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C+Health Grade
Health in Castle Rock · CDC PLACES 2025

On CDC estimates, Castle Rock is healthier than 42% of U.S. towns

Castle Rock trails Washington on 18 of 31 measures CDC estimates, and leads on none.

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

What stands out · In brief

What stands out about health in Castle Rock

COPD, obesity and arthritis run high in Castle Rock

1 in 14 adults have COPD (7.2%), vs 5.1% across Washington. 2 in 5 adults have obesity (40.4%), vs 30.6% across Washington. Arthritis is also above the state: 31.5%, vs 24.4% across Washington. In all, Castle Rock runs above Washington on seven of 11 chronic conditions. Conditions ↓

Dental care lags in Castle Rock

58.3% of adults saw a dentist this year, vs 67% across Washington. Among those 65 and older, 13.3% have lost all their teeth (Washington 9%). Checkups ↓

Mental distress runs high in Castle Rock

1 in 5 adults are in frequent mental distress (20.2%), vs 16.4% across Washington. Depression is above the state too: 29.1%, vs 25.1% across Washington. Mind & connection ↓

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 Washington figure falls outside Castle Rock’s likely range; at the ends of CDC’s ranges the grade could be anywhere from C− to B+.

Health Grade

What’s behind Castle Rock’s grade

On seven CDC estimates for adults, Castle Rock is healthier than 42% of U.S. towns. Diabetes holds the grade up (fewer adults with diabetes than 74% of U.S. towns); mental distress pulls it down (better than 8%).

C+Self-rated health20.5% · WA 16.3% · U.S. 19.4%
CPhysical distress15.6% · WA 12.4% · U.S. 13%
DMental distress20.2% · WA 16.4% · U.S. 15.9%
C−Obesity40.4% · WA 30.6% · U.S. 32.9%
B+Diabetes10.5% · WA 9.5% · U.S. 12%
BSmoking13.9% smoke · WA 10.1% · U.S. 11.8%
B+Exercise22.3% · WA 17.9% · U.S. 24.7%
All U.S. towns we grade (21,250)Healthier than 42%
Less healthyHealthier
U.S. towns with similar incomes, $52K–$87K (10,492)Healthier than 51%

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). Castle Rock’s median household income is $69,639; among the 10,492 U.S. towns within 25% of that ($52K–$87K), it’s healthier than 51%, about where its income would put it.

A fairly firm grade. With every estimate at the unfavorable or the favorable end of CDC’s likely range, Castle Rock could be anywhere from C− to B+.

How TownRatings grades health →

★ What stands out · Chronic conditions

Out of every 100 Castle Rock adults…

Castle Rock runs above WA on 9 of 12 conditions. Tap one to see it as people.

7 of every 100 Castle Rock adults have COPD
Washington: 5 in 100 · worse · likely 6.2–8.3%
Better than WAWorseAbout the sameWashington
Checkups & screenings

Keeping up with care

Share of Castle Rock adults getting routine care. The full ring is 100%; the dark tick marks Washington.

70%Yearly checkupWA 71%
58%Dentist visitWA 67%
81%Cholesterol checkWA 84%
67%Colon screeningWA 66%
72%MammogramWA 74%
71%Taking BP medsWA 71%
1 in 11
working-age adults has no health insurance
Castle Rock 8.7% · Washington 1 in 12 (8.4%)
Mind & connection

How Castle Rock adults are doing

On 2 of 3 measures, Castle Rock runs above Washington.

1 in 4Castle Rock adults lack social or emotional support
27.3% · WA 28% · About the same as WA
3 in 10Castle Rock adults have been diagnosed with depression
29.1% · WA 25.1% · Worse than WA
1 in 5Castle Rock adults are in frequent mental distress
20.2% · WA 16.4% · Worse than WA
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.

Getting care

Care in and near Castle Rock

1 community health center in Castle Rock, plus the nearest just outside it.

HNearest ERPeacehealth St. John Medical CenterLongview · 9.9 miDirections →
★Best rated nearbyPeacehealth St. John Medical Center★★★★★ · 9.9 miDirections →
+Low-cost careCowlitz Family Health CenterCastle Rock · 0.3 mi · sliding-scale feesDirections →
0.3 mi
Cowlitz Family Health Center
7 sites · nearest in Castle Rock
Sliding-scale feesIn Castle Rock
Directions to nearest
8.8 mi
Sea Mar CHC - Kelso Allen St.
Kelso · community health center
Sliding-scale fees
9.9 mi
Peacehealth St. John Medical Center
Longview · ★★★★★
ER
30.7 mi
Providence Centralia Hospital
Centralia · ★★★★★
ER
35.6 mi
Arbor Health Morton Hospital
Morton · not rated
ERRural critical access
39.9 mi
Legacy Salmon Creek Medical Center
Vancouver · ★★★★★
ER
✓ Primary careNo HRSA shortage area covers Castle Rock itself
✓ Dental careNo HRSA shortage area covers Castle Rock itself
✓ Mental healthNo HRSA shortage area covers Castle Rock 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 Castle Rock; ≈ 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 Washington

Share of adults, with the Washington figure marked.

Get no exercise 22.3%WA 17.9%
Sleep under 7 hours 36.3%WA 31.8%
Binge drink 17.2%WA 16.6%
Smoke cigarettes 13.9%WA 10.1%
0%10%20%30%40%
Castle Rock, betterCastle Rock, worseAbout the sameWashington
Where Castle Rock gets moving

2.8 miles of trails across 5 parks and preserves

Parks & trails →
Everyday needs

Making ends meet

Needs that shape health as much as any doctor visit: food, housing, utilities and a way to get around.

