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Spindale-House-ncPhoto: Brian Stansberry · CC BY 4.0
DHealth Grade
Health in Spindale · CDC PLACES 2025

On CDC estimates, Spindale is healthier than 5% of U.S. towns

Spindale trails North Carolina on 20 of 32 measures CDC estimates, and leads on none.

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

What stands out · In brief

What stands out about health in Spindale

COPD, stroke and diabetes run high in Spindale

1 in 9 adults have COPD (11.5%), vs 7.1% across North Carolina. 1 in 19 adults have had a stroke (5.3%), vs 3.6% across North Carolina. Diabetes is also above the state: 16.3%, vs 12% across North Carolina. In all, Spindale runs above North Carolina on six of 11 chronic conditions. Conditions ↓

Spindale is in the bottom 5% of U.S. towns for health

On the seven CDC estimates behind the Health Grade, Spindale is healthier than only 5% of U.S. towns. It earns a D on all of them. Health Grade ↓

Making ends meet is harder in Spindale

1 in 4 adults worry about having enough food (25.2%), vs 15.2% across North Carolina. Utility shut-off threats (13.6% vs 8.1%) and no reliable transportation (13.1% vs 8.4%) are higher too. 24.4% of adults receive SNAP, vs 12.3% statewide. Everyday needs ↓

More Spindale adults live with a disability

2 in 5 adults live with a disability (41.8%, vs 32% across North Carolina). The biggest difference is vision loss: 8.6% vs 5.3%. Disability ↓

Spindale is healthier than its income would predict

Against all U.S. towns, Spindale is healthier than 5%. Against the 2,754 towns with similar household incomes ($31K–$52K), it’s healthier than 27%. 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 North Carolina figure falls outside Spindale’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D− to C.

Health Grade

What’s behind Spindale’s grade

On seven CDC estimates for adults, Spindale is healthier than 5% of U.S. towns, #274 of 289 in North Carolina. All seven of Spindale’s estimates fall in the lowest 13% of U.S. towns. The furthest from typical is smoking: 21.7% of adults, against 13.5% across North Carolina and 11.8% nationally.

DSelf-rated health28% · NC 19% · U.S. 19.4%
DPhysical distress17.1% · NC 12.7% · U.S. 13%
DMental distress20% · NC 16.5% · U.S. 15.9%
DObesity42.7% · NC 35.1% · U.S. 32.9%
DDiabetes16.3% · NC 12% · U.S. 12%
D−Smoking21.7% smoke · NC 13.5% · U.S. 11.8%
DExercise32.9% · NC 23.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 5%
Less healthyHealthier
North Carolina towns we grade (289)Healthier than 5%
U.S. towns with similar incomes, $31K–$52K (2,754)Healthier than 27%

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). Spindale’s median household income is $41,262; among the 2,754 U.S. towns within 25% of that ($31K–$52K), it’s healthier than 27%, so it sits below most towns with similar incomes, too.

A fairly firm grade. With every estimate at the unfavorable or the favorable end of CDC’s likely range, Spindale could be anywhere from D− to C.

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Spindale adults…

Spindale runs above NC on 7 of 12 conditions. Tap one to see it as people.

12 of every 100 Spindale adults have COPD
North Carolina: 7 in 100 · worse · likely 9.8–13.2%
Better than NCWorseAbout the sameNorth Carolina
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 4
Spindale adults worry about having enough food
25.2% · NC 15.2%
Worse than NC
1 in 6
Spindale adults worry about keeping their housing
18% · NC 12.2%
Worse than NC
1 in 7
Spindale adults were threatened with a utility shut-off
13.6% · NC 8.1%
Worse than NC
1 in 8
Spindale adults lack reliable transportation
13.1% · NC 8.4%
Worse than NC

24.4% of Spindale adults receive SNAP (food stamps), compared with 12.3% across North Carolina.

Disability

Living with a disability

Shown without a better/worse judgment.

