Excessive heavy metals in soil pose ecological and health risks. In order to prevent pollutants from harming human health, Gengzhen Town, Wutai County, China, was selected as the research area. The health risk assessment model (BHRA), potential ecological hazard index (RI), and land accumulation index (Igeo) were used to evaluate the pollution and risk of heavy metals in the soil of the research area. The assessment shows that there is slight pollution of heavy metals in the soil of Gengzhen Town, with the main influencing elements being Cd, Cr, As, Ni, and Pb; the ecological risk is mild, ranging from 69.56 to 120.49; Cr, As, and Pb pose significant non-carcinogenic health threats to children; the As element poses a carcinogenic risk to both adults and children, while the Cd element poses a carcinogenic risk only to children; The average carcinogenic risk index is between 10^-6 and 10^-4, which meets China’s soil health standards. It is necessary to raise awareness and draw attention. The evaluation of health risks related to heavy metals in soil is beneficial for people to reasonably prevent risks and scientifically utilize land, playing a wide-ranging guiding role.