Is Cape Girardeau, MO Tap Water Safe to Drink?
Graded D — but Vanadium and Molybdenum were detected above EPA limits. Here's what's in the water and how to remove it. What to do next ↓
45.4/100
waterverge.com Cape Girardeau, MO — Water Quality Report
Cape Girardeau's drinking water received a grade of D (45.4 out of 100), indicating poor water quality. The city's 12 water systems serve approximately 43,936 residents using groundwater.
Lead levels were measured at 0.9 ppb (90th percentile), well within EPA limits. UCMR 5 testing detected 2 PFAS compounds in the water supply.
The system has 359 violations on record, including 127 health-based violations. 67 remain unresolved.
What to know about Cape Girardeau's water
Cape Girardeau ranks #492 out of 509 cities in Missouri for water quality, placing it among the lowest-rated in the state.
Cape Girardeau relies on groundwater, which is generally less vulnerable to surface contamination but can be affected by naturally occurring minerals like arsenic and nitrate, as well as agricultural and industrial runoff.
PFAS compounds were detected in testing, though levels remain within current EPA limits. Residents seeking extra precaution may consider an activated carbon or reverse osmosis filter.
Hexavalent chromium (chromium-6) was detected at 1.00 µg/L in UCMR 3 testing. While below California's 10 µg/L limit and with no federal MCL set, residents sensitive to this contaminant may consider reverse osmosis filtration.
The system has seen 21 violations in the past five years, suggesting a pattern of compliance challenges that residents should monitor closely.
Water quality score
See methodology →Is Cape Girardeau, MO water safe to drink?
Cape Girardeau's drinking water has significant quality concerns based on EPA testing data. With a grade of D (45.4/100), the system has issues across multiple categories. A water filter is recommended for all residents. The city's 12 water systems serve approximately 43,936 residents using groundwater (wells).
Recent water quality updates for Cape Girardeau
A timeline of significant water quality events, violations, and data updates.
Detected at levels within current EPA limits. PFAS persist indefinitely in the environment.
Latest EPA compliance and testing data incorporated into Cape Girardeau's water quality assessment. Grade: D (45.4/100).
Contaminants: Lead and Copper Rule.
Contaminants: LEAD AND COPPER RULE REVISIONS, Consumer Confidence Rule.
Contaminants: Public Notice.
Federal disaster declaration (FEMA DR-4435). Flood event — may have impacted local water infrastructure.
Key contaminant findings
Based on the most recent EPA sampling data for Cape Girardeau's water supply.
Well within EPA limits.
Detected but within current EPA limits. PFAS do not break down in the environment and can accumulate in the body over time. An activated carbon filter can reduce exposure.
PFAS "forever chemicals" detected
UCMR 5 testing found 2 PFAS compounds in Cape Girardeau's water supply. PFAS are synthetic chemicals that persist indefinitely in the environment and the human body.
Violation history
Cape Girardeau's water system has 359 total violations on record, including 127 health-based violations. 67 remain unresolved. 21 violations were issued in the last 5 years.
Flood & environmental risk
Cape Girardeau County has experienced 7 federally declared disasters since 1982. Flooding and severe storms can overwhelm water treatment plants, cause sewage overflows, and introduce agricultural runoff, bacteria, and sediment into drinking water supplies. Local water sources include Mississippi River At Cape Girardeau, Mississippi River At Thebes.
Where does Cape Girardeau's water come from?
Cape Girardeau's drinking water comes from groundwater (wells), supplied by 12 water systems serving approximately 43,936 people. Groundwater is generally less susceptible to surface contamination but can contain naturally occurring contaminants like arsenic, radon, and nitrate. Nearby water bodies include Mississippi River At Cape Girardeau (river), Mississippi River At Thebes (river).
What Cape Girardeau residents can do
Recommended: Activated carbon or reverse osmosis filter. This addresses the specific contaminants found in Cape Girardeau's water.
Your water utility is required to publish an annual Consumer Confidence Report (CCR) with detailed testing results. Ask for the latest copy or check your utility's website.
Cape Girardeau's area has a history of flooding. After severe weather, watch for boil water advisories from your local utility.
Data: EPA SDWIS, UCMR 5 (PFAS), FEMA, NOAA. Last updated May 2026.
Top contaminants to know
View all ↓Forever chemicals overview
National PFAS report →Violation summary
Violations & advisories
Top industrial polluters within 10 miles of Cape Girardeau
Industrial polluters nearby
Reported releases to surface water by facilities near Cape Girardeau, ranked by pounds discharged annually.
