Given the cost of long-term foster care placement in both human and economic terms, few studies have specifically explored if any factors help to predict why this vulnerable population spends significantly more time in foster care. The overarching goal of this exploratory study was to use binary logistic regression to investigate whether any child demographic or environmental characteristics predicted the discharge of a child placed in Kentucky's foster care system for child sexual abuse. Results indicated that children in the most rural areas of the state were over 10 times more likely to be discharged from foster care during the federal fiscal year than those residing in the most urban areas. Given this stark reality, a focus must be allocated in understanding this phenomenon. Future research must examine whether the results speak to the necessity of systematic improvement in urban areas or if they are illustrating a unique strength found in rural areas.