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Mission Health in Western NC faces renewed scrutiny after Helene

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carolinapublicpress.org – Jane Winik Sartwell – 2025-01-30 08:00:00

Instrumental in Helene aftermath, Mission Health ‘back to their old ways’

Asheville’s Mission Health has been trying to help the city recover in the aftermath of Tropical Storm Helene. But medical staff and state officials have not softened their stance toward the beleaguered hospital.

New North Carolina Attorney General Jeff Jackson, for one, is not backing down from his office’s lawsuit against the medical provider. 

The lawsuit, originally filed in 2023 by predecessor Josh Stein, who is now the governor, accuses parent company HCA Healthcare of reneging on a promise to maintain oncology and emergency services. Stein also claims that the hospital is guilty of understaffing, long wait times and bed shortages.

“I know HCA was hopeful that a new attorney general would drop our office’s lawsuit,” Jackson told Carolina Public Press. “I am the attorney general, and that’s not going to happen. 

“HCA broke the promises it made to provide emergency and cancer-care services to the people of Western North Carolina. We’ll keep fighting for this case as long as it takes to restore the health care HCA promised to provide and Western North Carolinians deserve.”

Mission Health’s Helene help

Meanwhile, Mission Health is still trying to recover after Helene left the facility without water for more than two months. Staff, many of whom suffered losses from the storm themselves, worked for days at a time to deal with an influx of storm-related injuries and illnesses. 

Pop-up stores were created so they could grab essential supplies.

Stations were set up where they could shower and do laundry. 

Gas tanks were filled for free. 

By many accounts, Mission Health cared for their employees in the immediate aftermath of the storm.

But that was then.

Now, some hospital staff feel that HCA Healthcare, and Mission Health by extension, has returned to its “old ways.”

“We are right back to cutting corners and making money off of understaffing,” said Kerri Wilson, a Mission Health nurse. “I would say the safety and staffing issues within the hospital are pretty reflective of the way they were in late 2023 when we were placed in ‘immediate jeopardy.’ If surveyors came by over this past weekend, I feel we could go back into ‘immediate jeopardy’ very easily.”

Double ‘jeopardy’

“Immediate Jeopardy” is the most serious citation that the Centers for Medicaid and Medicare can deliver to a hospital. And, like Wilson referenced, that’s what happened in December 2023 when the organization notified HCA Healthcare that Mission Health had been cited for nine instances of patient harm or avoidable deaths in 2022 and 2023. 

“The ER is almost full every day, the ICU has been full, so we’ve had patients waiting for extended periods of time,” Wilson explained. “There were reports of nurses having to take care of up to 12 patients each.”

The most common recommendation for nurse-to-patient ratios is one nurse for every four patients.

“There were a few good things that happened after the hurricane,” Wilson continued. “We were able to get gas tanks and things like that during those first, really tough weeks of healing. But as soon as the cameras and the media and FEMA started to leave the area, we saw that a lot of those good things stopped. HCA was putting on a show. It was a lot of PR stunts for them, and that was really disappointing because I gave them the benefit of the doubt. 

“They are back to their old ways, and our patients are suffering because of it.”

View from the top

But HCA Healthcare’s top leader holds a different view.

CEO Greg Lowe argues that HCA Healthcare’s status as the largest hospital corporation in the country is what allowed them to serve patients through Helene. 

“Because of the support from HCA Healthcare, Mission Hospital and our five acute-care community hospitals were able to remain open to care for our neighbors throughout the storm and its devastating aftermath,” Lowe said in a statement. “Thinking about how we have been able to consistently serve our communities … makes me incredibly grateful to be part of this team. Without HCA Healthcare’s scale and ability to deliver under immense pressure, Mission Health facilities would have been otherwise forced to close.”

Even the hospital’s harshest critics partially agree with that assessment. Julie Mayfield, a Democratic state senator who represents Buncombe County, is one of them. Mayfield heads a coalition of physicians, nurses, elected officials, business leaders, clergy and advocates whose mission is to replace HCA Healthcare as owner of Mission Health with a nonprofit hospital system. 

“They really took care of their employees and patients in a way that was kind of  surprising to everyone,” Mayfield told CPP.  “They would never have been able to do everything they did, as quickly, if they weren’t a major corporation. What the storm showed us, very clearly, is that they have the resources and can make the investments in their patients and employees if it is in their interest.

