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≈ C−Health Grade
Health in Hot Springs · CDC PLACES 2025

On CDC estimates, Hot Springs is healthier than 24% of U.S. towns

Hot Springs differs from South Dakota on 17 of 26 measures CDC estimates: 4 better, 13 worse.

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

What stands out · In brief

What stands out about health in Hot Springs

Heart disease, stroke and COPD run high in Hot Springs

1 in 9 adults have heart disease (11.4%), vs 6.8% across South Dakota. 1 in 18 adults have had a stroke (5.7%), vs 3.5% across South Dakota. COPD is also above the state: 10.9%, vs 6.7% across South Dakota. In all, Hot Springs runs above South Dakota on eight of 11 chronic conditions. Age is part of it: 38% of residents are 65 or older (South Dakota 18%), and heart disease, stroke and COPD are more common later in life. Conditions ↓

More Hot Springs adults get no exercise

1 in 3 adults get no exercise outside work (32.1%), vs 24.1% across South Dakota. Habits ↓

More high blood pressure in Hot Springs, and more people treating it

44.4% of adults have high blood pressure (South Dakota 33.3%), but 82.1% of them take medicine for it, vs 75.9% statewide. Checkups ↓

Hot Springs is short on primary care and mental health care

Hot Springs’ 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 ↓

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 South Dakota figure falls outside Hot Springs’ likely range; at the ends of CDC’s ranges the grade could be anywhere from D to B.

Health Grade

What’s behind Hot Springs’ grade

On seven CDC estimates for adults, Hot Springs is healthier than 24% of U.S. towns. Mental distress holds the grade up (fewer adults with frequent mental distress than 83% of U.S. towns); diabetes pulls it down (better than 6%).

C−Self-rated health23.2% · SD 17.3% · U.S. 19.4%
C−Physical distress16.4% · SD 12.3% · U.S. 13%
A−Mental distress14.8% · SD 15.3% · U.S. 15.9%
CObesity38.1% · SD 35.9% · U.S. 32.9%
DDiabetes17% · SD 11.7% · U.S. 12%
C−Smoking17.9% smoke · SD 15.2% · U.S. 11.8%
DExercise32.1% · SD 24.1% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 24%
Less healthyHealthier
South Dakota towns we grade (35)Healthier than 3%
U.S. towns with similar incomes, $50K–$83K (10,128)Healthier than 29%

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). Hot Springs’ median household income is $66,338; among the 10,128 U.S. towns within 25% of that ($50K–$83K), it’s healthier than 29%, so it sits below most towns with similar incomes, too.

Most South Dakota towns score higher on these estimates than towns elsewhere, so within the state Hot Springs is healthier than 3% of graded towns, against 24% nationally.

Where Hot Springs compares well: taking blood pressure medicine (adults with high blood pressure), 82.1% (U.S. 76.5%).

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

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Hot Springs adults…

Hot Springs runs above SD on 9 of 12 conditions. Tap one to see it as people.

11 of every 100 Hot Springs adults have heart disease
South Dakota: 7 in 100 · worse · likely 10–12.8%
Better than SDWorseAbout the sameSouth Dakota
Why age matters here

Hot Springs is an older town: 38% of residents are 65 or older, vs 18% across South Dakota. Heart disease, COPD and arthritis rise with age, so higher rates here say as much about who lives in Hot Springs as about how healthy they are.

Residents 65 and older

Hot Springs38%
South Dakota18%
Habits

Everyday habits, side by side with South Dakota

Share of adults, with the South Dakota figure marked.

Get no exercise 32.1%SD 24.1%
Sleep under 7 hours 31.9%SD 29.7%
Binge drink 14.4%SD 18.8%
Smoke cigarettes 17.9%SD 15.2%
0%10%20%30%40%
Hot Springs, betterHot Springs, worseAbout the sameSouth Dakota
Where Hot Springs gets moving

6 miles of trails across 8 parks and preserves

Parks & trails →
Checkups & screenings

Keeping up with care

Share of Hot Springs adults getting routine care. The full ring is 100%; the dark tick marks South Dakota.

80%Yearly checkupSD 77%
63%Dentist visitSD 69%
88%Cholesterol checkSD 85%
68%Colon screeningSD 66%
77%MammogramSD 77%
82%Taking BP medsSD 76%
1 in 10
working-age adults has no health insurance
Hot Springs 9.6% · South Dakota 1 in 11 (8.8%)
Getting care

Care in and near Hot Springs

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

HNearest ERFall River Hospital - CahHot Springs · 0.5 miDirections →
+Low-cost careCommunity Action Partnership of Western NebraskaChadron · 47 mi · sliding-scale feesDirections →
0.5 mi
Fall River Hospital - Cah
Hot Springs · not rated
ERRural critical access
23 mi
Monument Health Custer Hospital
Custer · not rated
ERRural critical access
45.7 mi
Black Hills Surgical Hospital
Rapid City · not rated
45.7 mi
Monument Health Rapid City Hospital
Rapid City · ★★★★★
ER
47 mi
Community Action Partnership of Western Nebraska
2 sites · nearest in Chadron
Sliding-scale fees
Directions to nearest
47.3 mi
Community Health Center of the Black Hills
2 sites · nearest in Rapid City
Sliding-scale fees
Directions to nearest
✓ Primary careNo HRSA shortage area covers Hot Springs itself
✓ Dental careNo HRSA shortage area covers Hot Springs itself
✓ Mental healthNo HRSA shortage area covers Hot Springs 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 Hot Springs; ≈ 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).

