COUNTY REPORT ND

Adams County, North Dakota

2 ZIP codes · Avg score 59/100 · Grade C · Updated 2026-06-04

Monitoring figures for Adams County indicate average water quality overall — some ZIP codes among the 2 tracked have recorded health-based violations, while others operate cleanly, making individual ZIP-level data the most actionable reference point.

How Adams County Compares

Adams County59/100
North Dakota avg56/100
National avg68/100

How Adams County Compares

C
County Grade
59/100
Avg Safety Score
2
ZIP Codes
2
Water Systems

Adams County scores 3 points above the North Dakota state average (56/100) and 9 points below the national average (68/100).

Data: EPA SDWIS Last verified: 2026-06-04

C
County Grade
59
Avg Safety Score
2
ZIP Codes
Best ZIP: 58639 (62/100)
Lowest ZIP: 58649 (55/100)
$87K
Median Home Value
$1,800
Avg Remediation (207% of home value)

Key Risk Factors

Health risk index: 14.9 (asthma 10%, diabetes 14.1%)

Estimated additional annual cost per homeowner: $770, driven primarily by water_lead

Infrastructure: 0.435% avg pipe failure probability, 100% of ZIPs at high risk

79% of homes built before 1978 (lead paint era)

County Health Indicators vs National Average

Asthma 10% (national: 8.9%)
Diabetes 14.1% (national: 10.5%)
Obesity 34.8% (national: 32.4%)

Black markers indicate national averages. Source: CDC PLACES, Census ACS.

Infrastructure Overview

1972
Median Build Year
79%
Pre-1978 Housing
44%
Pipe Failure Probability
100%
ZIPs at High Infra Risk
High
Lead Pipe Risk

Sources: Census ACS (housing age), EPA SDWIS (infrastructure risk model), state bridge inspection data.

Compound Risk Breakdown

Estimated additional annual cost per homeowner: $770

Water / Lead $400/yr
Energy Code Gap $270/yr
Flood $100/yr

Bar widths proportional to share of total annual risk cost. Source: compound risk model (FEMA, EPA, USGS).

Housing Age Distribution

1,254 housing units in Adams County

Pre-1940 19%
1940–1959 22%
1960–1979 32%
1980–1999 16%
2000+ 12%

Source: U.S. Census Bureau ACS B25034 (Year Structure Built).

Water Safety Affordability

How much it costs to fix water issues relative to home values in Adams County

$87K
Median Home Value
$1,800
Est. Remediation Cost
2.1%
of Home Value
Remediation as % of home value moderate burden

Water safety remediation is a moderate expense relative to home values. Most homeowners can address issues through staged improvements over time.

Remediation includes water filtration, lead abatement, radon mitigation, and flood protection where applicable. Source: Census ACS, EPA SDWIS.

Health Outcomes vs National Average

CDC PLACES data for Adams County residents

Asthma 10% (US avg: 8.9%)
Diabetes 14.1% (US avg: 11%)
Obesity 34.8% (US avg: 32.4%)

Black markers = national averages. Red = above national avg. Green = below. Source: CDC PLACES, Census ACS.

All ZIP Codes in Adams County

2 ZIP codes tracked in Adams County.

# ZIP Code City Safety Score Grade Violations Home Value
1 58639 Hettinger 62 C 0 $117K
2 58649 Reeder 55 C 0 $57K

Recommended Buyer Guides for Adams County

Filtered against federal data, fitted to local risks.

Overview

Adams County in North Dakota covers 2 ZIP codes with an average Home Safety Score of C (59/100).

No EPA violations recorded across any tracked ZIP codes in Adams County.

← Back to North Dakota water quality report

Data Sources

Updated daily.

Frequently Asked Questions

Is water safe in Adams County?
Adams County receives a grade of C. Some ZIP codes have recorded violations and residents in affected areas may want to test their water.
How many water systems serve Adams County?
Adams County is served by 2 public water systems that supply drinking water to residents across 2 ZIP codes.
What is the biggest environmental risk in Adams County?
The primary environmental risk factor in Adams County is water_lead. This contributes to an estimated additional annual cost of $770 per homeowner.
How old are homes in Adams County?
The median home build year in Adams County is 1972. 79% of homes were built before 1978, which means they may contain lead-based paint and older plumbing materials.
How does Adams County compare to North Dakota?
Adams County has an average water safety score of 59/100, which is above the North Dakota state average of 56/100.

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