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W. Emslie BlockPhoto: Boscophotos · CC BY-SA 3.0
≈ C+Health Grade
Health in Montezuma · CDC PLACES 2025

Among U.S. towns with similar household incomes, Montezuma is healthier than 60%

Montezuma trails Iowa on 1 of 32 measures CDC estimates, and leads on none.

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

What stands out · In brief

What stands out about health in Montezuma

Montezuma is short on primary care and mental health care

Montezuma’s county is a federal shortage area for primary care and mental health care, meaning too few providers for the people who live there. Getting care ↓

Montezuma is healthier than its income would predict

Against all U.S. towns, Montezuma is healthier than 44%. Against the 10,042 towns with similar household incomes ($49K–$82K), it’s healthier than 60%. Health Grade ↓

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 Montezuma’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D to A−.

Health Grade

What’s behind Montezuma’s grade

On seven CDC estimates for adults, Montezuma is healthier than 44% of U.S. towns. Physical distress holds the grade up (fewer adults with frequent physical distress than 59% of U.S. towns); obesity pulls it down (better than 12%).

BSelf-rated health18.9% · IA 17.8% · U.S. 19.4%
BPhysical distress13.6% · IA 12.7% · U.S. 13%
B−Mental distress16.8% · IA 16.4% · U.S. 15.9%
DObesity41.8% · IA 37.7% · U.S. 32.9%
BDiabetes11.7% · IA 11.2% · U.S. 12%
C+Smoking16.3% smoke · IA 14.5% · U.S. 11.8%
C+Exercise27% · IA 24.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 44%
Less healthyHealthier
U.S. towns with similar incomes, $49K–$82K (10,042)Healthier than 60%

Health estimates follow income closely across the country: towns with higher household incomes usually score higher (a correlation of 0.77 across 21,157 graded towns). Montezuma’s median household income is $65,660; among the 10,042 U.S. towns within 25% of that ($49K–$82K), it’s healthier than 60%, more than its income alone would suggest.

A rough placement. CDC’s likely ranges are wide here: with every estimate at one end or the other, Montezuma could be anywhere from D to A−. The letter shows with “≈”.

How TownRatings grades health →

Getting care

Care in and near Montezuma

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

HNearest ERGrinnell Regional Medical CenterGrinnell · 15.4 miDirections →
★Best rated nearbyGrinnell Regional Medical Center★★★★★ · 15.4 miDirections →
+Low-cost careRiver Hills Community Health CenterOskaloosa · 20.5 mi · sliding-scale feesDirections →
15.4 mi
Grinnell Regional Medical Center
Grinnell · ★★★★★
ER
20.3 mi
Mahaska Health Partnership
Oskaloosa · ★★★★★
ERRural critical access
20.5 mi
River Hills Community Health Center
6 sites · nearest in Oskaloosa
Sliding-scale fees
Directions to nearest
23.1 mi
Pella Regional Health Center
Pella · ★★★★★
ERRural critical access
25.3 mi
Keokuk County Health Center
Sigourney · not rated
ERRural critical access
35.5 mi
Primary Health Care
2 sites · nearest in Marshalltown
Sliding-scale fees
Directions to nearest
✓ Primary careNo HRSA shortage area covers Montezuma itself
✓ Dental careMontezuma is not a shortage area
✓ Mental healthNo HRSA shortage area covers Montezuma 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 Montezuma; ≈ 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).

Chronic conditions

Out of every 100 Montezuma adults…

Montezuma runs above IA on 1 of 12 conditions. Tap one to see it as people.

10 of every 100 Montezuma adults have had cancer
Iowa: 9 in 100 · worse · likely 8.8–10.9%
Better than IAWorseAbout the sameIowa
Habits

Everyday habits, side by side with Iowa

Share of adults, with the Iowa figure marked.

Get no exercise 27%IA 24.8%
Sleep under 7 hours 31.2%IA 32.5%
Binge drink 19%IA 20.5%
Smoke cigarettes 16.3%IA 14.5%
0%10%20%30%40%
Montezuma, betterMontezuma, worseAbout the sameIowa
Where Montezuma gets moving

0 miles of trails across 1 park or preserve

Parks & trails →
Checkups & screenings

Keeping up with care

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

77%Yearly checkupIA 78%
67%Dentist visitIA 67%
84%Cholesterol checkIA 84%
68%Colon screeningIA 67%
77%MammogramIA 79%
80%Taking BP medsIA 78%
1 in 14
working-age adults has no health insurance
Montezuma 7.3% · Iowa 1 in 14 (7.3%)
Mind & connection

How Montezuma adults are doing

About the same as Iowa on each measure.

1 in 3Montezuma adults feel lonely
32.7% · IA 32.3% · About the same as IA
1 in 4Montezuma adults lack social or emotional support
24.1% · IA 23.3% · About the same as IA
1 in 5Montezuma adults have been diagnosed with depression
22% · IA 20.7% · About the same as IA
1 in 6Montezuma 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 Montezuma 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 8
Montezuma adults worry about having enough food
11.9% · IA 12%
About the same as IA
1 in 11
Montezuma adults worry about keeping their housing
9.1% · IA 9.4%
About the same as IA
1 in 16
Montezuma adults were threatened with a utility shut-off
6.2% · IA 6.4%
About the same as IA
1 in 15
Montezuma adults lack reliable transportation
6.7% · IA 6.8%
About the same as IA

10.3% of Montezuma adults receive SNAP (food stamps), compared with 10% across Iowa.

