County health data
Cass County, ND
CDC PLACES estimates diabetes at 7.9% of adults in Cass County (North Dakota: 9.5%). This county has 4 HRSA shortage designations, 3 hospitals, and 5 health center sites.
License: a US government work, in the public domain (Public Domain Mark 1.0).
For help with food, housing, utilities, or rides in Cass County, call 211 or visit 211.org.
Health measures compared with the state
40 measures for adults in Cass County (about 152,955 adults). 24 have a North Dakota figure from the same survey.
Largest differences from the North Dakota figure: arthritis 21.3% vs 26.0% (-4.7 points), high blood pressure 27.5% vs 31.8% (-4.3 points), and high cholesterol, adults ever screened 31.0% vs 35.1% (-4.1 points).
Health Outcomes
| Measure | Cass County | North Dakota | US | Year |
|---|---|---|---|---|
| Arthritis | 21.3% | 26.0% | 26.3% | 2023 |
| High blood pressure | 27.5% | 31.8% | 34.0% | 2023 |
| Cancer, excluding non-melanoma skin cancer | 6.7% | n/a | n/a | 2023 |
| Current asthma | 9.8% | 10.1% | 10.2% | 2023 |
| Coronary heart disease | 4.8% | 3.9% | 4.0% | 2023 |
| COPD | 4.5% | 5.2% | 6.3% | 2023 |
| Depression | 23.8% | 22.3% | 21.8% | 2023 |
| Diagnosed diabetes | 7.9% | 9.5% | 11.8% | 2023 |
| High cholesterol, adults ever screened | 31.0% | 35.1% | 37.2% | 2023 |
| Obesity | 33.8% | 35.6% | 34.4% | 2023 |
| Stroke | 2.4% | 2.6% | 3.3% | 2023 |
| All teeth lost, ages 65 and older | 9.1% | n/a | n/a | 2022 |
Prevention
| Measure | Cass County | North Dakota | US | Year |
|---|---|---|---|---|
| No health insurance, ages 18 to 64 | 6.3% | 6.0% | 9.3% | 2023 |
| Taking blood pressure medicine, adults with high blood pressure | 73.7% | n/a | n/a | 2023 |
| Routine checkup in the past year | 74.3% | 75.7% | 78.4% | 2023 |
| Cholesterol screening | 81.8% | n/a | n/a | 2023 |
| Colorectal cancer screening, ages 45 to 75 | 64.3% | n/a | n/a | 2022 |
| Dental visit in the past year | 65.8% | n/a | n/a | 2022 |
| Mammogram, women ages 50 to 74 | 82.2% | n/a | n/a | 2022 |
Health Risk Behaviors
| Measure | Cass County | North Dakota | US | Year |
|---|---|---|---|---|
| Binge drinking | 22.0% | 21.2% | 15.1% | 2023 |
| Current smoking | 11.2% | 13.4% | 12.1% | 2023 |
| No leisure-time physical activity | 17.6% | 21.5% | 24.5% | 2023 |
| Short sleep | 31.1% | n/a | n/a | 2022 |
Health Status
| Measure | Cass County | North Dakota | US | Year |
|---|---|---|---|---|
| Fair or poor health | 13.6% | 15.3% | 18.5% | 2023 |
| Frequent mental distress | 13.9% | 13.1% | 15.4% | 2023 |
| Frequent physical distress | 9.6% | 10.3% | 12.6% | 2023 |
Disability
| Measure | Cass County | North Dakota | US | Year |
|---|---|---|---|---|
| Cognitive disability | 12.0% | 11.9% | 13.7% | 2023 |
| Any disability | 22.9% | n/a | n/a | 2023 |
| Hearing disability | 6.1% | 8.7% | 7.4% | 2023 |
| Independent living disability | 6.3% | 6.7% | 7.8% | 2023 |
| Mobility disability | 8.4% | 10.7% | 13.4% | 2023 |
| Self-care disability | 2.5% | 3.1% | 3.7% | 2023 |
| Vision disability | 3.4% | 4.0% | 5.0% | 2023 |
Health-Related Social Needs
| Measure | Cass County | Year |
|---|---|---|
| Lack of social and emotional support | 19.6% | 2023 |
| Food insecurity in the past year | 9.4% | 2023 |
| Received food stamps in the past year | 5.8% | 2023 |
| Housing insecurity in the past year | 8.1% | 2023 |
| Lack of reliable transportation in the past year | 5.9% | 2023 |
| Loneliness | 30.3% | 2023 |
| Utility shut-off threat in the past year | 5.1% | 2023 |
Source: CDC PLACES county data, as of December 4, 2025. Publisher page
Source: CDC BRFSS prevalence data, as of September 15, 2026. Publisher page
For health centers, health departments, and nonprofits
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Health professional shortage areas
HRSA, the federal Health Resources and Services Administration, designates Health Professional Shortage Areas (HPSAs): places, population groups, or facilities with too few primary care, mental health, or dental providers. An area designation covers a geographic area or a population group, such as low-income residents. A facility designation covers one site, such as a health center or clinic. Each has a score from 0 to 25 (0 to 26 for dental); a higher score means greater need.
