It is native throughout Iowa. The choke cherry is a pioneer species usually found on open sites with rich, moist soils. Because birds distribute the seeds, this species is common on the borders of woods, in sunny clearings and along fencerows. Like most plants of the rose family, this species is susceptible to many pests and diseases . The fungus-caused black knot disease often disfigures the trees with black, irregular swellings which lead to plant dieback.
Tent caterpillars can defoliate the entire tree.
Although the wood is heavy, hard and close-grained, it is rather weak and is not commercially important due to the small diameter and irregular shape of the trunk. Prunus species are the next most important woody plant fruits for wildlife after the oaks, pines and blackberries. This species is recommended for wildlife plantings, as it is an important source of browse and fruits for a number of mammals and birds. The early spring flowers provide an important source of nectar for butterflies, honeybees and ants. Astringency is removed by cooking, and choke cherries make tasty pie-fillings, sauces and wine.