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–Not graded
Health in Lower Brule · CDC PLACES 2025

Where Lower Brule residents get care

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

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

What stands out · In brief

What stands out about health in Lower Brule

Dental care lags in Lower Brule

35.6% of adults saw a dentist this year, vs 69.2% across South Dakota. Among those 65 and older, 51.9% have lost all their teeth (South Dakota 12.7%). Lower Brule’s county is a federal shortage area for dental care. Checkups ↓

Smoking is more common in Lower Brule

2 in 5 adults smoke cigarettes (40.4%), more than twice the South Dakota rate. Habits ↓

More Lower Brule adults get no exercise

42.9% of adults get no exercise outside work, vs 24.1% across South 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 South Dakota figure falls outside Lower Brule’s likely range.

★ What stands out · Checkups & screenings

Keeping up with care

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

71%Yearly checkupSD 77%
36%Dentist visitSD 69%
69%Cholesterol checkSD 85%
43%Colon screeningSD 66%
65%MammogramSD 77%
66%Taking BP medsSD 76%
1 in 5
working-age adults has no health insurance
Lower Brule 19.5% · South Dakota 1 in 11 (8.8%)
Habits

Everyday habits, side by side with South Dakota

Share of adults, with the South Dakota figure marked.

Get no exercise 42.9%SD 24.1%
Sleep under 7 hours 42.9%SD 29.7%
Binge drink 17.2%SD 18.8%
Smoke cigarettes 40.4%SD 15.2%
0%10%20%30%40%50%
Lower Brule, betterLower Brule, worseAbout the sameSouth Dakota
Where Lower Brule gets moving

Walk with neighbors

The easiest exercise habit to keep is one with company.

Chronic conditions

Out of every 100 Lower Brule adults…

Lower Brule runs below SD on 2 of 12 conditions and above it on 8. Tap one to see it as people.

12 of every 100 Lower Brule adults have COPD
South Dakota: 7 in 100 · worse · likely 10.2–14.1%
Better than SDWorseAbout the sameSouth Dakota
Getting care

Care in and near Lower Brule

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

HNearest ERSanford Chamberlain Medical CenterChamberlain · 23.7 miDirections →
+Low-cost careHorizon Health CareFort Thompson · 7.7 mi · sliding-scale feesDirections →
7.7 mi
Horizon Health Care
2 sites · nearest in Fort Thompson
Sliding-scale fees
Directions to nearest
18.1 mi
Rural Health Care
6 sites · nearest in Kennebec
Sliding-scale fees
Directions to nearest
23.7 mi
Sanford Chamberlain Medical Center
Chamberlain · not rated
ERRural critical access
42.5 mi
Avera St. Mary's Hospital
Pierre · ★★★★★
ER
42.5 mi
Avera Hand County Memorial Hospital and Clinic
Miller · not rated
ERRural critical access
48.7 mi
Avera Gregory Hospital
Gregory · not rated
ERRural critical access
✓ Primary careNo HRSA shortage area covers Lower Brule itself
✓ Dental careNo HRSA shortage area covers Lower Brule itself
✓ Mental healthNo HRSA shortage area covers Lower Brule 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 Lower Brule; ≈ 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 Lower Brule adults are doing

On 2 of 2 measures, Lower Brule runs above South Dakota.

1 in 4Lower Brule adults have been diagnosed with depression
25.6% · SD 21.2% · Worse than SD
1 in 4Lower Brule adults are in frequent mental distress
27.1% · SD 15.3% · Worse 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

Lower Brule 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.

52%

of Lower Brule adults live with a disability (South Dakota 30.1%). Thinking or memory is the most common.

Walking or climbing stairs23.8%
Thinking or memory29.5%
Hearing11.7%
Errands alone20.3%
Vision15.6%
Dressing or bathing8.7%
South Dakota

Questions about health in Lower Brule

Why doesn’t Lower Brule have a Health Grade?

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

What hospital is closest to Lower Brule?

Sanford Chamberlain Medical Center in Chamberlain, 23.7 miles in a straight line from Lower Brule’s center point, is the nearest general hospital with an emergency room. It has no Medicare star rating.

Where can I get low-cost care near Lower Brule?

1 community health center sites are within 10 miles; the nearest is Horizon Health - Fort Thompson in Fort Thompson, 7.7 miles away. They charge on a sliding scale by income.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Lower Brule.

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.