Extremely susceptible to leaf rust, the downy hawthorn often becomes unsightly towards the end of summer. Other problems include leaf miners, gall flies and round-headed apple borers. The wood is very hard, strong and close-grained. It is not especially strong and is not used commercially. The heartwood is light, reddish-brown and the sapwood paler.
Animals eat the fallen, softened fruits.
Many bird species use the trees as nesting sites, cattle eagerly browse the foliage and mice store and eat the seeds. Although some trees bear sweet, juicy fruit, the taste and texture can vary. The fruits make tasty preserves. Downy hawthorns are an interesting, attractive addition to the Iowa landscape. Although the flowers are showy, the fruits are not long-lasting and many other hawthorn species and cultivars have superior qualities for horticultural use.