ZIP code
57456
in Leola, South DakotaPopulation 670
50.24/ 100
Ranked #15,912 of 32,066 US ZIPs (top 50%)
Ranked #267 of 360 South Dakota ZIPs (bottom 26%)
Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.
What defines this ZIP
Metrics where this ZIP sits in the tails of the national distribution — the ones that most set it apart. Select any tile for its definition and methodology.
Fiber broadband
100%
at the national maximum
Higher is healthier
ST99thUS99thDefinition & source ›
The share of homes where fiber-optic internet service is available.
Full methodology ›Distance to a Superfund site
160.1 mi
in the top 1.6% nationally
Higher is healthier
ST91stUS98thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Superfund site — an abandoned or uncontrolled hazardous-waste site the EPA has listed for cleanup.
Full methodology ›Civic-institution access
1.3 per 1,000 residents
in the top 2.7% nationally
Higher is healthier
ST95thUS97thDefinition & source ›
The number of civic and social organizations inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›Radon
3.5 pCi/L
in the top 5.1% nationally
Lower is healthier
ST50thUS95thDefinition & source ›
The modeled typical indoor radon level for this area, in picocuries per liter — the EPA recommends fixing a home at 4 pCi/L or above.
Modeled from indoor-radon measurements. In Alaska and Hawaii, where those measurements are not published, a US Geological Survey geologic radon-potential category stands in — a coarser input, disclosed rather than hidden.
Full methodology ›Walkability
1.1 intersections/sq mi
in the bottom 3.1% nationally
Higher is healthier
ST25thUS3rdDefinition & source ›
The number of street intersections per square mile — a standard street-connectivity measure; denser networks correlate with more walkable neighborhoods.
Full methodology ›Distance to a nursing home
14 mi
in the top 6.1% nationally
Lower is healthier
ST83rdUS94thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Housing-cost burden
8.0%
in the bottom 7.2% nationally
Lower is healthier
ST16thUS7thDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Distance to a community health center
20 mi
in the top 8.2% nationally
Lower is healthier
ST63rdUS92ndDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest federally funded community health center, which serves patients regardless of ability to pay.
Full methodology ›Distance to an emergency room
16.7 mi
in the top 8.7% nationally
Lower is healthier
ST80thUS91stDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›The read
Overall, Leola, South Dakota (ZIP 57456) lands in the top 50% healthiest ZIPs nationally (15,912th) and the bottom 26% of South Dakota (267th), based on limited data; treat as directional.
The signals balance out across the profile, strengths against concerns: fiber broadband settles at the national maximum, and distance to a Superfund site resides in the top 1.6% nationally. Civic registers in the top 2.7% nationally, and housing-cost burden rests in the bottom 7.2% nationally. Set against that, modeled radon stands in the top 5.1% nationally, walkability lies in the bottom 3.1% nationally, and distance to a nursing home lands in the top 6.1% nationally. Distance to a community health center sits in the top 8.2% nationally, distance to an emergency room is in the top 8.7% nationally, and modeled fine-particle settles in the top 10.1% nationally.
A note on the terms: distance to a Superfund site is an abandoned or uncontrolled hazardous-waste site the EPA has identified for cleanup. Radon is a radioactive soil gas the EPA identifies as the top cause of lung cancer in nonsmokers. Fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. For a healthier nearby comparison, ZIP 57441, just across the boundary, ranks better overall.
What’s driving this score
Nine domains make up the ZipVitals Score — here is how this ZIP does on each, and how much each one counts.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Mental Health
healthier than 75%
8%
Climate / Disaster RiskPartial
healthier than 73%
5%
About typical
Chronic Disease Burden
healthier than 50%
21%
Environmental Hazard
healthier than 59%
14%
Risk Behavior
healthier than 52%
11%
Disability
healthier than 43%
7%
Holding it back
Social Need / SDOH
healthier than 21%
16%
Preventive Care
healthier than 38%
13%
Healthcare Access
healthier than 5%
5%
Lifting this score
Environmental Hazard
healthier than 82%
14%
Climate / Disaster RiskPartial
healthier than 68%
5%
Holding it back
Chronic Disease Burden
healthier than 39%
21%
Social Need / SDOH
healthier than 23%
16%
Preventive Care
healthier than 19%
13%
Risk Behavior
healthier than 23%
11%
Mental Health
healthier than 34%
8%
Disability
healthier than 21%
7%
Healthcare Access
healthier than 32%
5%
“Share” is how much of this ZIP’s score the domain accounts for. Percentages are rounded; higher is healthier in every domain. How the score works, and who it compares you with ›
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
57437
South Dakotashares a border
Score 48.72
Closest healthier
57441
South Dakotashares a border
Score 58.94
Similar health profile
58549
North Dakota97% similar profile
Score 50.80
How these were chosen: only ZIPs with a published Score appear — a nearby ZIP with too little data to score won’t. Nearby means closest by distance between ZIP boundaries, which can cross state lines. A similar health profile is a close match across the nine Score domains, not similar demographics. Distances are measured between ZIP boundaries — ZIPs that touch share a border. How distance is measured
Evidence
Every measure this page draws on, by source. Collapsed by default — the full data stays in the page for search engines either way.
