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Black Mountain NC downtownPhoto: Mojo Hand · CC BY-SA 4.0
AHealth Grade
Health in Black Mountain · CDC PLACES 2025

On CDC estimates, Black Mountain is healthier than 86% of U.S. towns

Black Mountain differs from North Carolina on 19 of 32 measures CDC estimates: 16 better, 3 worse.

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

What stands out · In brief

What stands out about health in Black Mountain

Cancer and arthritis run high in Black Mountain

1 in 8 adults have had cancer (12.4%), vs 7.9% across North Carolina. 1 in 3 adults have arthritis (31.9%), vs 26.9% across North Carolina. In all, Black Mountain runs above North Carolina on three of 11 chronic conditions. Age is part of it: 37% of residents are 65 or older (North Carolina 17%), and cancer and arthritis are more common later in life. Conditions ↓

Black Mountain keeps up with checkups

It beats North Carolina on three of five routine checkups and screenings, including dentist visits (71.8% vs 63.6%) and cholesterol checks (91.4% vs 87.5%). Checkups ↓

Fewer Black Mountain adults struggle to make ends meet

Worries about food, housing, utility bills and getting around all run below North Carolina. 1 in 12 adults worry about having enough food, vs 1 in 7 adults statewide. Everyday needs ↓

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 North Carolina figure falls outside Black Mountain’s likely range; at the ends of CDC’s ranges the grade could be anywhere from B+ to A+.

Health Grade

What’s behind Black Mountain’s grade

On seven CDC estimates for adults, Black Mountain is healthier than 86% of U.S. towns, #50 of 289 in North Carolina. All seven estimates beat the typical U.S. town. The strongest is mental distress (fewer adults with frequent mental distress than 94% of towns); the weakest is diabetes, still better than 59%.

A−Self-rated health15.6% · NC 19% · U.S. 19.4%
A−Physical distress12.1% · NC 12.7% · U.S. 13%
AMental distress13.2% · NC 16.5% · U.S. 15.9%
AObesity29% · NC 35.1% · U.S. 32.9%
BDiabetes11.5% · NC 12% · U.S. 12%
ASmoking10.1% smoke · NC 13.5% · U.S. 11.8%
AExercise19.3% · NC 23.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 86%
Less healthyHealthier
North Carolina towns we grade (289)Healthier than 83%
U.S. towns with similar incomes, $58K–$96K (10,819)Healthier than 96%

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). Black Mountain’s median household income is $77,042; among the 10,819 U.S. towns within 25% of that ($58K–$96K), it’s healthier than 96%, about where its income would put it.

A fairly firm grade. With every estimate at the unfavorable or the favorable end of CDC’s likely range, Black Mountain could be anywhere from B+ to A+.

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Black Mountain adults…

Black Mountain runs below NC on 1 of 12 conditions and above it on 3. Tap one to see it as people.

12 of every 100 Black Mountain adults have had cancer
North Carolina: 8 in 100 · worse · likely 11.3–13.5%
Better than NCWorseAbout the sameNorth Carolina
Why age matters here

Black Mountain is an older town: 37% of residents are 65 or older, vs 17% across North Carolina. Heart disease, arthritis and cancer rise with age, so higher rates here say as much about who lives in Black Mountain as about how healthy they are.

Residents 65 and older

Black Mountain37%
North Carolina17%
Checkups & screenings

Keeping up with care

Share of Black Mountain adults getting routine care. The full ring is 100%; the dark tick marks North Carolina.

82%Yearly checkupNC 80%
72%Dentist visitNC 64%
91%Cholesterol checkNC 88%
73%Colon screeningNC 66%
82%MammogramNC 79%
82%Taking BP medsNC 77%
1 in 14
working-age adults has no health insurance
Black Mountain 7% · North Carolina 1 in 10 (10.4%)
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 12
Black Mountain adults worry about having enough food
8.3% · NC 15.2%
Better than NC
1 in 15
Black Mountain adults worry about keeping their housing
6.6% · NC 12.2%
Better than NC
1 in 22
Black Mountain adults were threatened with a utility shut-off
4.5% · NC 8.1%
Better than NC
1 in 20
Black Mountain adults lack reliable transportation
5.1% · NC 8.4%
Better than NC

6.3% of Black Mountain adults receive SNAP (food stamps), compared with 12.3% across North Carolina.