41.8%

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

Walking or climbing stairs21%
Thinking or memory20.1%
Hearing9.2%
Errands alone12.7%
Vision8.6%
Dressing or bathing6.8%
North Carolina
Getting care

Care in and near Spindale

1 community health center in Spindale, plus the nearest just outside it.

HNearest ERRutherford Regional Medical CenterRutherfordton · 2.4 miDirections →
★Best rated nearbyAdvent Health Polk★★★★★ · 18.3 miDirections →
+Low-cost careBlue Ridge Community Health ServicesSpindale · 0.6 mi · sliding-scale feesDirections →
0.6 mi
Blue Ridge Community Health Services
4 sites · nearest in Spindale
Sliding-scale feesIn Spindale
Directions to nearest
2.4 mi
Rutherford Regional Medical Center
Rutherfordton · ★★★★★
ER
15.9 mi
Gaston Family Health Services
2 sites · nearest in Shelby
Sliding-scale fees
Directions to nearest
18.3 mi
Advent Health Polk
Columbus · ★★★★★
ERRural critical access
21.8 mi
The Mcdowell Hospital
Marion · ★★★★★
ER
22.2 mi
Atrium Health Cleveland
Shelby · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers Spindale itself
✓ Dental careNo HRSA shortage area covers Spindale itself
✓ Mental healthNo HRSA shortage area covers Spindale 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 Spindale; ≈ 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 32.9%NC 23.8%
Sleep under 7 hours 35.3%NC 34.2%
Binge drink 13.7%NC 14.7%
Smoke cigarettes 21.7%NC 13.5%
0%10%20%30%40%
Spindale, betterSpindale, worseAbout the sameNorth Carolina
Where Spindale gets moving

0.1 miles of trails across 2 parks and preserves

Parks & trails →
Checkups & screenings

Keeping up with care

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

79%Yearly checkupNC 80%
55%Dentist visitNC 64%
84%Cholesterol checkNC 88%
58%Colon screeningNC 66%
74%MammogramNC 79%
77%Taking BP medsNC 77%
1 in 7
working-age adults has no health insurance
Spindale 13.5% · North Carolina 1 in 10 (10.4%)
Mind & connection

How Spindale adults are doing

On 1 of 4 measures, Spindale runs above North Carolina.

1 in 3Spindale adults feel lonely
34.1% · NC 32.5% · About the same as NC
1 in 4Spindale adults lack social or emotional support
25.4% · NC 22.5% · About the same as NC
1 in 4Spindale adults have been diagnosed with depression
27.2% · NC 24.2% · About the same as NC
1 in 5Spindale adults are in frequent mental distress
20% · NC 16.5% · Worse than NC
The one neighbors can help with

1 in 3 Spindale 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

Spindale and the towns around it

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

Rutherfordton: 39.2%Forest City: 42.7%Ruth: 42.3%Spindale: 42.7%SpindaleRutherfordtonForest CityRutherford Regional Medical Center · Rutherfordton · 2.4 mi · 2★ MedicareHRutherford Health Center · Spindale · 0.6 mi+
Healthier than NCNear NCLess healthyHHospital+Health center
Obesity
#3 of 4 towns on this map, healthiest first
Rutherfordton39.2%
Spindale42.7%
Forest City42.7%
NC35.1%

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
SpindaleD42.7%16.3%21.7%CDC place
RutherfordtonC−39.2%15.4%18.1%CDC place
Forest CityD−42.7%16.9%21%CDC place

