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Downtown SalemPhoto: publichall · CC BY-SA 3.0
≈ B+Health Grade
Health in Salem · CDC PLACES 2025

On CDC estimates, Salem is healthier than 72% of U.S. towns

Salem differs from South Dakota on 3 of 26 measures CDC estimates: 2 better, 1 worse.

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

What stands out · In brief

What stands out about health in Salem

The nearest ER is 23 miles from Salem

The closest emergency room is Madison Regional Health System in Madison, 23.1 miles away in a straight line. Getting care ↓

Cancer runs high in Salem

1 in 9 adults have had cancer (11.1%), vs 9.2% across South Dakota. Conditions ↓

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 Salem’s likely range; at the ends of CDC’s ranges the grade could be anywhere from C+ to A.

Health Grade

What’s behind Salem’s grade

On seven CDC estimates for adults, Salem is healthier than 72% 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 90% of towns); the weakest is diabetes, still better than 56%.

A−Self-rated health16.2% · SD 17.3% · U.S. 19.4%
A−Physical distress12.4% · SD 12.3% · U.S. 13%
AMental distress13.8% · SD 15.3% · U.S. 15.9%
BObesity35.4% · SD 35.9% · U.S. 32.9%
BDiabetes11.7% · SD 11.7% · U.S. 12%
BSmoking13.5% smoke · SD 15.2% · U.S. 11.8%
BExercise23.7% · SD 24.1% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 72%
Less healthyHealthier
U.S. towns with similar incomes, $56K–$94K (10,850)Healthier than 86%

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). Salem’s median household income is $74,881; among the 10,850 U.S. towns within 25% of that ($56K–$94K), it’s healthier than 86%, about where its income would put it.

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

How TownRatings grades health →

★ What stands out · Getting care

Care in and near Salem

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

HNearest ERMadison Regional Health SystemMadison · 23.1 miDirections →
+Low-cost careHorizon Health CareHoward · 21 mi · sliding-scale feesDirections →
21 mi
Horizon Health Care
5 sites · nearest in Howard
Sliding-scale fees
Directions to nearest
23.1 mi
Madison Regional Health System
Madison · not rated
ERRural critical access
26 mi
Freeman Medical Center - Cah
Freeman · not rated
ERRural critical access
30.9 mi
Avera Queen of Peace
Mitchell · ★★★★★
ERRural critical access
31.8 mi
Rural Health Care
2 sites · nearest in Mitchell
Sliding-scale fees
Directions to nearest
34.4 mi
Avera Heart Hospital of South Dakota
Sioux Falls · ★★★★★
ER
✓ Primary careSalem is not a shortage area
✓ Dental careSalem is not a shortage area
✓ Mental healthNo HRSA shortage area covers Salem 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 Salem; ≈ 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).

Chronic conditions

Out of every 100 Salem adults…

Salem runs above SD on 1 of 12 conditions. Tap one to see it as people.

11 of every 100 Salem adults have had cancer
South Dakota: 9 in 100 · worse · likely 9.9–12.3%
Better than SDWorseAbout the sameSouth Dakota
Habits

Everyday habits, side by side with South Dakota

Share of adults, with the South Dakota figure marked.

Get no exercise 23.7%SD 24.1%
Sleep under 7 hours 28.1%SD 29.7%
Binge drink 17.3%SD 18.8%
Smoke cigarettes 13.5%SD 15.2%
0%10%20%30%40%
Salem, betterSalem, worseAbout the sameSouth Dakota
Where Salem gets moving

Walk with neighbors

The easiest exercise habit to keep is one with company.

Checkups & screenings

Keeping up with care

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

78%Yearly checkupSD 77%
68%Dentist visitSD 69%
88%Cholesterol checkSD 85%
71%Colon screeningSD 66%
79%MammogramSD 77%
79%Taking BP medsSD 76%
1 in 13
working-age adults has no health insurance
Salem 7.9% · South Dakota 1 in 11 (8.8%)
Mind & connection

How Salem adults are doing

About the same as South Dakota on each measure.