Total reported releases to surface water: 346,927 lbs
| Facility | Top chemical | To surface water (lbs/yr) | Distance |
|---|---|---|---|
BIOKYOWA INC CAPE GIRARDEAU, MO63701 | Nitrate compounds (water dissociable; reportable only when in aqueous solution) | 346,907 | 5.3 mi |
BUZZI UNICEM USA-CAPE GIRARDEAU CAPE GIRARDEAU, MO63703 | Ammonia | 20 | 2.8 mi |
LEGGETT & PLATT INC CAPE GIRARDEAU, MO63701 | — | — | 5.0 mi |
SAFETY-KLEEN SYSTEMS CAPE GIRARDEAU (CAP) CAPE GIRARDEAU, MO63701 | — | — | 3.1 mi |
MID SOUTH STEEL PRODUCTS CAPE GIRARDEAU, MO63703 | — | — | 2.1 mi |
Source: EPA Toxic Release Inventory (TRI) 2023
Superfund sites within 10 miles of Cape Girardeau
Superfund sites nearby
Federally tracked hazardous-waste sites on the EPA National Priorities List. Proximity does not necessarily indicate tap-water contamination — the connection depends on hydrology and treatment.
- MISSOURI ELECTRIC WORKS1.6 mi
Source: EPA Superfund National Priorities List
Drought conditions
D2 — severe droughtCape Girardeau County is currently in D2 (severe drought) per the U.S. Drought Monitor (week of May 5, 2026). Drought can elevate disinfection-byproduct (TTHM/HAA5) levels and taste/odor issues as utilities draw from lower reservoirs.
Source: U.S. Drought Monitor, updated weekly by NDMC, USDA, and NOAA.
Flood & disaster history
Cape Girardeau County has experienced 7 federally declared disasters since 1982. Flooding and severe weather can compromise water treatment infrastructure and introduce contaminants into drinking water supplies.
Recommended water filters
Based on contaminants detected in Cape Girardeau's water supply, we recommend the following filter types.
Full contaminants report
| Contaminant | Detected Level | EPA Limit | Unit | Category | Status |
|---|---|---|---|---|---|
| Lead (90th percentile) LeadHeavy Metal A toxic heavy metal that can leach into drinking water from older pipes, solder, and fixtures. No amount of lead in water is considered safe. Health EffectsBrain and nervous system damage in children, kidney damage, high blood pressure, and reproductive problems in adults. EPA Limit15 ppb action level Common SourcesCorrosion of lead pipes, lead solder, brass faucets, and household plumbing. | 0.9 | 15 | ppb | Inorganic | Safe |
| 11Cl-PF3OUdS | ND | HI | µg/L | PFAS | Not Detected |
| 4:2 FTS | ND | HI | µg/L | PFAS | Not Detected |
| 6:2 FTS 6:2 FTSPFAS A fluorotelomer sulfonate commonly found at sites contaminated with aqueous film-forming foam (AFFF) used in firefighting. Health EffectsPotential liver toxicity and endocrine disruption. Less studied but identified as a contaminant of concern. EPA LimitNo individual MCL (not yet regulated) Common SourcesFirefighting foam (AFFF), airports, military bases, and industrial facilities. | ND | HI | µg/L | PFAS | Not Detected |
| 8:2 FTS | ND | HI | µg/L | PFAS | Not Detected |
| 9Cl-PF3ONS | ND | HI | µg/L | PFAS | Not Detected |
| ADONA | ND | HI | µg/L | PFAS | Not Detected |
| HFPO-DA HFPO-DA (GenX)PFAS A replacement for PFOA in manufacturing, marketed as safer but still a persistent "forever chemical." Also known as GenX. Health EffectsLiver and kidney effects, reproductive toxicity, immune system effects, and potential cancer risk. EPA Limit10 ppt MCL Common SourcesFluoropolymer manufacturing (used as PFOA replacement), industrial wastewater discharge. | ND | 0.01 | µg/L | PFAS | Not Detected |
| lithium LithiumInorganic A naturally occurring alkali metal found in groundwater. Monitored under UCMR 5 to assess occurrence in drinking water. Health EffectsKidney effects at high doses. Low-level exposure effects under study; some research suggests neurological effects. EPA LimitNo MCL (monitoring only under UCMR 5) Common SourcesNatural mineral deposits, geothermal water, and industrial discharge. | 10.300 | HI | µg/L | PFAS | Detected |
| NEtFOSAA | ND | HI | µg/L | PFAS | Not Detected |
| NFDHA | ND | HI | µg/L | PFAS | Not Detected |
| NMeFOSAA | ND | HI | µg/L | PFAS | Not Detected |
| PFBA PFBAPFAS One of the shortest-chain PFAS compounds. Very mobile in water and difficult to remove with standard filtration. Health EffectsThyroid effects, potential developmental toxicity. Shorter half-life in body than long-chain PFAS. EPA LimitNo individual MCL (not yet regulated) Common SourcesDegradation of longer-chain PFAS, industrial discharge, and firefighting foam. | 0.013 | HI | µg/L | PFAS | Detected |
