Photo: Idawriter · CC BY-SA 3.0On CDC estimates, Castlewood is healthier than 13% of U.S. towns
Castlewood differs from Virginia on 15 of 32 measures CDC estimates: 1 better, 14 worse.
Modeled estimates for adults 18+, CDC’s own estimate for Castlewood. How CDC estimates town health
What stands out about health in Castlewood
COPD, heart disease and stroke run high in Castlewood
1 in 9 adults have COPD (11.6%), about twice the Virginia rate. 1 in 10 adults have heart disease (10.2%), vs 6.1% across Virginia. Stroke is also above the state: 5%, vs 3.3% across Virginia. In all, Castlewood runs above Virginia on eight of 11 chronic conditions. Age is part of it: 33% of residents are 65 or older (Virginia 17%), and COPD, heart disease and stroke are more common later in life. Conditions ↓
Dental care lags in Castlewood
58% of adults saw a dentist this year, vs 67.9% across Virginia. Among those 65 and older, 19.8% have lost all their teeth (Virginia 11.1%). Checkups ↓
Smoking is more common in Castlewood
1 in 5 adults smoke cigarettes (18.3%), vs 12.2% across Virginia. 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 Virginia figure falls outside Castlewood’s likely range; at the ends of CDC’s ranges the grade could be anywhere from D− to B−.
What’s behind Castlewood’s grade
On seven CDC estimates for adults, Castlewood is healthier than 13% of U.S. towns. Mental distress holds the grade up (fewer adults with frequent mental distress than 33% of U.S. towns); physical distress pulls it down (better than 6%).
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). Castlewood’s median household income is $60,592; among the 9,087 U.S. towns within 25% of that ($45K–$76K), it’s healthier than 17%, so it sits below most towns with similar incomes, too.
Where Castlewood compares well: taking blood pressure medicine (adults with high blood pressure), 81.3% (U.S. 76.5%).
Out of every 100 Castlewood adults…
Castlewood runs above VA on 9 of 12 conditions. Tap one to see it as people.
Castlewood is an older town: 33% of residents are 65 or older, vs 17% across Virginia. Heart disease, COPD and arthritis rise with age, so higher rates here say as much about who lives in Castlewood as about how healthy they are.
Keeping up with care
Share of Castlewood adults getting routine care. The full ring is 100%; the dark tick marks Virginia.
Everyday habits, side by side with Virginia
Share of adults, with the Virginia figure marked.
Care in and near Castlewood
No hospital or community health center in Castlewood 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 Castlewood; ≈ 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).
How Castlewood adults are doing
About the same as Virginia on each measure.
1 in 3 Castlewood adults feel lonely. 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.
Making ends meet
Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.
14.3% of Castlewood adults receive SNAP (food stamps), compared with 10.7% across Virginia.
Castlewood and the towns around it
How health changes across the town line.
Health next door
| Town | Health | Obesity | Diabetes | Smoking | Figures from |
|---|---|---|---|---|---|
| Castlewood | D | 39.2% | 16.4% | 18.3% | CDC place |
| St. Paul | — | — | — | — |
St. Paul: fewer than 1,000 residents. Same-state neighbors only, ordered by length of shared border.
Living with a disability
Shown without a better/worse judgment.
of Castlewood adults live with a disability (Virginia 30%). Walking or climbing stairs is the most common.
Every CDC estimate for Castlewood
Share of adults, 40 measures, with CDC’s likely range.
On the 32 measures below that have a better and a worse direction, Castlewood is better than Virginia on 1 and worse on 14; on the rest, the Virginia figure falls inside Castlewood’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.