1 in 5Salem adults have been diagnosed with depression
20.2% · SD 21.2% · About the same as SD
1 in 7Salem adults are in frequent mental distress
13.8% · 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

Salem and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
SalemB+35.4%11.7%13.5%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

29.5%

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

Walking or climbing stairs13.3%
Thinking or memory12.2%
Hearing9.1%
Errands alone7.2%
Vision4.3%
Dressing or bathing3.3%
South Dakota

Every CDC estimate for Salem

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

On the 26 measures below that have a better and a worse direction, Salem is better than South Dakota on 2 and worse on 1; on the rest, the South Dakota figure falls inside Salem’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…SalemSDU.S.vs SD
Overall health
Fair or poor health16.2%13.3–19.217.3%19.4%About the same
Frequent physical distress (physical health not good 14+ days a month)12.4%10.5–14.412.3%13%About the same
Frequent mental distress (mental health not good 14+ days a month)13.8%11.9–15.915.3%15.9%About the same
Conditions
Obesity35.4%27.6–43.435.9%32.9%About the same
Diabetes11.7%9.9–13.611.7%12%About the same
High blood pressure34.7%30.4–3933.3%34.4%About the same
High cholesterol (adults screened in 5 years)35.7%31.3–39.934%37.1%About the same
Arthritis28.8%25.3–32.325.8%25.3%About the same
Asthma9.8%8.6–1110.1%9.9%About the same
Cancer, other than skin cancer11.1%9.9–12.39.2%7.9%Worse
Coronary heart disease7.5%6.5–8.56.8%6.4%About the same
COPD6.8%5.6–8.26.7%6.3%About the same
Stroke3.7%3.2–4.33.5%3.4%About the same
Lost all teeth (ages 65+)14%11.1–17.312.7%12.3%About the same
Habits
Smoke cigarettes13.5%10.8–16.515.2%11.8%About the same
No exercise outside work23.7%19.1–28.624.1%24.7%About the same
Binge drinking17.3%14.2–20.418.8%15.4%About the same
Sleep under 7 hours28.1%21.6–35.129.7%36%About the same
Checkups and coverage
No health insurance (ages 18–64)7.9%6.1–10.18.8%11%About the same
Checkup in the past year78%74.2–81.376.5%77.4%About the same
Dentist visit in the past year68.2%64.4–71.769.2%63.2%About the same
Cholesterol check in 5 years87.8%85.6–89.784.8%87.1%Better
Taking blood pressure medicine (adults with high blood pressure)79.3%76.3–8275.9%76.5%Better
Colorectal cancer screening (ages 45–75)70.6%65.2–75.565.5%65.5%About the same
Mammogram in 2 years (women 50–74)79.1%71.2–85.676.6%76.4%About the same
Mind and connection
Ever told they have depression20.2%17–23.521.2%20.6%About the same
Disability
Any disability29.5%24.8–34.230.1%30.1%About the same
Difficulty walking or climbing stairs13.3%10.9–15.712.9%13.6%About the same
Difficulty concentrating or remembering12.2%10.3–14.413.7%13.9%About the same
Hearing difficulty9.1%7.8–10.28.2%6.7%About the same
Vision difficulty4.3%3.6–54.7%5.4%About the same
Difficulty doing errands alone7.2%6–8.57.8%7.9%About the same
Difficulty dressing or bathing3.3%2.8–3.93.5%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 South Dakota figure falls inside that range.

Questions about health in Salem

Is Salem a healthy place to live?

On seven CDC estimates for adults, Salem is healthier than 72% of U.S. towns: ≈ B+ for health. Among U.S. towns with similar household incomes it’s healthier than 86%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Salem?

CDC estimates 35.4% of adults have obesity, likely between 27.6% and 43.4%, against 35.9% across South Dakota and 32.9% nationally.

What hospital is closest to Salem?

Madison Regional Health System in Madison, 23.1 miles in a straight line from Salem’s center point, is the nearest general hospital with an emergency room; it has no Medicare star rating.

How many people in Salem have no health insurance?

CDC estimates 7.9% of adults ages 18–64 have no health insurance (likely 6.1–10.1%), 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 Salem more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from C+ to A.

Neighbors talk health

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

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.