Connect with us

News from the South - North Carolina News Feed

Mission Health permanently shutters Asheville Specialty Hospital • Asheville Watchdog

Published

on

avlwatchdog.org – ANDREW R. JONES – 2024-11-25 16:52:00

Mission Health has permanently closed Asheville Specialty Hospital, the only long-term acute care hospital in western North Carolina, less than two months after suspending its services following Tropical Storm Helene.

“We have made the difficult decision to not reopen Asheville Specialty Hospital, a small, long-term acute care facility located inside the St. Joseph’s campus,” Mission Health spokesperson Nancy Lindell said Monday. “We have had to focus on prioritizing our resources during and after Hurricane Helene to care for the most urgent medical needs of our community. Since Hurricane Helene, ASH employees have been caring for patients at Mission Hospital and that continues to be where they are most needed.”

The 34-bed Asheville Specialty included a comprehensive stroke center, dialysis services, physical and speech therapy, and traumatic brain injury rehabilitation, among other services, according to Mission’s website. The next closest long-term acute facility, or LTACH, is in Greenville, South Carolina, a little more than 60 miles away.

The facility was one of three services that Mission Health temporarily shut down after Helene crippled western North Carolina and left Asheville, and Mission Hospital, without water. CarePartners and Solace hospice care also closed and more than 250 employees had to take temporary positions as patients were ported out to facilities in the region and out of state.

Asheville Watchdog reached out to Asheville Specialty’s current medical director Ronnie Jacobs, but did not hear back before publication. 

“It is a big deal,” former medical director Scott Joslin said of Asheville Specialty’s closure. “Having a long-term acute care hospital provides the western North Carolina area with a site where patients who have been ill for a very long period of time and still have some acute care needs can get that long-term acute care.”

Dr. Scott Joslin, once director of Mission’s hospitalist program, currently works at the Asheville VA but served as medical director of Asheville Specialty from January through September 2022.

“It is a big deal,” Joslin said of the closure. “Having a long-term acute care hospital provides the western North Carolina area with a site where patients who have been ill for a very long period of time and still have some acute care needs can get that long-term acute care.”

Patients who would have been admitted to Asheville Specialty will now go to inpatient rehabilitation, skilled nursing care or another long-term acute care facility, Lindell said, but she did not provide specifics. Lindell also did not respond to questions about how many patients and employees the closure affected. 

Mission has permanent roles available for every caregiver who wants to stay with the company, Lindell said. 

Independent monitor: Move doesn’t violate purchase agreement

The closure does not violate agreements HCA made when it bought the Mission Health system, according to Gerald Coyne of Affiliated Monitors, the independent monitor responsible for holding HCA accountable for honoring agreements it made to the North Carolina attorney general’s office before the sale.

Asheville Specialty Hospital’s closure does not violate agreements HCA made when it bought the Mission Health system, said Gerald Coyne of Affiliated Monitors, the independent monitor responsible for holding HCA accountable for honoring agreements it made to the North Carolina attorney general’s office before the sale. // Credit: Affiliated Monitors

“I don’t believe it’s a required service,” Coyne said. He said he looked at the Asset Purchase Agreement (APA) when he heard the news of the closure but didn’t see anything that required Asheville Specialty to stay open for 10 years after the purchase.

“If it’s not part of the APA, there’s a limit to what we as the monitor can critique,” Coyne said. “We can’t say they’re violating it for sure. We are, of course, concerned, with the overall delivery of healthcare services. But… I’m not surprised that in the wake of some really horrific events, that there’s going to be some changes and we’ll just kind of try to look at them as a whole, rather than individually.”

Joslin, the former hospitalist, worked on and off with Asheville Specialty for more than 20 years and said the shuttering is likely related to operational efficiency. He said the age of the building could have contributed to the decision as well.

He said the building of the North Tower at least in part was influenced by the quality of the St. Joseph’s building where Asheville Specialty resides.