| Adults who… | Castlewood | VA | U.S. | vs VA |
|---|---|---|---|---|
| Overall health | ||||
| Fair or poor health | 25%21.3–29.1 | 18.1% | 19.4% | Worse |
| Frequent physical distress (physical health not good 14+ days a month) | 18.1%15.7–20.7 | 12.8% | 13% | Worse |
| Frequent mental distress (mental health not good 14+ days a month) | 18%15.7–20.3 | 15.9% | 15.9% | About the same |
| Conditions | ||||
| Obesity | 39.2%31.1–48.1 | 34.5% | 32.9% | About the same |
| Diabetes | 16.4%14–18.9 | 12.5% | 12% | Worse |
| High blood pressure | 44.4%39.7–49.2 | 35.4% | 34.4% | Worse |
| High cholesterol (adults screened in 5 years) | 44.6%39.7–49.3 | 38% | 37.1% | Worse |
| Arthritis | 36.7%32.7–40.8 | 26.2% | 25.3% | Worse |
| Asthma | 11.3%9.9–12.8 | 10.4% | 9.9% | About the same |
| Cancer, other than skin cancer | 11.1%10–12.3 | 7.7% | 7.9% | Worse |
| Coronary heart disease | 10.2%8.9–11.6 | 6.1% | 6.4% | Worse |
| COPD | 11.6%9.9–13.6 | 6.2% | 6.3% | Worse |
| Stroke | 5%4.4–5.7 | 3.3% | 3.4% | Worse |
| Lost all teeth (ages 65+) | 19.8%16.2–23.4 | 11.1% | 12.3% | Worse |
| Habits | ||||
| Smoke cigarettes | 18.3%15.3–21.8 | 12.2% | 11.8% | Worse |
| No exercise outside work | 31.1%25.6–36.9 | 23.8% | 24.7% | Worse |
| Binge drinking | 12.8%10.3–15.6 | 14.5% | 15.4% | About the same |
| Sleep under 7 hours | 37.9%31.3–44.8 | 36% | 36% | About the same |
| Checkups and coverage | ||||
| No health insurance (ages 18–64) | 9.4%7.4–11.7 | 8.7% | 11% | About the same |
| Checkup in the past year | 80.1%76.5–83.4 | 79.2% | 77.4% | About the same |
| Dentist visit in the past year | 58%54–61.6 | 67.9% | 63.2% | Worse |
| Cholesterol check in 5 years | 86.9%84.8–88.7 | 87.5% | 87.1% | About the same |
| Taking blood pressure medicine (adults with high blood pressure) | 81.3%78.5–83.8 | 76.8% | 76.5% | Better |
| Colorectal cancer screening (ages 45–75) | 67.3%62.3–72 | 67.4% | 65.5% | About the same |
| Mammogram in 2 years (women 50–74) | 73.7%65.5–80.7 | 78.6% | 76.4% | About the same |
| Mind and connection | ||||
| Ever told they have depression | 25.6%21.6–29.7 | 21.8% | 20.6% | About the same |
| Feel lonely | 33%27.8–38.3 | 33.8% | 32.5% | About the same |
| Lack social and emotional support | 20.2%16.8–23.7 | 21.6% | 23.6% | About the same |
| Everyday needs | ||||
| Worried about having enough food | 15.2%12.3–18.4 | 13.1% | 15% | About the same |
| Worried about keeping housing | 10.5%8.7–12.5 | 10.9% | 12% | About the same |
| Threatened with a utility shut-off | 7.5%6.3–8.7 | 7.1% | 7.6% | About the same |
| Lack reliable transportation | 8.2%7–9.5 | 7.4% | 7.9% | About the same |
| Received SNAP (food stamps) | 14.3%11.5–17.4 | 10.7% | 11.6% | Higher |
| Disability | ||||
| Any disability | 41.3%36–46.7 | 30% | 30.1% | Higher |
| Difficulty walking or climbing stairs | 20.9%17.8–24.2 | 13.5% | 13.6% | Higher |
| Difficulty concentrating or remembering | 17.5%15.1–20.1 | 14% | 13.9% | Higher |
| Hearing difficulty | 10.6%9.3–12 | 6.4% | 6.7% | Higher |
| Vision difficulty | 6.4%5.6–7.4 | 4.7% | 5.4% | Higher |
| Difficulty doing errands alone | 11%9.5–12.7 | 7.7% | 7.9% | Higher |
| Difficulty dressing or bathing | 5.2%4.5–6.1 | 3.5% | 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 Virginia figure falls inside that range.
Questions about health in Castlewood
Is Castlewood a healthy place to live?
On seven CDC estimates for adults, Castlewood is healthier than 13% of U.S. towns: ≈ D for health. Among U.S. towns with similar household incomes it’s healthier than 17%. These are modeled estimates of who lives there, not a measure of local care or habits alone.
What is the obesity rate in Castlewood?
CDC estimates 39.2% of adults have obesity, likely between 31.1% and 48.1%, against 34.5% across Virginia and 32.9% nationally.
What hospital is closest to Castlewood?
Russell County Hospital in Lebanon, 12.1 miles in a straight line from Castlewood’s center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.
How many people in Castlewood have no health insurance?
CDC estimates 9.4% of adults ages 18–64 have no health insurance (likely 7.4–11.7%), against 8.7% across Virginia.
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 Castlewood 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 Castlewood.
Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The Virginia 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.