1 in 9
Castle Rock adults worry about having enough food
11.3% · WA 10.2%
About the same as WA
1 in 9
Castle Rock adults worry about keeping their housing
10.8% · WA 9.9%
About the same as WA
1 in 17
Castle Rock adults were threatened with a utility shut-off
5.9% · WA 5.1%
Worse than WA
1 in 13
Castle Rock adults lack reliable transportation
7.9% · WA 7.2%
About the same as WA

14.2% of Castle Rock adults receive SNAP (food stamps), compared with 11% across Washington.

Around town

Castle Rock and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
Castle RockC+40.4%10.5%13.9%CDC place

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

Disability

Living with a disability

Shown without a better/worse judgment.

34%

of Castle Rock adults live with a disability (Washington 27.1%). Thinking or memory is the most common.

Walking or climbing stairs14.2%
Thinking or memory17.2%
Hearing7.9%
Errands alone9.2%
Vision5%
Dressing or bathing4%
Washington

Every CDC estimate for Castle Rock

Share of adults, 39 measures, with CDC’s likely range.

On the 31 measures below that have a better and a worse direction, Castle Rock is better than Washington on 0 and worse on 18; on the rest, the Washington figure falls inside Castle Rock’s likely range, so we call them about the same. Disability and SNAP are described, not compared as better or worse.

Adults who…Castle RockWAU.S.vs WA
Overall health
Fair or poor health20.5%17.8–23.616.3%19.4%Worse
Frequent physical distress (physical health not good 14+ days a month)15.6%13.7–17.612.4%13%Worse
Frequent mental distress (mental health not good 14+ days a month)20.2%18–22.516.4%15.9%Worse
Conditions
Obesity40.4%35.8–4530.6%32.9%Worse
Diabetes10.5%9.1–11.99.5%12%About the same
High blood pressure33.3%30.4–36.130.5%34.4%About the same
High cholesterol (adults screened in 5 years)32.9%29.9–35.934.9%37.1%About the same
Arthritis31.5%28.8–3424.4%25.3%Worse
Asthma12.8%11.4–14.310.7%9.9%Worse
Cancer, other than skin cancer8.8%8–9.77.9%7.9%Worse
Coronary heart disease6.6%5.8–7.45.4%6.4%Worse
COPD7.2%6.2–8.35.1%6.3%Worse
Stroke3.5%3.1–3.92.9%3.4%Worse
Lost all teeth (ages 65+)13.3%11.1–15.79%12.3%Worse
Habits
Smoke cigarettes13.9%11.6–16.310.1%11.8%Worse
No exercise outside work22.3%19.1–25.817.9%24.7%Worse
Binge drinking17.2%14.8–19.816.6%15.4%About the same
Sleep under 7 hours36.3%32.5–40.331.8%36%Worse
Checkups and coverage
No health insurance (ages 18–64)8.7%7–10.78.4%11%About the same
Checkup in the past year70.1%66.9–73.370.7%77.4%About the same
Dentist visit in the past year58.3%55.4–61.367%63.2%Worse
Cholesterol check in 5 years81.2%78.9–83.584%87.1%Worse
Taking blood pressure medicine (adults with high blood pressure)71%68.1–73.770.7%76.5%About the same
Colorectal cancer screening (ages 45–75)67.4%63.8–7166.2%65.5%About the same
Mammogram in 2 years (women 50–74)72%65.9–77.574.2%76.4%About the same
Mind and connection
Ever told they have depression29.1%26–32.425.1%20.6%Worse
Lack social and emotional support27.3%24.6–3028%23.6%About the same
Everyday needs
Worried about having enough food11.3%10.2–12.510.2%15%About the same
Worried about keeping housing10.8%9.6–129.9%12%About the same
Threatened with a utility shut-off5.9%5.2–6.75.1%7.6%Worse
Lack reliable transportation7.9%7.2–8.77.2%7.9%About the same
Received SNAP (food stamps)14.2%12.8–15.711%11.6%Higher
Disability
Any disability34%30.5–3827.1%30.1%Higher
Difficulty walking or climbing stairs14.2%12.3–16.210.9%13.6%Higher
Difficulty concentrating or remembering17.2%15.2–19.713.5%13.9%Higher
Hearing difficulty7.9%7.1–8.86.4%6.7%Higher
Vision difficulty5%4.4–5.74.1%5.4%Higher
Difficulty doing errands alone9.2%8.1–10.66.8%7.9%Higher
Difficulty dressing or bathing4%3.5–4.63.1%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 Washington figure falls inside that range.

Questions about health in Castle Rock

Is Castle Rock a healthy place to live?

On seven CDC estimates for adults, Castle Rock is healthier than 42% of U.S. towns: C+ for health. Among U.S. towns with similar household incomes it’s healthier than 51%. These are modeled estimates of who lives there, not a measure of local care or habits alone.

What is the obesity rate in Castle Rock?

CDC estimates 40.4% of adults have obesity, likely between 35.8% and 45%, against 30.6% across Washington and 32.9% nationally.

What hospital is closest to Castle Rock?

Peacehealth St. John Medical Center in Longview, 9.9 miles in a straight line from Castle Rock’s center point, is the nearest general hospital with an emergency room; Medicare rates it 4 of 5 stars.

How many people in Castle Rock have no health insurance?

CDC estimates 8.7% of adults ages 18–64 have no health insurance (likely 7–10.7%), against 8.4% across Washington.

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 Castle Rock more than anything measured there. At the ends of CDC’s ranges the grade could be anywhere from C− to B+.

Neighbors talk health

Doctors taking patients, urgent care, staying active in Castle Rock.

Town Square →
Ask your neighbors

Health estimates: CDC PLACES: Local Data for Better Health, 2025 release. The Washington 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.