County · West Virginia
McDowell County, West Virginia
McDowell County, West Virginia has a quality-of-life score of 10 out of 100 (very low), ranking #2,838 of 3,143 US counties. Within West Virginia it ranks #52 of 55 counties. It ranks best on cost of buying a home today (low), home price to income ratio (low) and pharmacies (high). It ranks worst on some college (low), bachelor's degree or higher (low) and premature death (high).
- Quality-of-life score
- #2,838 of 3,143 counties
- West Virginia
- #52 of 55 in WV
- Population
- 16,878 (2025)
- Land area
- 533 mi²
- Density
- 31.6 /mi²
- FIPS code
- 54047
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 counties.
- Safety57#1,325/3,096
- Economy0#3,137/3,143
- Housing78#697/3,140
- Health0#3,144/3,144
- Healthcare3#3,050/3,143
- Environment65#1,095/3,108
- Education1#3,126/3,144
- Infrastructure9#2,872/3,144
- Community3#3,064/3,144
- Leisure & amenities15#2,682/3,143
Strengths · Weaknesses
Indicators where McDowell County, West Virginia ranks highest and lowest among US counties (score = percentile, 100 = best).
Strengths
- Cost of buying a home today · low11.8%
- Home price to income ratio · low1.6×
- Pharmacies · high4.2 /10k
- Effective property tax rate · low0.40%
- Hot days · low5 days87/100West Virginia 10 daysUnited States 42 days2016-2025NOAA National Centers for Environmental Information
- Property crime rate · low387 /100k83/100West Virginia 1,053 /100kUnited States 1,535 /100k2025Federal Bureau of InvestigationCovers part of the area: some reporting agencies or member counties have no figure
Weaknesses
- Some college · low23.5%0/100West Virginia 56.7%United States 67.8%2019-2023University of Wisconsin Population Health Institute
- Bachelor's degree or higher · low6.8%
- Premature death · high23,662 /100k0/100West Virginia 12,969 /100kUnited States 8,123 /100k2021-2023University of Wisconsin Population Health Institute
- Poverty rate · high38.4%
- Median household income · low$35,721
- Injury deaths · high280 /100k0/100West Virginia 151 /100kUnited States 87 /100k2019-2023University of Wisconsin Population Health Institute
Trends
The largest changes over about five years, next to the country's over the same periods.
- PopulationFalling
18,942 (2020) → 16,878 (2025)
−11%5 yearsUS 331,578,104 → 341,784,857
- Drought exposureWorsening
0% (2021) → 28% (Oct 2025–Sep 2026)
+28 pts5 yearsUS 40% → 43%
- Mental health providersImproving
35 /100k (2021) → 82 /100k (2025)
+130%4 yearsUS 282 /100k → 348 /100k
- New homes permittedWorsening
0.5 /1k (2021) → 0.0 /1k (Sep 2025–Aug 2026)
−100%5 yearsUS 5.2 /1k → 4.2 /1k
- Broadband subscriptionsImproving
65.6% (2015-2019) → 85.5% (2020-2024)
+20 pts5 yearsCensus table B28002US 82.7% → 91.0%
- Rent-burdened householdsImproving
69.2% (2015-2019) → 50.5% (2020-2024)
−19 pts5 yearsCensus table B25070US 49.6% → 51.1%
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 McDowell County, West Virginia five years ago that improved
The places whose measures looked most like those of McDowell County, West Virginia 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 McDowell County
Places whose residents live mostly in McDowell 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).
- Wyoming County, WV12Alike on Mental distress, Depression, Dry days
- Lincoln County, WV6Alike on Math, Mental distress, Obesity
- Boone County, WV15Alike on Depression, Obesity, Dry days
- Logan County, WV16Alike on Mental distress, Overdose deaths, Life expectancy
- Mingo County, WV8Alike on Life expectancy, Mental distress, Inactivity
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
- 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