State
Kentucky
Kentucky has a quality-of-life score of 22 out of 100 (low), ranking #40 of 51 US states. It ranks best on frequent mental distress (low), pharmacies (high) and violent crime rate (low). It ranks worst on public EV charging ports (low), life expectancy (low) and preventable hospital stays (high).
- Quality-of-life score
- #40 of 51 states
- Population
- 4,606,864 (2025)
- Land area
- 39,486 mi²
- Density
- 116.7 /mi²
- FIPS code
- 21
Percentile-based score (100 is the best in the country) from 77 of 80 indicators, with the default “Explorer” weights.
Scores by category
Each category averages its indicators' percentile scores among US states.
- Safety50#26/51
- Economy10#46/51
- Housing90#6/51
- Health18#42/51
- Healthcare26#38/51
- Environment23#38/49
- Education18#42/51
- Infrastructure14#44/51
- Community16#43/51
- Leisure & amenities18#42/51
Strengths · Weaknesses
Indicators where Kentucky ranks highest and lowest among US states (score = percentile, 100 = best).
Strengths
- Frequent mental distress · low16.4%
- Pharmacies · high2.4 /10k
- Violent crime rate · low212 /100k
- Cost of buying a home today · low27.3%
- Drinking water violations · low0
- Drought exposure · low21%82/100United States 43%Oct 2025–Sep 2026National Drought Mitigation Center (University of Nebraska–Lincoln), USDA and NOAA
Weaknesses
- Public EV charging ports · low2.6 /10k
- Life expectancy · low73.6 yrs
- Preventable hospital stays · high3,415 /100k
- Bachelor's degree or higher · low27.5%
- Median household income · low$64,481
- Gyms and fitness centers · low1.0 /10k
Trends
The largest changes over about five years, next to the country's over the same periods.
- Drought exposureWorsening
0% (2021) → 21% (Oct 2025–Sep 2026)
+21 pts5 yearsUS 40% → 43%
- New business applicationsImproving
8.3 /1k (2020) → 13.9 /1k (2025)
+68%5 yearsUS 13.1 /1k → 16.6 /1k
- Drug overdose deathsImproving
51.7 /100k (2021) → 23.1 /100k (Mar 2025–Feb 2026)
−55%5 yearsUS 30.8 /100k → 18.4 /100k
- Broadband subscriptionsImproving
78.4% (2015-2019) → 88.6% (2020-2024)
+10 pts5 yearsCensus table B28002US 82.7% → 91.0%
- High ozone daysImproving
1 days (2017) → 1 days (2022)
−41%5 yearsUS 9 days → 7 days
- Homicide rateImproving
9.1 /100k (2021) → 5.5 /100k (May 2025–Apr 2026)
−40%5 yearsUS 7.8 /100k → 4.8 /100k
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.
States like Kentucky five years ago that improved
The places whose measures looked most like those of Kentucky 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.
Jobs and pay
What the largest occupations here pay, from the Bureau of Labor Statistics' Occupational Employment and Wage Statistics survey.
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 contract spending
Federal grants & assistance
Grants, loans (counted at their subsidy cost), direct payments and insurance, by fiscal year of the action (USAspending.gov, FABS). Reported apart from contracts and never added to them.
Public money & outcomes
Federal money per resident by fiscal year next to how the place changed, and, when its money jumped, how it compares with similar counties. A comparison, not cause and effect.
Representation 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.
Counties of Kentucky
All 120 counties, best quality-of-life score first.
- 1Oldham County90
- 2Boone County89
- 3Kenton County81
- 4Woodford County80
- 5Campbell County77
- 6Scott County76
- 7Fayette County75
- 8Jessamine County71
- 9Shelby County67
- 10Boyle County65
- 11Franklin County61
- 12Nelson County60
- 13McCracken County58
- 14Hardin County55
- 15Marshall County55
- 16Daviess County53
- 17Spencer County53
- 18Simpson County51
- 19Warren County50
- 20Jefferson County49
- 21Bullitt County48
- 22Mercer County48
- 23Taylor County47
- 24Madison County47
- 25Anderson County47
- 26Meade County46
- 27Clark County46
- 28Boyd County45
- 29Grant County45
- 30Lyon County45
- 31Hancock County42
- 32Bourbon County41
- 33Greenup County41
- 34Montgomery County41
- 35Calloway County40
- 36Rowan County40
- 37Russell County39
- 38Washington County39
- 39Caldwell County39
- 40Mason County37
- 41McLean County37
- 42Livingston County36
- 43Union County36
- 44Ballard County36
- 45Marion County35
- 46Henderson County35
- 47Hopkins County34
- 48Cumberland County33
- 49Owen County33
- 50Carlisle County33
- 51Monroe County32
- 52Pulaski County32
- 53Laurel County31
- 54Bracken County31
- 55Green County31
- 56Whitley County31
- 57Logan County30
- 58Barren County30
- 59Harrison County29
- 60Clinton County29
- 61Wayne County29
- 62Trimble County28
- 63Trigg County27
- 64Hickman County26
- 65Pendleton County26
- 66Johnson County26
- 67Adair County26
- 68Muhlenberg County25
- 69Pike County24
- 70Morgan County24
- 71Henry County23
- 72Garrard County23
- 73Graves County23
- 74Rockcastle County23
- 75Letcher County23
- 76Larue County23
- 77Allen County23
- 78Perry County22
- 79Gallatin County22
- 80Edmonson County21
- 81Ohio County21
- 82Carter County21
- 83Fleming County20
- 84Grayson County20
- 85Estill County20
- 86McCreary County20
- 87Todd County20
- 88Breckinridge County20
- 89Metcalfe County19
- 90Menifee County19
- 91Harlan County19
- 92Elliott County19
- 93Webster County19
- 94Hart County19
- 95Bath County19
- 96Floyd County19
- 97Leslie County18
- 98Lincoln County18
- 99Crittenden County18
- 100Nicholas County16
- 101Casey County16
- 102Lawrence County16
- 103Bell County15
- 104Butler County15
- 105Knott County15
- 106Christian County15
- 107Jackson County13
- 108Carroll County13
- 109Wolfe County12
- 110Powell County12
- 111Knox County12
- 112Clay County11
- 113Lewis County9
- 114Fulton County9
- 115Robertson County8
- 116Magoffin County7
- 117Breathitt County7
- 118Owsley County6
- 119Martin County5
- 120Lee County5
Metro areas in Kentucky
Metropolitan and micropolitan areas based in Kentucky, largest first.
