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first of all dont panic. don't make any crazy adjustments. step one: breathe. step two: edit your meta description that sounds natural to someone in maysville will want to click on. step three: edit the h1 and h2 as per instructed in my first post step 4: add your website to any maysville directories or whatever county or state that it's in, specifying Maysville. step 5: join a Maysville community forum and be involved. Let them know what services are available to the residents. step 6: repeat for the other keywords you want. step 7: realize if you have 100s of keywords, narrow that down and cater to those keywords or make them broad enough to where you can at least land on the first page for all of them. step 8: create a google plus page for your website. Just one, and create the content stating you cater to said areas ie..maysville,smallsville,gotham,metropolis, etc.. step 9: wait a few weeks to be re-indexed. step 10: relax and enjoy the seomoz community. Edit your content to not have Maysville as the main word in a seoquake tag cloud. if you dont know or use seoquake check it out. google it. I understand you are being outranked by others with little or zero content, but what are they also doing that you're not? If they are not back linking, could they be on directories?

Wouldn't worry too much about keyword density. It was possibly a factor in the early age of search engines. But today there's no correlation. http://www.seomoz.org/blog/10-myths-that-scare-seos-but-shouldnt-whiteboard-friday