Around town

Montezuma and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
MontezumaC+41.8%11.7%16.3%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

30.9%

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

Walking or climbing stairs14.4%
Thinking or memory14.3%
Hearing8.7%
Errands alone8.1%
Vision4.6%
Dressing or bathing3.6%
Iowa

Every CDC estimate for Montezuma

Share of adults, 40 measures, with CDC’s likely range.

On the 32 measures below that have a better and a worse direction, Montezuma is better than Iowa on 0 and worse on 1; on the rest, the Iowa figure falls inside Montezuma’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…MontezumaIAU.S.vs IA
Overall health
Fair or poor health18.9%15.9–2217.8%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)13.6%11.7–15.612.7%13%About the same
Frequent mental distress (mental health not good 14+ days a month)16.8%14.5–1916.4%15.9%About the same
Conditions
Obesity41.8%33.8–49.437.7%32.9%About the same
Diabetes11.7%9.9–13.611.2%12%About the same
High blood pressure36.4%32.2–40.433.9%34.4%About the same
High cholesterol (adults screened in 5 years)36.6%32.3–40.735.3%37.1%About the same
Arthritis29.5%26.2–32.927%25.3%About the same
Asthma10.1%8.8–11.39.9%9.9%About the same
Cancer, other than skin cancer9.9%8.8–10.98.7%7.9%Worse
Coronary heart disease7.5%6.5–8.56.6%6.4%About the same
COPD8.1%6.8–9.56.9%6.3%About the same
Stroke3.8%3.3–4.33.3%3.4%About the same
Lost all teeth (ages 65+)11.9%9.5–14.611.6%12.3%About the same
Habits
Smoke cigarettes16.3%13.3–19.414.5%11.8%About the same
No exercise outside work27%21.9–3224.8%24.7%About the same
Binge drinking19%15.7–22.420.5%15.4%About the same
Sleep under 7 hours31.2%25.1–3832.5%36%About the same
Checkups and coverage
No health insurance (ages 18–64)7.3%5.5–9.57.3%11%About the same
Checkup in the past year77.2%73.4–80.677.5%77.4%About the same
Dentist visit in the past year67.4%63.8–70.966.8%63.2%About the same
Cholesterol check in 5 years84.3%81.9–86.584.1%87.1%About the same
Taking blood pressure medicine (adults with high blood pressure)79.5%76.6–81.877.8%76.5%About the same
Colorectal cancer screening (ages 45–75)68.4%63.1–73.166.6%65.5%About the same
Mammogram in 2 years (women 50–74)77.1%69.3–83.578.7%76.4%About the same
Mind and connection
Ever told they have depression22%18.6–25.520.7%20.6%About the same
Feel lonely32.7%27.8–38.232.3%32.5%About the same
Lack social and emotional support24.1%20.5–28.323.3%23.6%About the same
Everyday needs
Worried about having enough food11.9%9.3–14.912%15%About the same
Worried about keeping housing9.1%7.3–11.19.4%12%About the same
Threatened with a utility shut-off6.2%5.1–7.46.4%7.6%About the same
Lack reliable transportation6.7%5.5–7.96.8%7.9%About the same
Received SNAP (food stamps)10.3%7.9–1310%11.6%About the same
Disability
Any disability30.9%26.3–35.428.1%30.1%About the same
Difficulty walking or climbing stairs14.4%12.1–16.812.7%13.6%About the same
Difficulty concentrating or remembering14.3%12.3–16.513.5%13.9%About the same
Hearing difficulty8.7%7.6–9.97.4%6.7%Higher
Vision difficulty4.6%3.9–5.24.3%5.4%About the same
Difficulty doing errands alone8.1%6.9–9.47.4%7.9%About the same
Difficulty dressing or bathing3.6%3.1–4.23.4%3.8%About the same

Each figure is the share of adults 18+ unless the label says otherwise; small numbers after it are CDC’s likely range (95% interval). “About the same” means the Iowa figure falls inside that range.

Questions about health in Montezuma

Is Montezuma a healthy place to live?

On seven CDC estimates for adults, Montezuma is healthier than 44% of U.S. towns: ≈ C+ for health. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Montezuma?

CDC estimates 41.8% of adults have obesity, likely between 33.8% and 49.4%, against 37.7% across Iowa and 32.9% nationally.

What hospital is closest to Montezuma?

Grinnell Regional Medical Center in Grinnell, 15.4 miles in a straight line from Montezuma’s center point, is the nearest general hospital with an emergency room; Medicare rates it 2 of 5 stars.

How many people in Montezuma have no health insurance?

CDC estimates 7.3% of adults ages 18–64 have no health insurance (likely 5.5–9.5%), against 7.3% across Iowa.

How accurate are these numbers?

They’re modeled estimates: CDC applies national survey answers to each area’s age, sex, race and education mix, so they describe who lives in Montezuma more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D to A−.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Montezuma.

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. The Health Grade is our own summary of CDC’s estimates, not an official rating. 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.