County · Kentucky
Monroe County, Kentucky
Monroe County, Kentucky has a quality-of-life score of 32 out of 100 (low), ranking #2,125 of 3,143 US counties. Within Kentucky it ranks #51 of 120 counties. It ranks best on reading scores (high), math scores (high) and grocery stores (high). It ranks worst on preventable hospital stays (high), hospital quality rating (low) and primary care shortage (high).
- Quality-of-life score
- #2,125 of 3,143 counties
- Kentucky
- #51 of 120 in KY
- Population
- 11,191 (2025)
- Land area
- 329 mi²
- Density
- 34.0 /mi²
- FIPS code
- 21171
Percentile-based score (100 is the best in the country) from 76 of 80 indicators, with the default “Explorer” weights.
Scores by category
Each category averages its indicators' percentile scores among US counties.
- Safety79#635/3,096
- Economy9#2,847/3,143
- Housing89#355/3,140
- Health11#2,785/3,144
- Healthcare25#2,348/3,143
- Environment48#1,619/3,108
- Education43#1,784/3,144
- Infrastructure10#2,844/3,144
- Community22#2,458/3,144
- Leisure & amenities56#1,388/3,143
Strengths · Weaknesses
Indicators where Monroe County, Kentucky ranks highest and lowest among US counties (score = percentile, 100 = best).
Strengths
- Reading scores · high3.92
- Math scores · high3.76
- Grocery stores · high5.4 /10k
- Pharmacies · high3.6 /10k
- Violent crime rate · low52 /100k94/100Kentucky 212 /100kUnited States 328 /100k2025Federal Bureau of InvestigationCovers part of the area: some reporting agencies or member counties have no figure
- Property crime rate · low277 /100k91/100Kentucky 1,262 /100kUnited States 1,535 /100k2025Federal Bureau of InvestigationCovers part of the area: some reporting agencies or member counties have no figure
Weaknesses
- Preventable hospital stays · high8,273 /100k0/100Kentucky 3,415 /100kUnited States 2,769 /100k2023University of Wisconsin Population Health Institute
- Hospital quality rating · low1.0
- Primary care shortage · high20.0
- Some college · low39.9%
- Distance to an Amtrak station · high170 mi6/100Kentucky 78 miUnited States 43 mi2026Federal Aviation Administration · Bureau of Transportation Statistics · U.S. Census Bureau
- Adult smoking · high22.2%
Trends
The largest changes over about five years, next to the country's over the same periods.
- Drought exposureWorsening
0% (2021) → 25% (Oct 2025–Sep 2026)
+25 pts5 yearsUS 40% → 43%
- Drug overdose deathsImproving
29.9 /100k (2021) → 0.0 /100k (Mar 2025–Feb 2026)
−100%5 yearsUS 30.8 /100k → 18.4 /100k
- New business applicationsImproving
5.2 /1k (2020) → 9.8 /1k (2025)
+89%5 yearsUS 13.1 /1k → 16.6 /1k
- Broadband subscriptionsImproving
70.2% (2015-2019) → 83.9% (2020-2024)
+14 pts5 yearsCensus table B28002US 82.7% → 91.0%
- Rent-burdened householdsImproving
53.3% (2015-2019) → 40.1% (2020-2024)
−13 pts5 yearsCensus table B25070US 49.6% → 51.1%
- Violent crime rateImproving
120 /100k (2020) → 52 /100k (2025)
−57%5 yearsUS 389 /100k → 328 /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.
Counties like Monroe County, Kentucky five years ago that improved
The places whose measures looked most like those of Monroe County, 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.
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.
Cities and towns in Monroe County
Places whose residents live mostly in Monroe County, largest first.
Neighboring counties
Places that share a border, best score first.
Similar counties
Closest indicator profiles across the country (no model: score distances).
- Hart County, KY19Alike on Dental shortage, Some college, Property crime
- Grayson County, KY20Alike on Rent, Comfortable days, Price level
- Johnson County, KY26Alike on PCP shortage, Dental shortage, Household income
- Fleming County, KY20Alike on Dental shortage, Birth rate, Property crime
- Green County, KY31Alike on Dental shortage, Precipitation, Intl. migration
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
- PLACES: Local Data for Better HealthCenters for Disease Control and Prevention · release 2025
- 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
- National Risk IndexFederal Emergency Management Agency · release v1.20.0
- 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
- 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