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Grand River, IAPhoto: Jared Winkler · CC BY-SA 4.0
–Not graded
Health in Grand River · CDC PLACES 2025

Where Grand River residents get care

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

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

What stands out · In brief

What stands out about health in Grand River

COPD, heart disease and stroke run high in Grand River

1 in 10 adults have COPD (10.1%), vs 6.9% across Iowa. 1 in 11 adults have heart disease (9.2%), vs 6.6% across Iowa. Stroke is also above the state: 4.6%, vs 3.3% across Iowa. In all, Grand River runs above Iowa on seven of 11 chronic conditions. Conditions ↓

More high blood pressure in Grand River, and more people treating it

39.4% of adults have high blood pressure (Iowa 33.9%), but 81% of them take medicine for it, vs 77.8% statewide. Checkups ↓

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 Iowa figure falls outside Grand River’s likely range.

★ What stands out · Chronic conditions

Out of every 100 Grand River adults…

Grand River runs above IA on 7 of 12 conditions. Tap one to see it as people.

10 of every 100 Grand River adults have COPD
Iowa: 7 in 100 · worse · likely 8.2–12.3%
Better than IAWorseAbout the sameIowa
Checkups & screenings

Keeping up with care

Share of Grand River adults getting routine care. The full ring is 100%; the dark tick marks Iowa.

78%Yearly checkupIA 78%
64%Dentist visitIA 67%
84%Cholesterol checkIA 84%
71%Colon screeningIA 67%
73%MammogramIA 79%
81%Taking BP medsIA 78%
1 in 13
working-age adults has no health insurance
Grand River 7.7% · Iowa 1 in 14 (7.3%)
Getting care

Care in and near Grand River

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

HNearest ERDecatur County HospitalLeon · 12.2 miDirections →
★Best rated nearbyClarke County Hospital★★★★★ · 17.6 miDirections →
+Low-cost careInfinity HealthLeon · 12.4 mi · sliding-scale feesDirections →
12.2 mi
Decatur County Hospital
Leon · not rated
ERRural critical access
12.4 mi
Infinity Health
7 sites · nearest in Leon
Sliding-scale fees
Directions to nearest
16.2 mi
Ringgold County Hospital
Mount Ayr · not rated
ERRural critical access
17.6 mi
Clarke County Hospital
Osceola · ★★★★★
ERRural critical access
28.1 mi
Greater Regional Medical Center
Creston · ★★★★★
ERRural critical access
28.1 mi
Cainsville Medical Clinic
Cainsville · community health center
Sliding-scale fees
✓ Primary careNo HRSA shortage area covers Grand River itself
✓ Dental careNo HRSA shortage area covers Grand River itself
✓ Mental healthNo HRSA shortage area covers Grand River 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 Grand River; ≈ 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).

Habits

Everyday habits, side by side with Iowa

Share of adults, with the Iowa figure marked.

Get no exercise 28.7%IA 24.8%
Sleep under 7 hours 32.8%IA 32.5%
Binge drink 18%IA 20.5%
Smoke cigarettes 17.9%IA 14.5%
0%10%20%30%40%
Grand River, betterGrand River, worseAbout the sameIowa
Where Grand River gets moving

Walk with neighbors

The easiest exercise habit to keep is one with company.

Mind & connection

How Grand River adults are doing

About the same as Iowa on each measure.

1 in 3Grand River adults feel lonely
31.5% · IA 32.3% · About the same as IA
1 in 5Grand River adults lack social or emotional support
22% · IA 23.3% · About the same as IA
1 in 5Grand River adults have been diagnosed with depression
21.8% · IA 20.7% · About the same as IA
1 in 6Grand River adults are in frequent mental distress
16.8% · IA 16.4% · About the same as IA
The one neighbors can help with

1 in 3 Grand River 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.

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 7
Grand River adults worry about having enough food
14.6% · IA 12%
About the same as IA
1 in 10
Grand River adults worry about keeping their housing
10.3% · IA 9.4%
About the same as IA
1 in 13
Grand River adults were threatened with a utility shut-off
7.9% · IA 6.4%
About the same as IA
1 in 12
Grand River adults lack reliable transportation
8.1% · IA 6.8%
About the same as IA

14.8% of Grand River adults receive SNAP (food stamps), compared with 10% across Iowa.

Around town

Grand River and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from

Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

33.2%

of Grand River adults live with a disability (Iowa 28.1%). Walking or climbing stairs is the most common.

Walking or climbing stairs17.2%
Thinking or memory15%
Hearing10%
Errands alone9.4%
Vision5.7%
Dressing or bathing4.7%
Iowa

Questions about health in Grand River

Why doesn’t Grand River have a Health Grade?

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

What hospital is closest to Grand River?

Decatur County Hospital in Leon, 12.2 miles in a straight line from Grand River’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 Grand River.

Town Square →
Ask your neighbors

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