ZIP code
41189
in Tollesboro, KentuckyPopulation 2,281
28.48/ 100
Ranked #31,036 of 32,066 US ZIPs (bottom 3.3%)
Ranked #499 of 742 Kentucky ZIPs (bottom 33%)
Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.
Some domains have limited local data — read this Score as directional
What defines this ZIP
Metrics where this ZIP sits in the tails of the national distribution — the ones that most set it apart. Select any tile for its definition and methodology.
Tooth loss
29.6%
in the top 3.4% nationally
Lower is healthier
ST78thUS97thDefinition & source ›
The estimated share of adults aged 65 and older who have lost all of their natural teeth.
Full methodology ›Housing-cost burden
9.3%
in the bottom 8.7% nationally
Lower is healthier
ST15thUS9thDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Poverty rate
3.4%
in the bottom 11.4% nationally
Lower is healthier
ST8thUS11thDefinition & source ›
The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.
Full methodology ›Civic-institution access
0.46 per 1,000 residents
in the top 14.3% nationally
Higher is healthier
ST93rdUS86thDefinition & source ›
The number of civic and social organizations inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›Distance to a nursing home
8.6 mi
in the top 14.5% nationally
Lower is healthier
ST94thUS86thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›Arsenic in groundwater
8.7%
in the top 20% nationally
Lower is healthier
ST98thUS80thDefinition & source ›
The modeled probability that untreated groundwater in this area — the source private wells draw on — exceeds the federal arsenic limit of 10 micrograms per liter.
A modeled likelihood for untreated groundwater, the source drawn on by private wells, which are federally unregulated. It is not a measurement of treated water delivered by a public system, and it is not a test of any individual well.
Full methodology ›Humid extreme heat
77 days/year
in the top 36% nationally
Lower is healthier
ST9thUS64thDefinition & source ›
The average number of days per year when modeled heat stress — temperature, humidity, sun, and wind combined — reaches levels hard on the body outdoors.
Full methodology ›The read
Given the gaps in coverage here, Tollesboro, Kentucky (ZIP 41189) lands in the bottom 3.3% nationally (31,036th) and the bottom 33% of Kentucky (499th), based on limited data; treat as directional.
On the partial data in hand, the profile shows what it can: households without a vehicle settles at the national minimum, shared with about 16% of ZIPs. Housing-cost burden registers in the bottom 8.7% nationally. Distance to a community health center stands at the national minimum, shared with about 23% of ZIPs. Poverty lands in the bottom 11.4% nationally, and civic is in the top 14.3% nationally. Crowded housing resides at the national minimum, shared with about 29% of ZIPs. Modeled disaster risk rests in the bottom 15% nationally. Set against that, modeled tooth loss lies in the top 3.4% nationally, modeled short sleep sits in the top 11.2% nationally, and distance to a nursing home settles in the top 14.5% nationally.
Defined in plain terms, disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. Distance to a community health center is a federally funded (HRSA) community health center serving everyone regardless of ability to pay. The nearest ZIP ranking healthier overall is ZIP 41041, just across the boundary.
What’s driving this score
Nine domains make up the ZipVitals Score — here is how this ZIP does on each, and how much each one counts.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Climate / Disaster Risk
healthier than 61%
6%
About typical
Environmental Hazard
healthier than 50%
16%
Healthcare Access
healthier than 46%
6%
Holding it back
Social Need / SDOH
healthier than 35%
19%
Preventive CarePartial
healthier than 10%
15%
Not placed: Chronic Disease Burden and Risk Behavior — too little of each is measured here to compare reliably. They still count toward the score (together 38% of it); we just will not publish a standing we cannot stand behind.
No data: Mental Health and Disability — not measured in this ZIP, so it is left out of the score entirely rather than estimated.
Lifting this score
Social Need / SDOH
healthier than 76%
19%
Environmental Hazard
in the top 0.00%
16%
Climate / Disaster Risk
in the top 0.00%
6%
Holding it back
Preventive CarePartial
in the bottom 0.00%
15%
Healthcare Access
in the bottom 0.00%
6%
Not placed: Chronic Disease Burden and Risk Behavior — too little of each is measured here to compare reliably. They still count toward the score (together 38% of it); we just will not publish a standing we cannot stand behind.
No data: Mental Health and Disability — not measured in this ZIP, so it is left out of the score entirely rather than estimated.