Mind & connection

How Hot Springs adults are doing

About the same as South Dakota on each measure.

1 in 5Hot Springs adults have been diagnosed with depression
20.3% · SD 21.2% · About the same as SD
1 in 7Hot Springs adults are in frequent mental distress
14.8% · SD 15.3% · About the same as SD
The one neighbors can help with

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

Hot Springs and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
Hot SpringsC−38.1%17%17.9%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

39.5%

of Hot Springs adults live with a disability (South Dakota 30.1%). Walking or climbing stairs is the most common.

Walking or climbing stairs20.5%
Thinking or memory14.8%
Hearing13.1%
Errands alone10.3%
Vision6.9%
Dressing or bathing5.5%
South Dakota

Every CDC estimate for Hot Springs

Share of adults, 33 measures, with CDC’s likely range.

On the 26 measures below that have a better and a worse direction, Hot Springs is better than South Dakota on 4 and worse on 13; on the rest, the South Dakota figure falls inside Hot Springs’ likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…Hot SpringsSDU.S.vs SD
Overall health
Fair or poor health23.2%19.9–27.217.3%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)16.4%14.2–18.812.3%13%Worse
Frequent mental distress (mental health not good 14+ days a month)14.8%12.9–16.715.3%15.9%About the same
Conditions
Obesity38.1%30.2–46.835.9%32.9%About the same
Diabetes17%14.7–19.411.7%12%Worse
High blood pressure44.4%39.6–4933.3%34.4%Worse
High cholesterol (adults screened in 5 years)41.3%36.6–46.234%37.1%Worse
Arthritis36.3%32.3–40.225.8%25.3%Worse
Asthma10.7%9.4–12.110.1%9.9%About the same
Cancer, other than skin cancer12.7%11.4–149.2%7.9%Worse
Coronary heart disease11.4%10–12.86.8%6.4%Worse
COPD10.9%9.2–12.96.7%6.3%Worse
Stroke5.7%5–6.43.5%3.4%Worse
Lost all teeth (ages 65+)19.6%16.2–23.512.7%12.3%Worse
Habits
Smoke cigarettes17.9%15–21.315.2%11.8%About the same
No exercise outside work32.1%26.7–37.824.1%24.7%Worse
Binge drinking14.4%11.7–17.218.8%15.4%Better
Sleep under 7 hours31.9%26–38.629.7%36%About the same
Checkups and coverage
No health insurance (ages 18–64)9.6%7.7–12.18.8%11%About the same
Checkup in the past year80.2%76.6–83.376.5%77.4%Better
Dentist visit in the past year63.4%59.9–67.169.2%63.2%Worse
Cholesterol check in 5 years87.7%85.8–89.384.8%87.1%Better
Taking blood pressure medicine (adults with high blood pressure)82.1%79.3–84.775.9%76.5%Better
Colorectal cancer screening (ages 45–75)67.8%63–72.565.5%65.5%About the same
Mammogram in 2 years (women 50–74)76.9%69.6–83.576.6%76.4%About the same
Mind and connection
Ever told they have depression20.3%17–23.721.2%20.6%About the same
Disability
Any disability39.5%34.5–44.730.1%30.1%Higher
Difficulty walking or climbing stairs20.5%17.6–23.912.9%13.6%Higher
Difficulty concentrating or remembering14.8%12.8–1713.7%13.9%About the same
Hearing difficulty13.1%11.6–14.78.2%6.7%Higher
Vision difficulty6.9%6.1–8.14.7%5.4%Higher
Difficulty doing errands alone10.3%8.9–127.8%7.9%Higher
Difficulty dressing or bathing5.5%4.7–6.43.5%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 South Dakota figure falls inside that range.

Questions about health in Hot Springs

Is Hot Springs a healthy place to live?

On seven CDC estimates for adults, Hot Springs is healthier than 24% of U.S. towns: ≈ C− for health. Among U.S. towns with similar household incomes it’s healthier than 29%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Hot Springs?

CDC estimates 38.1% of adults have obesity, likely between 30.2% and 46.8%, against 35.9% across South Dakota and 32.9% nationally.

What hospital is closest to Hot Springs?

Fall River Hospital - Cah in Hot Springs, 0.5 miles in a straight line from Hot Springs’ center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.

How many people in Hot Springs have no health insurance?

CDC estimates 9.6% of adults ages 18–64 have no health insurance (likely 7.7–12.1%), against 8.8% across South 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 Hot Springs more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from D to B.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Hot Springs.

Town Square →
Ask your neighbors

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