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Wapello is a rural community in Louisa County, Iowa that serves as an integral part of the broader region with its many anchor institutions, including the courthouse, high school, and historical society museum. However, Wapello’s current issues with food security and limited healthcare access are emblematic of the issues of many other rural American communities. Through interviews and data analysis, this case study seeks to understand the local employment decline, physician shortages, and Wapello’s classification as a food desert. I conclude that the town’s issues can be mitigated through its community capitals and an appreciative inquiry approach to community development.