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Casselton Commercial Historic DistrictCasselton Commercial Historic District · Photo: Andrew Filer (afiler) · CC BY-SA 2.0
AHealth Grade
Health in Casselton · CDC PLACES 2025

On CDC estimates, Casselton is healthier than 89% of U.S. towns

Casselton beats North Dakota on 8 of 32 measures CDC estimates, and trails on none.

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

What stands out · In brief

What stands out about health in Casselton

Fewer Casselton adults struggle to make ends meet

Worries about food, housing, utility bills and getting around all run below North Dakota. 1 in 13 adults worry about having enough food, vs 1 in 9 adults statewide. Everyday needs ↓

Casselton is an active town

Only 17.5% of adults get no exercise outside work, vs 21.8% across North Dakota. Habits ↓

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

Health Grade

What’s behind Casselton’s grade

On seven CDC estimates for adults, Casselton is healthier than 89% of U.S. towns. 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 obesity, still better than 58%.

ASelf-rated health13.8% · ND 16.1% · U.S. 19.4%
APhysical distress10.5% · ND 11.4% · U.S. 13%
AMental distress13% · ND 14.2% · U.S. 15.9%
BObesity35.1% · ND 36.5% · U.S. 32.9%
ADiabetes8.8% · ND 9.8% · U.S. 12%
B+Smoking12.3% smoke · ND 13.1% · U.S. 11.8%
AExercise17.5% · ND 21.8% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 89%
Less healthyHealthier
U.S. towns with similar incomes, $55K–$92K (10,769)Healthier than 99%

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). Casselton’s median household income is $73,259; among the 10,769 U.S. towns within 25% of that ($55K–$92K), it’s healthier than 99%, 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, Casselton could be anywhere from B+ to A+.

How TownRatings grades health →

★ What stands out · 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 13
Casselton adults worry about having enough food
7.7% · ND 10.7%
Better than ND
1 in 14
Casselton adults worry about keeping their housing
7.1% · ND 8.9%
Better than ND
1 in 22
Casselton adults were threatened with a utility shut-off
4.6% · ND 5.8%
Better than ND
1 in 20
Casselton adults lack reliable transportation
4.9% · ND 6.5%
Better than ND

4.7% of Casselton adults receive SNAP (food stamps), compared with 6.7% across North Dakota.

Habits

Everyday habits, side by side with North Dakota

Share of adults, with the North Dakota figure marked.

Get no exercise 17.5%ND 21.8%
Sleep under 7 hours 29.5%ND 32.7%
Binge drink 21.3%ND 21.3%
Smoke cigarettes 12.3%ND 13.1%
0%10%20%30%40%
Casselton, betterCasselton, worseAbout the sameNorth Dakota
Where Casselton gets moving

0.8 miles of trails across 2 parks and preserves

Parks & trails →
Chronic conditions

Out of every 100 Casselton adults…

Casselton runs below ND on 1 of 12 conditions. Tap one to see it as people.

31 of every 100 Casselton adults have high blood pressure
North Dakota: 32 in 100 · about the same · likely 27.9–33.8%
Better than NDWorseAbout the sameNorth Dakota
Why age matters in Casselton

Only 10% of Casselton residents are 65 or older, vs 17% across North Dakota. Age-related conditions run low partly because the town is young.

Residents 65 and older

Casselton10%
North Dakota17%
Getting care

Care in and near Casselton

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

HNearest ERSanford Medical Center FargoFargo · ≈18.2 miDirections →
★Best rated nearbySanford Medical Center Fargo★★★★★ · 18.2 miDirections →
+Low-cost careFamily Healthcare CenterFargo · 17.3 mi · sliding-scale feesDirections →
17.3 mi
Family Healthcare Center
6 sites · nearest in Fargo
Sliding-scale fees
Directions to nearest
≈18.2 mi
Sanford Medical Center Fargo
Fargo · ★★★★★
ER
19 mi
Essentia Health
Fargo · ★★★★★
ER
20.6 mi
Fargo VA Medical Center
Fargo · ★★★★★
ERFor veterans
22.2 mi
Community Health Service
2 sites · nearest in Moorhead
Sliding-scale fees
Directions to nearest
35.8 mi
Sanford Hillsboro
Hillsboro · not rated
ERRural critical access
✓ Primary careCasselton is not a shortage area
✓ Dental careCasselton is not a shortage area
✓ Mental healthCasselton is not a shortage area

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 Casselton; ≈ marks a hospital located by its town, not its street. Shortage areas: HRSA Health Professional Shortage Areas.

Checkups & screenings

Keeping up with care

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

76%Yearly checkupND 74%
73%Dentist visitND 65%
86%Cholesterol checkND 83%
69%Colon screeningND 65%
80%MammogramND 78%
77%Taking BP medsND 76%
1 in 18
working-age adults has no health insurance
Casselton 5.5% · North Dakota 1 in 14 (7.3%)
Mind & connection

How Casselton adults are doing

About the same as North Dakota on each measure.

3 in 10Casselton adults feel lonely
27.9% · ND 29.6% · About the same as ND
1 in 5Casselton adults lack social or emotional support
18.8% · ND 20.6% · About the same as ND
1 in 4Casselton adults have been diagnosed with depression
23.6% · ND 21.3% · About the same as ND
1 in 8Casselton adults are in frequent mental distress
13% · ND 14.2% · About the same as ND
The one neighbors can help with

3 in 10 Casselton 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

Casselton and the towns around it

How health changes across the town line.

