Ms. Lucas, 44, who also works as a respiratory therapist at Pikeville Medical Center, said that, while her house had not been damaged, many of her neighbors had not been so lucky. Many, in fact, had just begun to move back into homes after being flooded out in 2022.

“The rain, PTSD, so many people have it, just the sound of rain, and it was just awful,” she said. “I mean, your heart sinks for everybody who had to swim out and lost everything.”

Ms. Sparkman, the quilt shop owner, said she and her sister in Hazard were lucky that their homes were not damaged because they live on high ground. But when they returned to their store on Sunday, they saw that the water had risen above the three-foot mark. More than $100,000 of fabric was soaked and not salvageable, Ms. Sparkman said, though the sewing machines were high enough that they had remained dry.

She said she was encouraged, however, that more than a dozen people from the community — all strangers — had shown up to help rip out wet carpets, mop up and scrub shelves. That sort of support would make it hard to ever leave the area, she said, though it has been tempting to think about it amid the rapid-fire bouts of natural disasters.

“Besides, this bad weather is everywhere — it’s not just us, it’s Tennessee, West Virginia — and do you move to California, no way, they have fires,” she said. “There is no place left to go. These days, no place is safe.”

Rachel Nostrant contributed reporting.