HRSA lists 4 designated shortage rows in Cass County: primary care 1 (highest score 21), mental health 2 (highest score 15), and dental 1 (highest score 19). All are facility designations (health centers, clinics, or other facilities).
| Discipline | Area or population | Facility | Highest score |
|---|---|---|---|
| primary care | 0 | 1 | 21 |
| mental health | 0 | 2 | 15 |
| dental | 0 | 1 | 19 |
Facility designations (4)
| Designation | Discipline | Type | Score |
|---|---|---|---|
| FAMILY HEALTHCARE CENTER | primary care | Federally Qualified Health Center | 21 |
| FAMILY HEALTHCARE CENTER | dental | Federally Qualified Health Center | 19 |
| FAMILY HEALTHCARE CENTER | mental health | Federally Qualified Health Center | 15 |
| Southeast Human Service Center | mental health | Other Facility | 14 |
Source: HRSA Health Professional Shortage Areas, as of October 14, 2026. Publisher page
Hospitals and readmission rates
CMS Care Compare lists 3 acute care or critical access hospitals in Cass County. The CMS file in this snapshot does not compare these rates with the national rate, so none is marked better or worse.
| Hospital | City | Stars | Heart failure | Pneumonia | COPD | Heart attack | Hip or knee |
|---|---|---|---|---|---|---|---|
| ESSENTIA HEALTH | FARGO | 3 | 19.8% | 17.7% | 18.5% | 13.5% | 5.9% |
| FARGO VA MEDICAL CENTER | FARGO | 5 | 21.9% | 17.7% | 21.1% | n/a | 6.4% |
| SANFORD MEDICAL CENTER FARGO | FARGO | 4 | 19.9% | 15.6% | 19.7% | 12.9% | 5.5% |
Each rate is the share of patients readmitted within 30 days of discharge, July 2023 to June 2025. "n/a" means CMS did not publish a rate for that hospital.
Source: CMS Care Compare hospital general information, as of August 13, 2026. Publisher page
Source: CMS Care Compare unplanned hospital visits, as of September 30, 2026. Publisher page
Health centers
5 active health center sites in Cass County, run by 1 organization.
| Site ↑ | Health center | Address | City |
|---|---|---|---|
| CASS COUNTY JAIL | FAMILY HEALTHCARE CENTER | 450 34th St S | Fargo 58103 |
| Family HealthCare Mobile Clinic #1 | FAMILY HEALTHCARE CENTER | 301 Np Ave N | Fargo 58102 |
| Family HealthCare South Fargo | FAMILY HEALTHCARE CENTER | 4025 9th Ave S | Fargo 58103 |
| FHC Medical, Dental, Homeless Services, and Administrative Site in Fargo | FAMILY HEALTHCARE CENTER | 301 Np Ave N | Fargo 58102 |
| Homeless Health Services - Resource & Recovery Center | FAMILY HEALTHCARE CENTER | 2001 1st Ave N | Fargo 58102 |
Source: HRSA health center service delivery and look-alike sites, as of October 14, 2026. Publisher page
North Dakota rural health plan
North Dakota Rural Health Transformation Program
Initiatives, as the state's abstract names them (page 52):
- Strengthen and Stabilize Rural Health Workforce
- Make North Dakota Healthy Again
- Bring High-Quality Health Care Closer to Home
- Connect Tech, Data and Providers for a Stronger ND
CMS says the abstract budgets are illustrative and are not award amounts, so none are shown.
Source: CMS Rural Health Transformation Program state project abstracts, as of December 2025. Publisher page
Neighboring counties
Medicare plans in Cass County, ND
About this data
County rates are CDC PLACES model-based estimates of adults, built from the CDC BRFSS survey and Census population data. State and US figures are BRFSS survey results for the same year. They are not averages of counties, and small differences may not be meaningful.
Shortage rows are HRSA designations with status Designated. Scores run from 0 to 25 (0 to 26 for dental); a higher score means greater need. Hospitals are acute care and critical accesshospitals CMS lists in the county, with 30-day rates of unplanned readmission. Health centers are active HRSA-funded and look-alike sites.
Rural health plan initiatives are copied as the state wrote them. Nothing here is medical advice.
Source: CDC PLACES county data, as of December 4, 2025. Publisher page
Source: CDC BRFSS prevalence data, as of September 15, 2026. Publisher page
Source: HRSA Health Professional Shortage Areas, as of October 14, 2026. Publisher page