- Louisville/Jefferson County, KY-IN531,402,509
- Lexington-Fayette, KY78535,174
- Bowling Green, KY43197,180
- Corbin, KY14150,040
- Richmond-Berea, KY33131,806
- Elizabethtown, KY46128,666
- Owensboro, KY55113,962
- Paducah, KY-IL53102,259
- Pikeville, KY2089,122
- Frankfort, KY5877,874
- Somerset, KY2267,384
- Henderson, KY2657,184
- Danville, KY2856,985
- Glasgow, KY1956,224
- Mount Sterling, KY2048,428
- Madisonville, KY2945,127
- Murray, KY3239,421
- Campbellsville, KY3838,407
- Mayfield, KY1237,050
- Middlesborough, KY1522,829
- Franklin, KY4220,788
Largest cities and towns in Kentucky
By population.
- Louisville/Jefferson County631,818
- Lexington-Fayette323,725
- Bowling Green75,388
- Owensboro60,302
- Covington41,110
- Georgetown39,117
- Richmond37,111
- Florence32,803
- Elizabethtown32,576
- Nicholasville32,197
- Hopkinsville30,906
- Independence29,392
- Jeffersontown29,199
- Frankfort28,503
- Henderson27,852
- Paducah26,845
- Radcliff22,864
- Ashland21,295
- Erlanger19,875
- Madisonville19,515
- Winchester19,213
- Mount Washington18,480
- Murray18,080
- Burlington18,008
Neighboring states
Places that share a border, best score first.
Similar states
Closest indicator profiles across the country (no model: score distances).
- Indiana28Alike on Some college, Gyms, Buy effort
- Missouri30Alike on Rent / income, PCP shortage, Foreign-born
- Alabama4Alike on Life expectancy, Preventable stays, Income per capita
- Tennessee12Alike on Life expectancy, Premature death, Water violations
- Mississippi6Alike on Life expectancy, EV chargers, Rent
Data and sources
Latest published value of each indicator; periods differ by source. Values flagged by their publisher are marked.
- Mapping Injury, Overdose, and ViolenceCenters for Disease Control and Prevention · release 2026-10-01
- Daily county PM2.5 and ozone (EPA downscaler model)Centers for Disease Control and Prevention · U.S. Environmental Protection Agency · release 2022
- Care Compare: Hospital General Information and Timely and Effective CareCenters for Medicare & Medicaid Services · release 2026-07-22
- Distance to airports and intercity railFederal Aviation Administration · Bureau of Transportation Statistics · U.S. Census Bureau · release 2025+amtrak-2026-04-23
- Uniform Crime Reporting Program, Return A master filesFederal Bureau of Investigation · release 2025
- Health Professional Shortage AreasHealth Resources and Services Administration · release 2026-10-03
- Public Libraries SurveyInstitute of Museum and Library Services · release FY2024
- Common Core of DataNational Center for Education Statistics · release 2024
- U.S. Drought Monitor county statisticsNational Drought Mitigation Center (University of Nebraska–Lincoln), USDA and NOAA · release 2026-09-29
- Fatality Analysis Reporting SystemNational Highway Traffic Safety Administration · release 2024
- nClimGrid-Daily county averagesNOAA National Centers for Environmental Information · release 2025
- Regional Economic AccountsU.S. Bureau of Economic Analysis · release 2024
- Local Area Unemployment StatisticsU.S. Bureau of Labor Statistics · release 2025
- Quarterly Census of Employment and WagesU.S. Bureau of Labor Statistics · release 2026 Q1
- American Community Survey 5-Year EstimatesU.S. Census Bureau · release 2017-2024
- Building Permits SurveyU.S. Census Bureau · release 2026-08
- Business Formation StatisticsU.S. Census Bureau · release 2026-10-01
- 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
- Alternative Fuels Data Center station locatorU.S. Department of Energy · release 2026-10
- Election Administration and Voting SurveyU.S. Election Assistance Commission · release 2024
- County Health Rankings & RoadmapsUniversity of Wisconsin Population Health Institute · release 2022-2025+2026-03-supplement
- Zillow Home Value Index, Observed Rent Index and affordabilityZillow Research · release 2026-08