City · Fayette County, Iowa
West Union, Iowa
West Union is a city in Fayette County, Iowa. It has 2,489 residents. West Union, Iowa has a quality-of-life score of 71 out of 100 (high), ranking #4,597 of 15,651 US cities and towns. Within Iowa it ranks #201 of 281 cities and towns. It ranks best on public libraries (high), preventable hospital stays (low) and drug overdose deaths (low). It ranks worst on gyms and fitness centers (low), new business applications (low) and broadband subscriptions (low).
- Quality-of-life score
- #4,597 of 15,651 cities and towns
- Iowa
- #201 of 281 in IA
- Population
- 2,489 (2020-2024)
- Land area
- 3 mi²
- Density
- 906.2 /mi²
- FIPS code
- 1984765
Percentile-based score (100 is the best in the country) from 74 of 80 indicators, with the default “Explorer” weights.
Scores by category
Each category averages its indicators' percentile scores among US cities and towns.
- Safety80#3,139/15,637
- Economy38#9,698/15,631
- Housing81#2,782/14,977
- Health51#7,596/15,609
- Healthcare44#8,756/15,650
- Environment84#2,422/15,453
- Education66#5,306/15,649
- Infrastructure21#12,353/15,650
- Community84#2,537/15,651
- Leisure & amenities70#4,619/15,651
Strengths · Weaknesses
Indicators where West Union, Iowa ranks highest and lowest among US cities and towns (score = percentile, 100 = best). Values marked “Fayette County value” are the county’s: the source publishes no figure for this city or town, and the county holding most of its residents stands in.
Strengths
- Public libraries · high5.8 /10k99/100Iowa 1.8 /10kUnited States 0.5 /10k2024Institute of Museum and Library ServicesFayette County value
- Preventable hospital stays · low1,186 /100k99/100Iowa 2,368 /100kUnited States 2,769 /100k2023University of Wisconsin Population Health InstituteFayette County value
- Drug overdose deaths · low0.0 /100k99/100Iowa 9.4 /100kUnited States 18.4 /100kMar 2025–Feb 2026Centers for Disease Control and PreventionProvisional dataFayette County value
- Hospital quality rating · high5.0
- Time spent in the emergency room · low96 min97/100Iowa 128 minUnited States 170 minOct 2024–Sep 2025Centers for Medicare & Medicaid ServicesFayette County value
- Mammography screening · high58.0%97/100Iowa 57.0%United States 46.0%2023University of Wisconsin Population Health InstituteFayette County value
Weaknesses
- Gyms and fitness centers · low0.0 /10k
- New business applications · low7.6 /1k
- Broadband subscriptions · low82.4%
- Mental health providers · low84 /100k12/100Iowa 226 /100kUnited States 348 /100k2025University of Wisconsin Population Health InstituteFayette County value
- Primary care physicians · low31 /100k13/100Iowa 74 /100kUnited States 76 /100k2022University of Wisconsin Population Health InstituteFayette County value
- New homes permitted · low0.0 /1k
Trends
The largest changes over about five years, next to the country's over the same periods.
- Broadband subscriptionsImproving
71.5% (2015-2019) → 82.4% (2020-2024)
+11 pts5 yearsCensus table B28002US 82.7% → 91.0%
- Rent-burdened householdsImproving
45.3% (2015-2019) → 37.9% (2020-2024)
−7.4 pts5 yearsCensus table B25070US 49.6% → 51.1%
- Uninsured residents (under 65)Worsening
4.8% (2015-2019) → 9.9% (2020-2024)
+5.1 pts5 yearsCensus table B27010US 10.8% → 9.8%
- Average commute timeWorsening
14.9 min (2015-2019) → 18.5 min (2020-2024)
+24%5 yearsCensus table B08013US 26.9 min → 26.4 min
- Poverty rateImproving
15.9% (2015-2019) → 11.6% (2020-2024)
−4.3 pts5 yearsCensus table B17001US 12.3% → 12.1%
- Unemployment rateImproving
5.6% (2015-2019) → 1.4% (2020-2024)
−4.2 pts5 yearsCensus table B23025US 3.7% → 4.0%
What changed in five years
How each measure moved between two periods about five years apart, read against whether more or less is better, the published margin of error and the same change in other places.
Cities and towns like West Union, Iowa five years ago that improved
The places whose measures looked most like those of West Union, Iowa in the earlier period, ranked by how many measures improved beyond the margin of error, minus how many declined. A comparison of published data, not a forecast and not advice.
Who lives here
Age, race and education of residents, from the American Community Survey. Shares are of all residents (age), residents of every origin (race) or adults 25 and over (education).
Income
How household income is spread, not just the middle: each bar is the share of households in that income range.
Homes
Who owns and who rents, what homes cost, and what the housing stock looks like.
Getting to work
How workers travel to their job and how long it takes them.
Local businesses
Employer businesses and sole proprietors by industry, per resident and against the state and the nation. Counts of businesses next to counts of people, not a measure of demand.
Federal contracts performed here
Grants and other federal assistance are counted by county here, not split among cities: West Union is mostly in Fayette County.
See federal money in Fayette CountyRepresentation in Congress
Members serving today, with their record in the current Congress (party-unity votes cast with their caucus, roll calls missed). Not a grade.
County
A city can lie in several counties. Some indicators are published for counties only: the page marks them.
Other cities and towns in Fayette County
Largest first.
Similar cities and towns
Closest indicator profiles across the country (no model: score distances).
- Estherville, IA63Alike on Rent / income, Household income, Smoking
- Council Grove, KS69Alike on Broadband, Price / income, Commute
- Creston, IA67Alike on Rent burden, Price / income, Home value
- Kingman, KS40Alike on Commute, Rent burden, Obesity
- New Hampton, IA80Alike on Rent / income, Work from home, Rent burden
Data and sources
Latest published value of each indicator; periods differ by source. Values flagged by their publisher are marked.
- PLACES: Local Data for Better HealthCenters for Disease Control and Prevention · release 2025
- Local Area Unemployment StatisticsU.S. Bureau of Labor Statistics · release 2025
- American Community Survey 5-Year EstimatesU.S. Census Bureau · release 2017-2024
- Building Permits SurveyU.S. Census Bureau · release 2026-08
- Population Estimates ProgramU.S. Census Bureau · release 2025
- Small Area Health Insurance EstimatesU.S. Census Bureau · release 2024
- Small Area Income and Poverty EstimatesU.S. Census Bureau · release 2024
- County Health Rankings & RoadmapsUniversity of Wisconsin Population Health Institute · release 2022-2025+2026-03-supplement