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–Not graded
Health in Nespelem · CDC PLACES 2025

Where Nespelem residents get care

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

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

What stands out · In brief

What stands out about health in Nespelem

Smoking is more common in Nespelem

1 in 5 adults smoke cigarettes (21%), about twice the Washington rate. COPD, which smoking drives, is high too: 6.5%, vs 5.1% across Washington. Habits ↓

Dental care lags in Nespelem

48.7% of adults saw a dentist this year, vs 67% across Washington. Among those 65 and older, 23.3% have lost all their teeth (Washington 9%). Checkups ↓

Making ends meet is harder in Nespelem

1 in 4 adults worry about having enough food (24.1%), more than twice the Washington rate. No reliable transportation (17.3% vs 7.2%) and utility shut-off threats (11.9% vs 5.1%) are higher too. 24.7% of adults receive SNAP, vs 11% statewide. Everyday needs ↓

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 Nespelem’s likely range.

★ What stands out · Habits

Everyday habits, side by side with Washington

Share of adults, with the Washington figure marked.

Get no exercise 23.2%WA 17.9%
Sleep under 7 hours 41.7%WA 31.8%
Binge drink 17.2%WA 16.6%
Smoke cigarettes 21%WA 10.1%
0%10%20%30%40%50%
Nespelem, betterNespelem, worseAbout the sameWashington
Where Nespelem gets moving

Walk with neighbors

The easiest exercise habit to keep is one with company.

Checkups & screenings

Keeping up with care

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

70%Yearly checkupWA 71%
49%Dentist visitWA 67%
79%Cholesterol checkWA 84%
54%Colon screeningWA 66%
65%MammogramWA 74%
66%Taking BP medsWA 71%
1 in 11
working-age adults has no health insurance
Nespelem 9.2% · Washington 1 in 12 (8.4%)
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 4
Nespelem adults worry about having enough food
24.1% · WA 10.2%
Worse than WA
1 in 5
Nespelem adults worry about keeping their housing
19.8% · WA 9.9%
Worse than WA
1 in 8
Nespelem adults were threatened with a utility shut-off
11.9% · WA 5.1%
Worse than WA
1 in 6
Nespelem adults lack reliable transportation
17.3% · WA 7.2%
Worse than WA

24.7% of Nespelem adults receive SNAP (food stamps), compared with 11% across Washington.

Chronic conditions

Out of every 100 Nespelem adults…

Nespelem runs below WA on 2 of 12 conditions and above it on 5. Tap one to see it as people.

14 of every 100 Nespelem adults have diabetes
Washington: 10 in 100 · worse · likely 12–15.8%
Better than WAWorseAbout the sameWashington
Getting care

Care in and near Nespelem

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

HNearest ERCoulee Medical CenterGrand Coulee · 15.6 miDirections →
+Low-cost careConfederated Tribes of Colville ReservationKeller · 13.8 mi · sliding-scale feesDirections →
13.8 mi
Confederated Tribes of Colville Reservation
2 sites · nearest in Keller
Sliding-scale fees
Directions to nearest
15.6 mi
Coulee Medical Center
Grand Coulee · not rated
ERRural critical access
30.2 mi
Family Health Centers
6 sites · nearest in Omak
Sliding-scale fees
Directions to nearest
30.8 mi
Mid Valley Hospital & Clinic
Omak · not rated
ERRural critical access
35.6 mi
Ferry County Memorial Hospital
Republic · not rated
ERRural critical access
37.6 mi
Three Rivers Hospital
Brewster · not rated
ERRural critical access
✓ Primary careNo HRSA shortage area covers Nespelem itself
✓ Dental careNo HRSA shortage area covers Nespelem itself
✓ Mental healthNo HRSA shortage area covers Nespelem 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 Nespelem; ≈ 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 Nespelem adults are doing

On 2 of 3 measures, Nespelem runs above Washington.

1 in 3Nespelem adults lack social or emotional support
35.6% · WA 28% · Worse than WA
1 in 4Nespelem adults have been diagnosed with depression
26.1% · WA 25.1% · About the same as WA
1 in 5Nespelem adults are in frequent mental distress
22.2% · 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.

Around town

Nespelem and the towns around it

How health changes across the town line.

Health next door

TownHealthObesityDiabetesSmokingFigures from
Nespelem Community————

Nespelem Community: fewer than 1,000 residents. Same-state neighbors only, ordered by length of shared border.

Disability

Living with a disability

Shown without a better/worse judgment.

38%

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

Walking or climbing stairs15.8%
Thinking or memory19.8%
Hearing8.2%
Errands alone10.9%
Vision7.7%
Dressing or bathing4.7%
Washington

Questions about health in Nespelem

Why doesn’t Nespelem have a Health Grade?

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

What hospital is closest to Nespelem?

Coulee Medical Center in Grand Coulee, 15.6 miles in a straight line from Nespelem’s center point, is the nearest general hospital with an emergency room. It has no Medicare star rating.

Neighbors talk health

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

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. 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.