Everest Township: 34.6%Casselton Township: 35.5%Durbin Township: 33.7%Gill Township: 35.8%Maple River Township: 34.2%Wheatland Township: 35.8%Harmony Township: 34.8%Rush River Township: 35.2%Amenia Township: 34.9%Casselton: 35.1%CasseltonEverest TownshipCasselton Township
Healthier than NDNear NDLess healthy
Obesity
#6 of 10 towns on this map, healthiest first
Everest Township34.6%
Casselton35.1%
Casselton Township35.5%
ND36.5%

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
CasseltonA35.1%8.8%12.3%CDC place
Everest Township————
Casselton Township————

Everest Township and Casselton Township: 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.

22.8%

of Casselton adults live with a disability (North Dakota 27.6%). Thinking or memory is the most common.

Walking or climbing stairs9.4%
Thinking or memory10.9%
Hearing6.8%
Errands alone6%
Vision3.2%
Dressing or bathing2.7%
North Dakota

Every CDC estimate for Casselton

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

On the 32 measures below that have a better and a worse direction, Casselton is better than North Dakota on 8 and worse on 0; on the rest, the North Dakota figure falls inside Casselton’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…CasseltonNDU.S.vs ND
Overall health
Fair or poor health13.8%11.3–16.716.1%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)10.5%9–12.411.4%13%About the same
Frequent mental distress (mental health not good 14+ days a month)13%11.1–15.114.2%15.9%About the same
Conditions
Obesity35.1%31.1–39.536.5%32.9%About the same
Diabetes8.8%7.6–10.39.8%12%About the same
High blood pressure30.7%27.9–33.831.8%34.4%About the same
High cholesterol (adults screened in 5 years)34.7%31.8–37.833.8%37.1%About the same
Arthritis25.6%23.1–28.325.3%25.3%About the same
Asthma10%8.8–11.310.1%9.9%About the same
Cancer, other than skin cancer8.4%7.6–9.38.2%7.9%About the same
Coronary heart disease5.5%4.8–6.46.1%6.4%About the same
COPD5%4.1–6.25.9%6.3%About the same
Stroke2.7%2.3–3.13.1%3.4%About the same
Lost all teeth (ages 65+)5.2%4.1–6.410.8%12.3%Better
Habits
Smoke cigarettes12.3%9.4–15.413.1%11.8%About the same
No exercise outside work17.5%14.4–21.221.8%24.7%Better
Binge drinking21.3%18.7–23.921.3%15.4%About the same
Sleep under 7 hours29.5%25.8–33.232.7%36%About the same
Checkups and coverage
No health insurance (ages 18–64)5.5%4–7.57.3%11%About the same
Checkup in the past year76.3%73.4–79.174.4%77.4%About the same
Dentist visit in the past year72.9%70–75.564.5%63.2%Better
Cholesterol check in 5 years86.3%84–88.482.7%87.1%Better
Taking blood pressure medicine (adults with high blood pressure)76.9%74–79.876.3%76.5%About the same
Colorectal cancer screening (ages 45–75)69.1%64.8–72.864.9%65.5%About the same
Mammogram in 2 years (women 50–74)80.3%74.3–84.978%76.4%About the same
Mind and connection
Ever told they have depression23.6%20.9–26.621.3%20.6%About the same
Feel lonely27.9%24.9–31.229.6%32.5%About the same
Lack social and emotional support18.8%16.1–21.620.6%23.6%About the same
Everyday needs
Worried about having enough food7.7%5.8–9.910.7%15%Better
Worried about keeping housing7.1%5.6–8.88.9%12%Better
Threatened with a utility shut-off4.6%3.7–5.55.8%7.6%Better
Lack reliable transportation4.9%4–5.86.5%7.9%Better
Received SNAP (food stamps)4.7%3.3–6.36.7%11.6%Lower
Disability
Any disability22.8%19.5–26.627.6%30.1%Lower
Difficulty walking or climbing stairs9.4%7.8–11.511.2%13.6%About the same
Difficulty concentrating or remembering10.9%9.1–13.112.6%13.9%About the same
Hearing difficulty6.8%5.9–7.87.8%6.7%About the same
Vision difficulty3.2%2.7–3.84.1%5.4%Lower
Difficulty doing errands alone6%5–7.27.1%7.9%About the same
Difficulty dressing or bathing2.7%2.2–3.33.1%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 North Dakota figure falls inside that range.

Questions about health in Casselton

Is Casselton a healthy place to live?

On seven CDC estimates for adults, Casselton is healthier than 89% of U.S. towns: A for health. Among U.S. towns with similar household incomes it’s healthier than 99%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Casselton?

CDC estimates 35.1% of adults have obesity, likely between 31.1% and 39.5%, against 36.5% across North Dakota and 32.9% nationally.

What hospital is closest to Casselton?

Sanford Medical Center Fargo in Fargo, 18.2 miles in a straight line from Casselton’s center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.

How many people in Casselton have no health insurance?

CDC estimates 5.5% of adults ages 18–64 have no health insurance (likely 4–7.5%), against 7.3% across North Dakota.

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 Casselton 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 Casselton.

Town Square →
Ask your neighbors

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