sameCalifornia
Why age matters here

Iron Horse is an older town: 38% of residents are 65 or older, vs 16% across California. Heart disease, COPD and arthritis rise with age, so higher rates here say as much about who lives in Iron Horse as about how healthy they are.

Residents 65 and older

Iron Horse38%
California16%
Habits

Everyday habits, side by side with California

Share of adults, with the California figure marked.

Get no exercise 26.8%CA 24.6%
Sleep under 7 hours 33.3%CA 35.1%
Binge drink 15.2%CA 15.3%
Smoke cigarettes 16.4%CA 10.9%
0%10%20%30%40%
Iron Horse, betterIron Horse, worseAbout the sameCalifornia
Where Iron Horse gets moving

5.7 miles of trails across 1 park or preserve

Parks & trails →
Mind & connection

How Iron Horse adults are doing

On 2 of 4 measures, Iron Horse runs above California.

1 in 3Iron Horse adults feel lonely
34.1% · CA 37.3% · About the same as CA
1 in 4Iron Horse adults lack social or emotional support
24.5% · CA 28.6% · About the same as CA
1 in 4Iron Horse adults have been diagnosed with depression
24.8% · CA 20.1% · Worse than CA
1 in 5Iron Horse adults are in frequent mental distress
18.7% · CA 16.4% · Worse than CA
The one neighbors can help with

1 in 3 Iron Horse adults feel lonely. A hello is a start.

Groups are the easiest way in: a walking group, a book club, your street.

Find a group →

If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.

Getting care

Care in and near Iron Horse

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

HNearest EREastern Plumas Hospital - Portola CampusPortola · 1.8 miDirections →
+Low-cost careWestern Sierra Medical ClinicDownieville · 24 mi · sliding-scale feesDirections →
1.8 mi
Eastern Plumas Hospital - Portola Campus
Portola · not rated
ERRural critical access
24 mi
Western Sierra Medical Clinic
Downieville · community health center
Sliding-scale fees
27.7 mi
Plumas District Hospital
Quincy · not rated
ERRural critical access
34.9 mi
Tahoe Forest Hospital
Truckee · ★★★★★
ERRural critical access
35.2 mi
Community Health Alliance
3 sites · nearest in Reno
Sliding-scale fees
Directions to nearest
39.3 mi
Saint Mary's Regional Medical Center
Reno · ★★★★★
ER
✓ Primary careIron Horse is not a shortage area
✓ Dental careIron Horse is not a shortage area
✓ Mental healthNo HRSA shortage area covers Iron Horse itself

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 Iron Horse; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas (a “population” designation covers specific residents, such as those with low incomes).

Checkups & screenings

Keeping up with care

Share of Iron Horse adults getting routine care. The full ring is 100%; the dark tick marks California.

75%Yearly checkupCA 72%
62%Dentist visitCA 63%
87%Cholesterol checkCA 85%
68%Colon screeningCA 58%
77%MammogramCA 76%
76%Taking BP medsCA 71%
1 in 12
working-age adults has no health insurance
Iron Horse 8.1% · California 1 in 9 (10.6%)
Everyday needs

Making ends meet

Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.

1 in 6
Iron Horse adults worry about having enough food
16.8% · CA 17.9%
About the same as CA
1 in 8
Iron Horse adults worry about keeping their housing
13.1% · CA 14.9%
About the same as CA
1 in 12
Iron Horse adults were threatened with a utility shut-off
8.1% · CA 7.3%
About the same as CA
1 in 11
Iron Horse adults lack reliable transportation
9.4% · CA 9.3%
About the same as CA

18.6% of Iron Horse adults receive SNAP (food stamps), compared with 15.6% across California.

Around town

Iron Horse and the towns around it

How health changes across the town line.

Gold Mountain: 31.9%Portola: 33%Mabie: 33%Delleker: 33.3%Clio: 27.8%Valley Ranch: 29.2%Lake Davis: 33.4%C-Road: 30.1%Mohawk Vista: 29.9%Iron Horse: 32.8%Iron HorseGold MountainPortolaMabieDellekerEastern Plumas Hospital - Portola Campus · Portola · 1.8 miH
Healthier than CANear CALess healthyHHospital+Health center
Obesity
#6 of 10 towns on this map, healthiest first
Gold Mountain31.9%
Iron Horse32.8%
Portola33%
Mabie33%
Delleker33.3%
CA27.8%

Nearby towns are shaded from CDC’s estimates for their ZIP codes, or CDC’s own figure for cities and villages.

Health next door

TownHealthObesityDiabetesSmokingFigures from
Gold Mountain————
PortolaC33%13.3%16.3%CDC place
Mabie————
Delleker————

Gold Mountain, Mabie and Delleker: fewer than 1,000 residents. Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

38.3%

of Iron Horse adults live with a disability (California 30.4%). Walking or climbing stairs is the most common.

Walking or climbing stairs19.7%
Thinking or memory16.7%
Hearing9.4%
Errands alone10.7%
Vision6.5%
Dressing or bathing5.4%
California

Questions about health in Iron Horse

Why doesn’t Iron Horse have a Health Grade?

Every Health Grade is built from seven of CDC’s PLACES estimates, and CDC doesn’t publish all seven for Iron Horse.

What hospital is closest to Iron Horse?

Eastern Plumas Hospital - Portola Campus in Portola, 1.8 miles in a straight line from Iron Horse’s center point, is the nearest general hospital with an emergency room. It has no Medicare star rating.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Iron Horse.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The California figure combines its counties, weighted by adult population. Hospitals and star ratings: Medicare Care Compare (CMS). Health centers and shortage areas: HRSA. Ages: U.S. Census Bureau, American Community Survey. Town boundaries: U.S. Census Bureau. This page isn’t medical advice. In an emergency, call 911.