By Michael Phillis, Leah Willingham and Camille Fassett
Associated Press
KEYSTONE, W.Va. (AP) ā Donna Dickersonās heart would sink every time sheād wake up, turn on the faucet in her mobile home and hear the pipes gurgling.
Sometimes it would happen on a day when her mother, who is 86 and has dementia, had a doctorās appointment and needed to bathe. Sometimes it would be on Thanksgiving or Christmas when family had come to stay.
āIt was sickening, literally a headache and it disrupted everything,ā she said. āOut of nowhere, the water would be gone, and weād have no idea when itād be back.ā
It is hard enough to care for someone with dementia. Caring for someone with dementia with no safe water takes the stress to another level.
While failures of big city water systems attract the attention, itās small communities like Keystone, West Virginia, that more often are left unprotected by destitute and unmaintained water providers. Small water providers rack up roughly twice as many health violations as big cities on average, an analysis of thousands of records over the last three years by The Associated Press shows. In that time, small water providers violated the Safe Drinking Water Actās health standards nearly 9,000 times. They were also frequently the very worst performers. Federal law allows authorities to force changes on water utilities, but they rarely do, even for the worst offenders.
The worst water providers can have such severe problems that residents are told they canāt drink the water. For 10 solid years Dickerson and 175 neighbors in the tiny, majority Black community of Keystone had to boil all their water. That length of time is nearly unheard of ā such warnings usually last only for days. The requirement added gas and electricity costs on top of the water bill. In addition, residents would lose water outright for days or even weeks at a time with no warning.
A coal company had built the original system, but since left, leaving no one in charge.
When Dickersonās water went out, she would drive the dying countyās winding mountain roads to the food bank, or buy water at Dollar General ā one of the areaās only stores. Sheād haul containers back home and heat up pots on the stove to fill the tub, so her mother could bathe. She stored water in containers in her mobile homeās two bathrooms to flush toilets. Dishes and laundry would pile up.













