Where Vivian residents get care
CDC publishes only some of its health estimates for Vivian, not the seven a Health Grade needs; here is what we do have.
Modeled estimates for adults 18+, CDC’s own estimate for Vivian. How CDC estimates town health
What stands out about health in Vivian
Cancer, heart disease and arthritis run high in Vivian
1 in 7 adults have had cancer (13.9%), vs 9.2% across South Dakota. 1 in 10 adults have heart disease (9.9%), vs 6.8% across South Dakota. Arthritis is also above the state: 33.6%, vs 25.8% across South Dakota. In all, Vivian runs above South Dakota on seven of 11 chronic conditions. Conditions ↓
Vivian is short on every kind of care federal data tracks
Vivian’s county is a federal shortage area for primary care, dental care and mental health care, meaning too few providers for the people who live there. Getting care ↓
The nearest ER is 30 miles from Vivian
The closest emergency room is Avera St. Mary's Hospital in Pierre, 30 miles away in a straight line. For everyday care, Rural Health Care is closer (12.1 mi) and charges on a sliding scale. Getting care ↓
More high blood pressure in Vivian, and more people treating it
42.2% of adults have high blood pressure (South Dakota 33.3%), but 83.2% of them take medicine for it, vs 75.9% statewide. Checkups ↓
Vivian keeps up with checkups
It beats South Dakota on four of five routine checkups and screenings, including yearly checkups (81.1% vs 76.5%) and dentist visits (73.3% vs 69.2%). 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 Vivian’s likely range.
Out of every 100 Vivian adults…
Vivian runs below SD on 1 of 12 conditions and above it on 7. Tap one to see it as people.
Care in and near Vivian
No hospital or community health center in Vivian itself. These are the nearest.
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 Vivian; ≈ 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).
Keeping up with care
Share of Vivian adults getting routine care. The full ring is 100%; the dark tick marks South Dakota.
Everyday habits, side by side with South Dakota
Share of adults, with the South Dakota figure marked.
Walk with neighbors
The easiest exercise habit to keep is one with company.
How Vivian adults are doing
On 2 of 2 measures, Vivian does better than South Dakota.
A hello is a start.
Groups are the easiest way in: a walking group, a book club, your street.
If you or someone you know is struggling, call or text 988, the Suicide & Crisis Lifeline. It’s free, confidential and open 24/7.
Vivian and the towns around it
How health changes across the town line.
Health next door
| Town | Health | Obesity | Diabetes | Smoking | Figures from |
|---|
Same-state neighbors only, ordered by length of shared border.
Living with a disability
Shown without a better/worse judgment.
of Vivian adults live with a disability (South Dakota 30.1%). Walking or climbing stairs is the most common.
Questions about health in Vivian
Why doesn’t Vivian have a Health Grade?
Every Health Grade is built from seven of CDC’s PLACES estimates, and CDC doesn’t publish all seven for Vivian.
Neighbors talk health
Doctors taking patients, urgent care, staying active in Vivian.
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.