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

Every CDC estimate for Spindale

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

On the 32 measures below that have a better and a worse direction, Spindale is better than North Carolina on 0 and worse on 20; on the rest, the North Carolina figure falls inside Spindale’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…SpindaleNCU.S.vs NC
Overall health
Fair or poor health28%24.3–31.919%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)17.1%15–19.412.7%13%Worse
Frequent mental distress (mental health not good 14+ days a month)20%17.7–22.516.5%15.9%Worse
Conditions
Obesity42.7%34.6–51.435.1%32.9%About the same
Diabetes16.3%14.2–18.712%12%Worse
High blood pressure43.7%39.3–48.236.8%34.4%Worse
High cholesterol (adults screened in 5 years)37.2%33–41.835.6%37.1%About the same
Arthritis31.4%28–3526.9%25.3%Worse
Asthma12.2%10.6–13.710.8%9.9%About the same
Cancer, other than skin cancer7.8%7.1–8.77.9%7.9%About the same
Coronary heart disease8.8%7.8–9.96.6%6.4%Worse
COPD11.5%9.8–13.27.1%6.3%Worse
Stroke5.3%4.7–5.93.6%3.4%Worse
Lost all teeth (ages 65+)23.9%19.4–28.313.9%12.3%Worse
Habits
Smoke cigarettes21.7%18.3–25.113.5%11.8%Worse
No exercise outside work32.9%27.8–38.423.8%24.7%Worse
Binge drinking13.7%11.1–16.614.7%15.4%About the same
Sleep under 7 hours35.3%28.4–42.134.2%36%About the same
Checkups and coverage
No health insurance (ages 18–64)13.5%11–16.510.4%11%Worse
Checkup in the past year79%75.1–82.480%77.4%About the same
Dentist visit in the past year55.2%50.9–58.963.6%63.2%Worse
Cholesterol check in 5 years84.1%81.7–86.487.5%87.1%Worse
Taking blood pressure medicine (adults with high blood pressure)77.4%74.5–80.376.7%76.5%About the same
Colorectal cancer screening (ages 45–75)58.4%52.5–63.765.7%65.5%Worse
Mammogram in 2 years (women 50–74)73.6%64.5–80.678.7%76.4%About the same
Mind and connection
Ever told they have depression27.2%23.2–31.424.2%20.6%About the same
Feel lonely34.1%28.8–39.532.5%32.5%About the same
Lack social and emotional support25.4%21.6–29.522.5%23.6%About the same
Everyday needs
Worried about having enough food25.2%21.4–29.315.2%15%Worse
Worried about keeping housing18%15.5–20.912.2%12%Worse
Threatened with a utility shut-off13.6%11.8–15.68.1%7.6%Worse
Lack reliable transportation13.1%11.4–14.98.4%7.9%Worse
Received SNAP (food stamps)24.4%20.8–28.512.3%11.6%Higher
Disability
Any disability41.8%36.8–46.932%30.1%Higher
Difficulty walking or climbing stairs21%18.3–23.914.2%13.6%Higher
Difficulty concentrating or remembering20.1%17.4–22.814.8%13.9%Higher
Hearing difficulty9.2%8–10.37.3%6.7%Higher
Vision difficulty8.6%7.6–9.75.3%5.4%Higher
Difficulty doing errands alone12.7%11–14.58.2%7.9%Higher
Difficulty dressing or bathing6.8%6–7.74%3.8%Higher

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 Spindale

Is Spindale a healthy place to live?

On seven CDC estimates for adults, Spindale is healthier than 5% of U.S. towns: D for health, #274 of 289 in North Carolina. Among U.S. towns with similar household incomes it’s healthier than 27%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Spindale?

CDC estimates 42.7% of adults have obesity, likely between 34.6% and 51.4%, against 35.1% across North Carolina and 32.9% nationally.

What hospital is closest to Spindale?

Rutherford Regional Medical Center in Rutherfordton, 2.4 miles in a straight line from Spindale’s center point, is the nearest general hospital with an emergency room; Medicare rates it 2 of 5 stars.

How many people in Spindale have no health insurance?

CDC estimates 13.5% of adults ages 18–64 have no health insurance (likely 11–16.5%), 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 Spindale more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D− to C.

Neighbors talk health

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

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.