“But we’re a little bit past that now, and we’re starting to hear some problematic and troubling things from folks on the inside again. They didn’t just wake up and become the company we want them to be.”

Mission Health monopoly

Not only did Stein sue Mission Health for cutting services in Asheville, he’s also been outspoken about what he sees as a health care monopoly in the region.

When a need was found for a hospital in the Buncombe County town of Weaverville, Stein urged North Carolina’s Department of Health Human Services to deny Mission Health’s application.

“Currently, Mission has almost no competition for acute care in Buncombe County. The lack of competition is the result of Mission’s unique history,” he wrote.

The department ultimately awarded the right to build a facility to AdventHealth, a Florida company that operates hospitals in Polk and Henderson counties as well as eight other states.

But the deal isn’t done yet. 

On Jan. 13, HCA once again appealed the state’s decision, sending the issue back to court and further delaying the construction of the Weaverville facility. 

“We strongly believe Mission Hospital can best meet Western North Carolina’s growing need for complex medical and surgical care,” HCA spokeswoman Nancy Lindell told CPP. “If we had been awarded the beds, Mission Hospital could have had these beds available in the shortest period of time — beds which are desperately needed by our community.”

This article first appeared on Carolina Public Press and is republished here under a Creative Commons license.

News from the South - North Carolina News Feed

Judge hears case against Hedingham HOA, security company

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www.youtube.com – WRAL – 2025-03-03 20:13:02


SUMMARY: Families of victims from a mass shooting in Raleigh’s Hingham neighborhood are suing the HOA and the security company, claiming they could have prevented the tragedy. They argue that the Capitol Special Police, responsible for patrolling the area 55 hours a week, had a duty to ensure resident safety and failed to respond to prior complaints about potential dangers. In court, the defense contended that the shooting was unpreventable and occurred in locations beyond their responsibility. The judge’s ruling on whether to dismiss the case is expected later this week.

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In the aftermath of a tragic shooting spree in Raleigh’s Hedingham neighborhood, families of the victims have filed a lawsuit against multiple parties, including the security company that had an armed officer in the community as the shots rang out.

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Confederate monument in Edenton will remain in place for now

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carolinapublicpress.org – Lucas Thomae – 2025-03-03 12:25:00

Despite outcry, NC town’s Confederate monument is staying put. For the moment.

After a secret agreement to relocate a controversial Confederate monument fell through, the Edenton Town Council and Chowan County are back to the drawing board.

This time, though, it’s in the public eye.

Even so, the five residents who sued over their right to have a say in the monument’s fate aren’t satisfied with the town’s attempt at transparency, their attorney told Carolina Public Press.

According to a lawsuit filed in January by the Southern Coalition for Social Justice, the Edenton Town Council broke open meetings law when it quietly negotiated a deal with Chowan County and several neo-Confederate groups to transfer ownership of the monument to the county and relocate it to the courthouse.

As a part of that deal, three neo-Confederate groups agreed to settle a separate lawsuit they filed against the town that has prevented the monument’s relocation since 2022. They have since backed out, and that lawsuit is still pending with a hearing scheduled for April.

Arguments over the fate of the monument, which was first erected in 1909, have been ongoing since Edenton first considered relocating it in 2020.

Although estimates can vary, it’s believed that North Carolina has at least 40 Confederate monuments in front of courthouses and roughly 170 such symbols statewide.

Usually, efforts in towns and cities to get them removed or relocated don’t come without a fight. And invariably, those disagreements often wind up in court.

A few years ago in Edenton, a town-created commission comprised of residents recommended that the monument be relocated from the historic waterfront. The town took that recommendation seriously but has been met by obstacles at each attempt to find a compromise.

Now, it appears that deadlock will continue.

A deal is undone

In early February, the town notified Chowan County that it and the neo-Confederate groups who sued to keep the monument in place could not reach a resolution to the lawsuit.

With the collapse of the initial deal, town and county officials sought a new path forward — this time with public input.

A week ago, the Edenton Town Council held a special joint meeting with the Chowan County Board of Commissioners with the intention of dissolving the memorandum of understanding from November and coming to a new agreement.

Edenton Mayor W. Hackney High Jr. acknowledged the lawsuit filed by the Southern Coalition for Social Justice during the meeting’s opening remarks and welcomed input from residents through a public comments session.