Health OutcomesCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Arthritis among adults | 28.9% | 25.6–32.3 |
| High blood pressure among adults | 35.9% | 31.9–40.1 |
| Cancer (non-skin) or melanoma among adults | 10.0% | 9.1–10.9 |
| Current asthma among adults | 10.3% | 9.1–11.6 |
| Coronary heart disease among adults | 8.0% | 7.0–9.1 |
| Chronic obstructive pulmonary disease among adults | 8.4% | 7.1–10.0 |
| Depression among adults | 20.9% | 17.9–24.2 |
| Diagnosed diabetes among adults | 12.8% | 10.9–14.8 |
| High cholesterol among adults who have ever been screened | 36.0% | 32.0–40.2 |
| Obesity among adults | 36.1% | 28.9–43.9 |
| Stroke among adults | 4.0% | 3.6–4.6 |
| All teeth lost among adults aged >=65 years | 14.2% | 11.6–17.1 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 10.0% | 8.0–12.3 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 78.0% | 75.0–80.9 |
| Visits to doctor for routine checkup within the past year among adults | 76.2% | 72.7–79.6 |
| Cholesterol screening among adults | 85.1% | 82.9–87.2 |
| Colorectal cancer screening among adults aged 45–75 years | 64.4% | 59.0–69.5 |
| Visited dentist or dental clinic in the past year among adults | 65.2% | 61.8–68.5 |
| Mammography use among women aged 50-74 years | 74.2% | 66.4–81.0 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 17.6% | 14.9–20.7 |
| Current cigarette smoking among adults | 17.4% | 14.6–20.6 |
| No leisure-time physical activity among adults | 26.8% | 22.2–31.8 |
| Short sleep duration among adults | 30.2% | 24.5–36.2 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 19.8% | 16.8–23.2 |
| Frequent mental distress among adults | 15.5% | 13.7–17.4 |
| Frequent physical distress among adults | 14.1% | 12.3–16.2 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 14.7% | 12.8–16.9 |
| Any disability among adults | 33.3% | 28.7–38.0 |
| Hearing disability among adults | 9.3% | 8.2–10.6 |
| Independent living disability among adults | 8.7% | 7.6–10.1 |
| Mobility disability among adults | 15.3% | 12.9–18.0 |
| Self-care disability among adults | 4.2% | 3.6–5.0 |
| Vision disability among adults | 5.3% | 4.6–6.0 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Poverty rate | 4.2% | 10.6% (3.1–25.8%) n=32,364 | 8.8% (1.1–33.5%) n=364 |
| Uninsured 18–64 | 3.1% | 9.0% (1.5–24.3%) n=32,286 | 9.6% (0.0–33.2%) n=365 |
| No HS diploma (25+) | 7.4% | 7.9% (1.8–20.7%) n=32,505 | 6.0% (0.8–15.3%) n=366 |
| Bachelor's or higher (25+) | 40.7% | 23.3% (9.2–53.6%) n=32,505 | 24.6% (10.3–40.7%) n=366 |
| Unemployment rate (16+) | 2.9% | 3.9% (0.0–9.8%) n=32,274 | 1.1% (0.0–8.0%) n=365 |
| Households without a vehicle | 1.8% | 3.9% (0.0–12.5%) n=32,322 | 1.9% (0.0–9.6%) n=364 |
| Broadband subscription | 90.2% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (73.7–96.3%) n=364 |
| Housing cost burden (≥30% income) | 8.0% | 23.7% (10.6–40.0%) n=32,322 | 17.5% (5.2–30.6%) n=364 |
| Homeownership rate | 79.3% | 78.7% (51.7–94.0%) n=32,322 | 79.9% (57.2–94.8%) n=364 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 0.6% (0.0–10.2%) n=364 |
| Foreign-born population | 0.0% | 2.6% (0.0–18.6%) n=32,553 | 0.6% (0.0–5.3%) n=367 |
| Single-parent households | 55.9% | 53.6% (37.3–74.1%) n=32,087 | 56.7% (32.7–81.4%) n=362 |
| Population 65+ | 18.1% | 19.4% (10.8–33.6%) n=32,553 | 20.3% (8.4–33.0%) n=367 |
| Median age | 37.6 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (27.6–56.7) n=365 |
| Median household income | $75,833 | $72,070 ($46,039–$118,707) n=30,318 | $74,865 ($51,211–$102,582) n=336 |
| Median home value | $75,400 | $222,200 ($100,300–$579,820) n=30,049 | $177,400 ($79,000–$321,400) n=311 |
| Median gross rent | $725 | $1,021 ($677–$1,912) n=25,670 | $763 ($544–$1,089) n=243 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | SD median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 80.6 yr ± 2.30 | 78.9 yr (74.7–82.8) n=31,308 | 80.7 yr (77.4–84.2) n=357 |
About the ± — it’s this estimate’s give-or-take (statisticians call it the standard error). The true life expectancy for this ZIP most likely falls within 2.30 years of 80.6, and it’s very unlikely to be off by more than twice that.
More ZIPs to explore ▾More ZIPs to explore ▴
How these lists were built: they draw only from ZIPs that have a published Score, so ZIPs with too little data to score are not listed. Distance-based lists use distance between ZIP boundaries with no state filter, so an out-of-state ZIP can appear. Statistically similar means a close match across the nine Score domains, not a demographic match: the measure is the cosine similarity between two ZIPs’ domain scores, taken over the domains both ZIPs have data for and only where that overlap covers at least six of the nine — and where no ZIP clears that minimum-overlap floor, that list is left out rather than filled with a weak match. How distance is measured