Oh come on Hornet, maybe the flight crew were ex-Navy, and thought, worse case, the crash barrier would keep them on the hilltop. Or maybe they were ex-Colgan based in CRW, and not only could they do the approach in their sleep, they probably already had. :P
State capital has some decent medical facilities that are only a winding drive up the mountain away -- I think they're even on the same part of town. The ANG is based in CRW, which should help disaster relief anyway.
But for a less severe incident, you're probably right. The airport bar is not very impressive, and there are no good restaurants in town. On the bright side, it sounds like they can get a stack of pizzas on-site with minimal delay. I suspect there are very few other places in the world where you'll see such flexibility and heroism from the region's catering assets.