| PFBS PFBSPFAS A short-chain PFAS used as a replacement for PFOS. While it clears the body faster than long-chain PFAS, it still persists in the environment. Health EffectsThyroid effects, reproductive and developmental toxicity, kidney effects. EPA LimitPart of Hazard Index (1.0) Common SourcesIndustrial discharge, firefighting foam, and as a replacement chemical in manufacturing. | ND | HI | µg/L | PFAS | Not Detected |
| PFDA | ND | HI | µg/L | PFAS | Not Detected |
| PFDoA | ND | HI | µg/L | PFAS | Not Detected |
| PFEESA | ND | HI | µg/L | PFAS | Not Detected |
| PFHpA PFHpAPFAS A medium-chain PFAS compound found in various environmental samples. Less studied than PFOA/PFOS but still considered a contaminant of concern. Health EffectsLiver effects, potential developmental toxicity, and endocrine disruption. EPA LimitPart of Hazard Index (1.0) Common SourcesDegradation of longer-chain PFAS, industrial discharge, and contaminated water sources. | ND | HI | µg/L | PFAS | Not Detected |
| PFHpS | ND | HI | µg/L | PFAS | Not Detected |
| PFHxA PFHxAPFAS A short-chain PFAS replacement chemical widely used after manufacturers phased out longer-chain PFAS. Very commonly detected in water. Health EffectsLiver and kidney effects, potential thyroid disruption. Considered less toxic than long-chain PFAS but still persistent. EPA LimitNo individual MCL (not yet regulated) Common SourcesIndustrial processes, firefighting foam (AFFF), food packaging, and textile treatment. | ND | HI | µg/L | PFAS | Not Detected |
| PFHxS PFHxSPFAS A medium-chain PFAS found in firefighting foam and consumer products. It has a long half-life in the human body, similar to long-chain PFAS. Health EffectsImmune system effects, thyroid disruption, and potential reproductive and developmental harm. EPA LimitPart of Hazard Index (1.0) Common SourcesFirefighting foam (AFFF), waterproof textiles, food packaging, and industrial discharge. | ND | HI | µg/L | PFAS | Not Detected |
| PFMBA | ND | HI | µg/L | PFAS | Not Detected |
| PFMPA | ND | HI | µg/L | PFAS | Not Detected |
| PFNA PFNAPFAS A long-chain PFAS compound used in manufacturing fluoropolymers. It bioaccumulates in the body and is very persistent in the environment. Health EffectsDevelopmental effects, liver toxicity, immune suppression, and potential cancer risk. EPA LimitPart of Hazard Index (1.0) Common SourcesFluoropolymer manufacturing, industrial emissions, and contaminated water sources. | ND | HI | µg/L | PFAS | Not Detected |
| PFOA PFOAPFAS A long-chain PFAS ("forever chemical") once widely used in nonstick coatings and firefighting foam. It persists in the body and environment for years. Health EffectsLinked to kidney and testicular cancer, thyroid disease, elevated cholesterol, and reproductive issues. EPA Limit4.0 ppt MCL Common SourcesIndustrial discharge, firefighting foam (AFFF), nonstick cookware manufacturing, and contaminated groundwater. | ND | 0.004 | µg/L | PFAS | Not Detected |
| PFOS PFOSPFAS A long-chain PFAS compound historically used in stain-resistant coatings and firefighting foam. One of the most studied and persistent PFAS chemicals. Health EffectsLiver damage, immune system suppression, thyroid disruption, increased cholesterol, and potential cancer risk. EPA Limit4.0 ppt MCL Common SourcesFirefighting foam (AFFF), industrial sites, stain-resistant fabric treatments, and contaminated groundwater. | ND | 0.004 | µg/L | PFAS | Not Detected |
| PFPeA PFPeAPFAS A short-chain PFAS compound commonly detected in drinking water. One of the most frequently found PFAS in UCMR 5 monitoring. Health EffectsLess studied than PFOA/PFOS. Potential liver and thyroid effects. Research is ongoing. EPA LimitNo individual MCL (not yet regulated) Common SourcesIndustrial discharge, firefighting foam degradation, and consumer products. | ND | HI | µg/L | PFAS | Not Detected |
| PFPeS | ND | HI | µg/L | PFAS | Not Detected |
| PFTA | ND | HI | µg/L | PFAS | Not Detected |
| PFTrDA | ND | HI | µg/L | PFAS | Not Detected |
| PFUnA | ND | HI | µg/L | PFAS | Not Detected |
Lead level trend (90th percentile)
See how Cape Girardeau compares by contaminant
Explore where Cape Girardeau ranks among all Missouri cities for specific contaminants.
