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Keystone South Dakota business district 3-3-2012Photo: TravelingOtter · CC BY 2.0
–Not graded
Health in Keystone · CDC PLACES 2025

Where Keystone residents get care

CDC publishes only some of its health estimates for Keystone, not the seven a Health Grade needs; here is what we do have.

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

What stands out · In brief

What stands out about health in Keystone

Cancer runs high in Keystone

1 in 9 adults have had cancer (11.7%), vs 9.2% across South Dakota. Conditions ↓

More high blood pressure in Keystone, and more people treating it

37.4% of adults have high blood pressure (South Dakota 33.3%), but 80.8% of them take medicine for it, vs 75.9% statewide. Checkups ↓

Keystone keeps up with checkups

It beats South Dakota on three of five routine checkups and screenings, including dentist visits (73.7% vs 69.2%) and cholesterol checks (89.6% vs 84.8%). Checkups ↓

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 Keystone’s likely range.

★ What stands out · Checkups & screenings

Keeping up with care

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

79%Yearly checkupSD 77%
74%Dentist visitSD 69%
90%Cholesterol checkSD 85%
70%Colon screeningSD 66%
77%MammogramSD 77%
81%Taking BP medsSD 76%
1 in 13
working-age adults has no health insurance
Keystone 7.5% · South Dakota 1 in 11 (8.8%)
Chronic conditions

Out of every 100 Keystone adults…

Keystone runs below SD on 1 of 12 conditions and above it on 3. Tap one to see it as people.

12 of every 100 Keystone adults have had cancer
South Dakota: 9 in 100 · worse · likely 10.6–12.9%
Better than SDWorseAbout the sameSouth Dakota
Getting care

Care in and near Keystone

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

HNearest ERMonument Health Rapid City HospitalRapid City · 15.4 miDirections →
★Best rated nearbyMonument Health Rapid City Hospital★★★★★ · 15.4 miDirections →
+Low-cost careCommunity Health Center of the Black HillsRapid City · 16.5 mi · sliding-scale feesDirections →
15 mi
Same Day Surgery Center
Rapid City · not rated
15.4 mi
Monument Health Rapid City Hospital
Rapid City · ★★★★★
ER
16.1 mi
Monument Health Custer Hospital
Custer · not rated
ERRural critical access
16.5 mi
Community Health Center of the Black Hills
2 sites · nearest in Rapid City
Sliding-scale fees
Directions to nearest
20.6 mi
Black Hills Surgical Hospital
Rapid City · not rated
76.6 mi
Capwn Dental Clinic-Chadron
Chadron · community health center
Sliding-scale fees
✓ Primary careKeystone is not a shortage area
✓ Dental careKeystone is not a shortage area
✓ Mental healthNo HRSA shortage area covers Keystone 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 Keystone; ≈ 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 South Dakota

Share of adults, with the South Dakota figure marked.

Get no exercise 21.6%SD 24.1%
Sleep under 7 hours 29.1%SD 29.7%
Binge drink 18.4%SD 18.8%
Smoke cigarettes 11.8%SD 15.2%
0%10%20%30%40%
Keystone, betterKeystone, worseAbout the sameSouth Dakota
Where Keystone gets moving

2.1 miles of trails across 1 park or preserve

Parks & trails →
Mind & connection

How Keystone adults are doing

On 1 of 2 measures, Keystone does better than South Dakota.

1 in 5Keystone adults have been diagnosed with depression
18.8% · SD 21.2% · About the same as SD
1 in 8Keystone adults are in frequent mental distress
12.1% · SD 15.3% · Better than 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

Keystone and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from

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

Disability

Living with a disability

Shown without a better/worse judgment.

29.6%

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

Walking or climbing stairs13.2%
Thinking or memory10.5%
Hearing9.6%
Errands alone6.3%
Vision4.1%
Dressing or bathing3.2%
South Dakota

Questions about health in Keystone

Why doesn’t Keystone have a Health Grade?

Every Health Grade is built from seven of CDC’s PLACES estimates, and CDC doesn’t publish all seven for Keystone.

What hospital is closest to Keystone?

Monument Health Rapid City Hospital in Rapid City, 15.4 miles in a straight line from Keystone’s center point, is the nearest general hospital with an emergency room. Medicare rates it 3 of 5 stars.

Neighbors talk health

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

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. 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.