Abstract: The threat of antibiotic resistant bacteria is not only present, but increasing rapidly. Surveillance data that provides information about the location and caliber of antibiotic resistant bacteria is proving valuable when it comes to arranging appropriate medical responses. This study aims to address the antibiotic resistance surveillance data gap within the city of [REDACTED CITY] and its hospital system. Bacteria soil samples were collected at varying distance intervals in urban and suburban levels of anthropogenic activity and tested against ampicillin, ciprofloxacin, and erythromycin individually. The Traditional Agar Plating method was used to determine the resistance ratio of each sample by comparing colony forming units on control plates to antibiotic treated plates. Trends identifying the relationship between levels of anthropogenic activity/ distance from a hospital and antibiotic resistance ratios were present, although statistically insignificant; therefore, unable to prove the diffusion of antibiotic resistance from hospitals to other areas. The resistance ratios did, however, identify the possibility of antibiotic resistance genetic exchange between the soil reservoir and pathogens circulating within the hospital, imposing health risks to the subject hospitals' patients. With an increased sample size and optimized lab conditions, viable trends may be able to be identified, and the conclusions of this study will be extended.