No. Nobody cares. If an urban hospital liked you and you liked the hospital thats good. They won't reject you because you submitted another personal statement to rural hospitals. It is always good to be honest, but be carful, the whole match thing can be a little tricky, many applicants received love emails in the past that they are being ranked number 1 , but during the match day they were ranked to their number 8!. Always stick to what "YOU" want and what"YOU" believe is best for "YOU", because believe me... everybody (other applicants and programs) are doing it.
I don't think it's dishonest if you would be perfectly happy in either setting. There's no issue with optimizing your chances for consideration as long as what you write is true. But as IMPD said, be careful to link the correct statements with the corresponding programs.