The purpose of our article is twofold. First, we introduce a framework for U.S. Extension educators to measure the extent of food access at any scale when information about food carried by retailers is limited. Second, we create a baseline for the Ohio Food Policy Council so that work to increase food access in rural areas will have a benchmark to measure success. Three broad aspects of food accessibility--physical, economic, and healthful--are considered. Lack of larger supermarkets, lack of competition, and high concentrations of nearby fast food alternatives are three issues that deserve attention in rural Ohio.