Getting care

Care in and near Black Mountain

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

HNearest ERMemorial Mission Hospital and Asheville Surgery CeAsheville · 12.8 miDirections →
★Best rated nearbyAdventhealth Hendersonville★★★★★ · 18.0 miDirections →
+Low-cost carePardee Bluemd 805 Fairview Road Suite 200Asheville · 10.4 mi · sliding-scale feesDirections →
9.2 mi
Asheville-Oteen VA Medical Center
Asheville · ★★★★★
ERFor veterans
10.4 mi
Pardee Bluemd 805 Fairview Road Suite 200
Asheville · community health center
Sliding-scale fees
11.1 mi
Mountain Area Health Education Center
5 sites · nearest in Fletcher
Sliding-scale fees
Directions to nearest
12.8 mi
Memorial Mission Hospital and Asheville Surgery Ce
Asheville · ★★★★★
ER
17.1 mi
The Mcdowell Hospital
Marion · ★★★★★
ER
18 mi
Adventhealth Hendersonville
Hendersonville · ★★★★★
ER
✓ Primary careBlack Mountain is not a shortage area
✓ Dental careBlack Mountain is not a shortage area
✓ Mental healthNo HRSA shortage area covers Black Mountain 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 Black Mountain; ≈ 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 North Carolina

Share of adults, with the North Carolina figure marked.

Get no exercise 19.3%NC 23.8%
Sleep under 7 hours 25.8%NC 34.2%
Binge drink 13.5%NC 14.7%
Smoke cigarettes 10.1%NC 13.5%
0%10%20%30%40%
Black Mountain, betterBlack Mountain, worseAbout the sameNorth Carolina
Where Black Mountain gets moving

5.2 miles of trails across 5 parks and preserves

Parks & trails →
Mind & connection

How Black Mountain adults are doing

On 2 of 4 measures, Black Mountain does better than North Carolina.

3 in 10Black Mountain adults feel lonely
28% · NC 32.5% · About the same as NC
1 in 5Black Mountain adults lack social or emotional support
18.2% · NC 22.5% · Better than NC
1 in 4Black Mountain adults have been diagnosed with depression
23% · NC 24.2% · About the same as NC
1 in 8Black Mountain adults are in frequent mental distress
13.2% · NC 16.5% · Better than NC
The one neighbors can help with

3 in 10 Black Mountain 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.

Around town

Black Mountain and the towns around it

Black Mountain’s Health Grade ranks 2nd of 3 graded towns around it.

Health next door

TownHealthObesityDiabetesSmokingFigures from
Black MountainA29%11.5%10.1%CDC place
SwannanoaB+32.4%10.9%14.6%CDC place
MontreatA23.5%7.9%7.2%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

30.8%

of Black Mountain adults live with a disability (North Carolina 32%). Walking or climbing stairs is the most common.

Walking or climbing stairs14.5%
Thinking or memory11.7%
Hearing9.3%
Errands alone7%
Vision4.3%
Dressing or bathing3.3%
North Carolina