“Share” is how much of this ZIP’s score the domain accounts for. Percentages are rounded; higher is healthier in every domain. How the score works, and who it compares you with ›
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
41041
Kentuckyshares a border
Score 32.16
Closest healthier
41056
Kentuckyshares a border
Score 38.90
Similar health profile
40489
Kentucky100% similar profile
Score 26.94
How these were chosen: only ZIPs with a published Score appear — a nearby ZIP with too little data to score won’t. Nearby means closest by distance between ZIP boundaries, which can cross state lines. A similar health profile is a close match across the nine Score domains, not similar demographics. Distances are measured between ZIP boundaries — ZIPs that touch share a border. How distance is measured
Evidence
Every measure this page draws on, by source. Collapsed by default — the full data stays in the page for search engines either way.
Health OutcomesCDC PLACES 2022 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| All teeth lost among adults aged >=65 years | 29.6% | 24.7–34.8 |
PreventionCDC PLACES 2022 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Colorectal cancer screening among adults aged 45–75 years | 63.8% | 58.8–68.9 |
| Visited dentist or dental clinic in the past year among adults | 48.7% | 44.8–52.6 |
| Mammography use among women aged 50-74 years | 70.3% | 61.4–78.3 |
Health Risk BehaviorsCDC PLACES 2022 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Short sleep duration among adults | 41.4% | 34.5–48.7 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | KY median (p10–p90) |
|---|---|---|---|
| Poverty rate | 3.4% | 10.6% (3.1–25.8%) n=32,364 | 17.1% (4.6–39.2%) n=747 |
| Uninsured 18–64 | 8.1% | 9.0% (1.5–24.3%) n=32,286 | 6.9% (0.0–16.5%) n=741 |
| No HS diploma (25+) | 14.0% | 7.9% (1.8–20.7%) n=32,505 | 13.7% (3.8–29.1%) n=748 |
| Bachelor's or higher (25+) | 11.4% | 23.3% (9.2–53.6%) n=32,505 | 14.8% (1.5–33.6%) n=748 |
| Unemployment rate (16+) | 5.8% | 3.9% (0.0–9.8%) n=32,274 | 3.8% (0.0–11.2%) n=733 |
| Households without a vehicle | 0.0% | 3.9% (0.0–12.5%) n=32,322 | 4.6% (0.0–15.0%) n=745 |
| Broadband subscription | 86.4% | 89.3% (75.1–97.1%) n=32,322 | 86.7% (71.5–97.1%) n=745 |
| Housing cost burden (≥30% income) | 9.3% | 23.7% (10.6–40.0%) n=32,322 | 20.9% (6.2–34.7%) n=745 |
| Homeownership rate | 84.1% | 78.7% (51.7–94.0%) n=32,322 | 78.0% (58.2–96.7%) n=745 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 0.7% (0.0–4.8%) n=745 |
| Foreign-born population | 0.0% | 2.6% (0.0–18.6%) n=32,553 | 0.3% (0.0–5.4%) n=749 |
| Single-parent households | 60.5% | 53.6% (37.3–74.1%) n=32,087 | 52.0% (34.7–75.0%) n=738 |
| Population 65+ | 21.9% | 19.4% (10.8–33.6%) n=32,553 | 18.2% (9.6–29.6%) n=749 |
| Median age | 46.4 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.8 yr (32.3–53.9) n=738 |
| Median household income | $52,712 | $72,070 ($46,039–$118,707) n=30,318 | $57,097 ($34,611–$87,693) n=645 |
| Median home value | $119,400 | $222,200 ($100,300–$579,820) n=30,049 | $144,600 ($66,860–$265,120) n=643 |
| Median gross rent | $906 | $1,021 ($677–$1,912) n=25,670 | $821 ($592–$1,170) n=466 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | KY median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 75.9 yr ± 1.86 | 78.9 yr (74.7–82.8) n=31,308 | 74.8 yr (71.5–78.1) n=739 |
About the ± — it’s this estimate’s give-or-take (statisticians call it the standard error). The true life expectancy for this ZIP most likely falls within 1.86 years of 75.9, and it’s very unlikely to be off by more than twice that.
More ZIPs to explore ▾More ZIPs to explore ▴
How these lists were built: they draw only from ZIPs that have a published Score, so ZIPs with too little data to score are not listed. Distance-based lists use distance between ZIP boundaries with no state filter, so an out-of-state ZIP can appear. Statistically similar means a close match across the nine Score domains, not a demographic match: the measure is the cosine similarity between two ZIPs’ domain scores, taken over the domains both ZIPs have data for and only where that overlap covers at least six of the nine — and where no ZIP clears that minimum-overlap floor, that list is left out rather than filled with a weak match. How distance is measured