Water source & infrastructure
Where Cape Girardeau's water comes from
Cape Girardeau's drinking water is drawn from underground aquifers through wells.
Groundwater is naturally filtered through rock and soil layers, generally requiring less treatment than surface water. However, it can contain naturally occurring contaminants like arsenic, radon, and minerals.
Agricultural activity, septic systems, and industrial operations near well fields can introduce nitrates, pesticides, and volatile organic compounds.
The system is operated by local government ownership and serves approximately 43,936 people through 12 water systems.
Water bodies near Cape Girardeau
Cape Girardeau is located near 2 notable water bodies. These water bodies contribute to the regional watershed and may indirectly affect groundwater quality.
Water systems serving Cape Girardeau
| System Name | PWSID | Population | Source |
|---|---|---|---|
| CAPE GIRARDEAU PWS | MO4010136 | 39,941 | GW |
| CAPE GIRARDEAU COUNTY PWSD 2 | MO4024097 | 2,500 | GW |
| CAPE GIRARDEAU COUNTY PWSD 5 | MO4021532 | 485 | GW |
| PARKWOOD ESTATES LLC | MO4048083 | 350 | GW |
| WINDWOOD ESTATES SUBD | MO4031196 | 170 | GW |
| MID AMERICA TEEN CHALLENGE | MO4079503 | 135 | GW |
| NORTH HILLS ESTATES | MO4036144 | 100 | GW |
| ENCLAVE APTS & AFFORDABLE MINI STORAGE | MO4071647 | 92 | GW |
| ROYAL LAKE ESTATES | MO4031334 | 52 | GW |
| WESTLAKE MEADOWS SUBDIVISION | MO4031453 | 50 | GW |
| WINFIELD POINTE ESTATES | MO4031534 | 33 | GW |
| UPPER BEND ROAD SUBDIVISION | MO4030289 | 28 | GW |
How Cape Girardeau compares
Full Missouri rankings →Cape Girardeau's score of 45.4/100 is below the average of 62/100 among major Missouri cities. It outscores 4 of 10 nearby cities. 6 of 10 nearby cities score higher.
Nearby cities
View Missouri rankings →About Cape Girardeau, MO
Wikipedia →Cape Girardeau is a city in Cape Girardeau and Scott counties in the U.S. state of Missouri. The population was 39,540 at the 2020 census, making it the 17th-largest city in the state. It is a principal city of the Cape Girardeau–Jackson metropolitan area with 97,517 residents. Cape Girardeau is the economic center of southeastern Missouri and the home of Southeast Missouri State University. It is located approximately 100 miles (160 km) southeast of St. Louis and 150 miles (240 km) north of Memphis, Tennessee.
Learn more about your water
Guides and resources related to Cape Girardeau's water quality findings.
Explore water quality across Cape Girardeau
Frequently asked questions
Is Cape Girardeau, MO tap water safe to drink?
Cape Girardeau's water quality earned a grade of D (45.4/100). Significant issues have been found. A water filter is strongly recommended. The city ranks #492 out of 509 cities tested in Missouri.
What contaminants are in Cape Girardeau's water?
Lead was measured at 0.9 ppb (90th percentile). 2 PFAS compounds were detected. 359 violations are on record.
How is Cape Girardeau's water quality grade calculated?
The grade is based on four factors: violation history (40%), lead and copper levels (25%), PFAS contamination (25%), and regulatory compliance (10%). The score is also adjusted based on how complete the available data is. See our methodology page for full details.
Do I need a water filter in Cape Girardeau?
PFAS compounds have been detected. A filter with activated carbon can help reduce exposure.
Where does Cape Girardeau's water come from?
Cape Girardeau's water is sourced from Groundwater. The city has 12 water systems serving approximately 43,936 residents.
What health violations has Cape Girardeau's water system had?
Cape Girardeau has 127 health-based violations on record. The most recent violation was recorded in December 2025. Health-based violations mean the water exceeded EPA maximum contaminant levels (MCLs) for a regulated substance. 67 violations remain unresolved.
Is Cape Girardeau's groundwater at risk of contamination?
Cape Girardeau uses groundwater, which can be affected by naturally occurring contaminants like arsenic, radon, and nitrate, as well as agricultural runoff and industrial activity. The system has 359 violations on record that may relate to groundwater quality. Groundwater systems are generally less susceptible to surface contamination but should be monitored for emerging contaminants like PFAS.
How does Cape Girardeau's water compare to other cities?
Cape Girardeau ranks #492 out of 509 cities in Missouri (better than 3% of state cities) and #14157 out of 15744 cities nationally (10th percentile). The grade of D reflects the combined assessment of violation history, lead and copper levels, PFAS contamination, and regulatory compliance.