Twenty made speeches in front of local leaders, most of whom were against the monument and didn’t want it either downtown or on courthouse grounds. A few speakers voiced their support for keeping the monument in a prominent place.

One of the speakers was John Shannon, a local pastor who is one of the five plaintiffs in the Southern Coalition for Social Justice lawsuit. He was also a member of the town commission that recommended the monument be relocated.

“As of right now, every attempt to move the monument has been delayed, redirected or ignored,” Shannon said. “I hope that one day soon the recommendation from the (town commission) will be considered as a move in the right direction to better the relationships of all the citizens in Edenton.”

Despite having the opportunity to share their misgivings about the town council’s plan, a spokeswoman with the Southern Coalition for Social Justice told CPP she’s worried Edenton officials won’t take residents seriously.

“We are concerned that this meeting is a hollow attempt to check a box when it comes to hearing public input,” Sarah Ovaska said, “and not a sincere attempt to consider the wishes of the community.”

‘The right road’

After an hour of public comments, the town unanimously adopted a new memorandum of understanding.

The agreement closely mirrors the previous memorandum adopted in November — except it cuts out the neo-Confederate groups as a signatory, meaning their endorsement is not required for this new deal — and slightly changes the language describing where on the courthouse grounds the monument is to be relocated.

In this version of the deal, the transfer of the monument to Chowan County and its relocation to the courthouse will only take effect once the lawsuit involving the neo-Confederate groups is dismissed by a judge.

And there’s precedent for that. In March 2024, the state Supreme Court ruled that a neo-Confederate group did not have the standing to sue over Asheville’s decision to remove a Confederate monument. 

Edenton expects the judge to rule similarly here.

But although the Edenton Town Council adopted the new memorandum of understanding with little discussion, Chowan County officials were more apprehensive.

The Board of Commissioners decided to table the issue and vote on it sometime after considering the public comments and consulting with legal counsel.

Usually, efforts to get Confederate monuments removed or relocated don’t come without a fight. Southern Coalition for Social Justice / Provided

“I would like to think that this Board of Commissioners really needs to think hard and have a good discussion with our counsel,” Vice Chairman Larry McLaughlin said. “My reservations are if we take this monument, then we are stuck with any court cases coming up and the cost associated with that, and all the other rigamarole that we’ve been through. So my reservation is to be cautious to make sure that we’re going down the right road.”

Representatives from neither the town nor the county responded to CPP’s request for comment.

Additionally, the United Daughters of the Confederacy — one of the groups that sued to keep the monument in place during 2023 — also did not respond to a request for comment.

Confederate monument lawsuit continues

The lawsuit filed in January by the Southern Coalition for Social Justice takes issue not only with how the town’s business was conducted, but also the proposal that the monument be moved to a courthouse.

Along with the claim that the town violated open meetings law, the suit also asserts that having a Confederate statue on courthouse grounds would violate the plaintiffs’ rights under the state constitution.

That is something the town did not address in last week’s special meeting, opting instead to continue to move forward with relocating the monument.

Holding a public meeting just to vote on a similar deal shows that the town is not serious about taking residents’ comments into account, according to plaintiffs’ attorney Jake Sussman.

“The fate of Edenton’s Confederate monument has already been decided,” he said, referring to the town’s commitment nearly two years ago to relocate the statue. “As our lawsuit makes clear, however, following through cannot involve moving it to the county courthouse. That would be a huge step back for the community and North Carolina.”

This article first appeared on Carolina Public Press and is republished here under a Creative Commons license.

The post Confederate monument in Edenton will remain in place for now appeared first on carolinapublicpress.org

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One dead, another injured in Durham shooting; no arrests yet

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www.youtube.com – WRAL – 2025-03-03 08:33:11


SUMMARY: Durham police are investigating a shooting on East Umstead Street that resulted in one man’s death and injured another. Officers responded to shots fired around 10:00 PM and discovered one victim with a gunshot wound and another with unspecified injuries. Both were taken to the hospital, but the gunshot victim later died. Police have been on the scene for over six hours, collecting evidence and focusing on a residence in the area. The investigation spans several blocks, and law enforcement encourages anyone with information related to the incident to contact them.

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A man is dead and another man is in the hospital after a shooting Sunday night in a Durham neighborhood.

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