Every CDC estimate for Black Mountain

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

On the 32 measures below that have a better and a worse direction, Black Mountain is better than North Carolina on 16 and worse on 3; on the rest, the North Carolina figure falls inside Black Mountain’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…Black MountainNCU.S.vs NC
Overall health
Fair or poor health15.6%13.4–18.219%19.4%Better
Frequent physical distress (physical health not good 14+ days a month)12.1%10.6–13.812.7%13%About the same
Frequent mental distress (mental health not good 14+ days a month)13.2%11.6–14.716.5%15.9%Better
Conditions
Obesity29%23.3–35.235.1%32.9%About the same
Diabetes11.5%9.9–13.212%12%About the same
High blood pressure39.5%35.5–43.536.8%34.4%About the same
High cholesterol (adults screened in 5 years)38.8%34.6–4335.6%37.1%About the same
Arthritis31.9%28.5–35.226.9%25.3%Worse
Asthma10.1%8.9–11.310.8%9.9%About the same
Cancer, other than skin cancer12.4%11.3–13.57.9%7.9%Worse
Coronary heart disease7.7%6.9–8.76.6%6.4%Worse
COPD7.1%6.1–8.47.1%6.3%About the same
Stroke3.9%3.5–4.33.6%3.4%About the same
Lost all teeth (ages 65+)9.7%8–11.813.9%12.3%Better
Habits
Smoke cigarettes10.1%8.5–12.113.5%11.8%Better
No exercise outside work19.3%16–22.723.8%24.7%Better
Binge drinking13.5%11.2–16.214.7%15.4%About the same
Sleep under 7 hours25.8%21.5–30.634.2%36%Better
Checkups and coverage
No health insurance (ages 18–64)7%5.7–8.410.4%11%Better
Checkup in the past year82.1%79.1–84.980%77.4%About the same
Dentist visit in the past year71.8%68.9–74.763.6%63.2%Better
Cholesterol check in 5 years91.4%90.2–92.687.5%87.1%Better
Taking blood pressure medicine (adults with high blood pressure)81.5%78.9–83.976.7%76.5%Better
Colorectal cancer screening (ages 45–75)73.4%69.3–77.365.7%65.5%Better
Mammogram in 2 years (women 50–74)82.2%76.3–87.278.7%76.4%About the same
Mind and connection
Ever told they have depression23%19.9–26.424.2%20.6%About the same
Feel lonely28%23.4–32.732.5%32.5%About the same
Lack social and emotional support18.2%15.4–21.422.5%23.6%Better
Everyday needs
Worried about having enough food8.3%6.9–9.915.2%15%Better
Worried about keeping housing6.6%5.6–7.812.2%12%Better
Threatened with a utility shut-off4.5%3.8–5.28.1%7.6%Better
Lack reliable transportation5.1%4.4–5.88.4%7.9%Better
Received SNAP (food stamps)6.3%5.1–7.712.3%11.6%Lower
Disability
Any disability30.8%26.9–34.632%30.1%About the same
Difficulty walking or climbing stairs14.5%12.4–16.914.2%13.6%About the same
Difficulty concentrating or remembering11.7%10.2–13.314.8%13.9%Lower
Hearing difficulty9.3%8.2–10.47.3%6.7%Higher
Vision difficulty4.3%3.8–4.95.3%5.4%Lower
Difficulty doing errands alone7%6–88.2%7.9%Lower
Difficulty dressing or bathing3.3%2.9–3.84%3.8%Lower

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 North Carolina figure falls inside that range.

Questions about health in Black Mountain

Is Black Mountain a healthy place to live?

On seven CDC estimates for adults, Black Mountain is healthier than 86% of U.S. towns: A for health, #50 of 289 in North Carolina. Among U.S. towns with similar household incomes it’s healthier than 96%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Black Mountain?

CDC estimates 29% of adults have obesity, likely between 23.3% and 35.2%, against 35.1% across North Carolina and 32.9% nationally.

What hospital is closest to Black Mountain?

The Mcdowell Hospital in Marion, 17.1 miles in a straight line from Black Mountain’s center point, is the nearest general hospital with an emergency room; Medicare rates it 3 of 5 stars.

How many people in Black Mountain have no health insurance?

CDC estimates 7% of adults ages 18–64 have no health insurance (likely 5.7–8.4%), against 10.4% across North Carolina.

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 Black Mountain more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from B+ to A+.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Black Mountain.

Town Square →
Ask your neighbors

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