“One of the drivers behind the decision to build the North Tower was that, over time, the old St Joseph Hospital was becoming more expensive to maintain,” Joslin said. “It was nearing the end of its useful life at about age 50, and I was aware that we were having water leaks and electrical failures and infrastructure failures that they were trying to keep up with.” 

There were conversations about potentially relocating, he noted. Lindell did not answer The Watchdog’s question when asked if Mission would try to re-establish another LTACH in the region.  

“As more and more resources have moved out of the St Joseph building … the utility of keeping that open has become more and more questionable, both as a strategic decision as well as a financial decision, at least by my understanding.”

Although Asheville Specialty won’t reopen, Mission Health is starting to resume CarePartner services, Lindell said.

“With the return of municipal water, we began reopening CarePartners Inpatient Rehabilitation Hospital on Nov. 21,” Lindell said. “Teams are starting to return to roles there and we have begun admitting patients. We hope to have a date set soon for when we can begin to reopen CarePartners Solace.”

Since HCA Healthcare purchased Mission Hospital in 2019 for $1.5 billion, the once nonprofit hospital has faced an exodus of staff, including in medical oncology, urology, cancer pharmacy services and neurology.

In December 2023, North Carolina Attorney General Josh Stein sued HCA and Mission Health, alleging that they violated commitments made in the asset purchase agreement regarding cancer care and emergency services at Mission Hospital. 


Asheville Watchdog is a nonprofit news team producing stories that matter to Asheville and Buncombe County. Andrew R. Jones is a Watchdog investigative reporter. Email arjones@avlwatchdog.org. The Watchdog’s local reporting during this crisis is made possible by donations from the community. To show your support for this vital public service go to avlwatchdog.org/support-our-publication/.

Original article

The post Mission Health permanently shutters Asheville Specialty Hospital • Asheville Watchdog appeared first on avlwatchdog.org

The Watchdog

News from the South - North Carolina News Feed

Early projection adds U.S. House seat for North Carolina | North Carolina

Published

on

www.thecentersquare.com – By Alan Wooten | The Center Square – 2024-12-26 10:01:00

SUMMARY: North Carolina’s population has surpassed 11 million, making it the ninth largest state and fourth in growth for 2023-2024. The U.S. Census Bureau estimates its population at 11,046,024, up from 10,439,388 in 2020, reflecting a gain of 164,835 residents. This growth positions North Carolina to potentially gain a U.S. House seat during the next reapportionment. The South is expected to add nine to ten seats overall. Conversely, states like California and those in the Blue Wall are projected to lose seats. North Carolina’s growth rate of 1.5% is the eighth highest in the nation.

Read the full article

The post Early projection adds U.S. House seat for North Carolina | North Carolina appeared first on www.thecentersquare.com

Continue Reading

News from the South - North Carolina News Feed

Water outage, and restoration, took center stage this fall after Helene • Asheville Watchdog

Published

on

avlwatchdog.org – JOHN BOYLE – 2024-12-26 06:00:00

I’ve joked for weeks now that I’m going to sell my own T-shirts in Asheville that read: “Today’s mood: Turbid.”

It’s fair to say “turbidity” is probably the word of the year in these parts. OK, maybe it’s just behind “Helene,” but that is a name that must not be spoken aloud.

When the mountains got a thorough soaking on Sept. 25, in a system preceding Helene, folks were getting a little nervous around here, partly because it takes only about 5 inches of rain to create landslides and flooding. (Ten days before Helene, Asheville Watchdog published a story about Asheville’s increased risk of flooding.)

In 2004, back-to-back remnants from hurricanes Frances and Ivan wreaked havoc on Asheville’s main water supply, the North Fork Reservoir, stripping away the two main transmission lines and leaving customers without service for nearly two weeks.

The city installed a separate bypass line afterward, one capable of delivering water from the reservoir near Black Mountain to customers in Asheville. A 350-acre lake nestled in a 20,000-acre watershed, North Fork provides 80 percent of Asheville’s drinking water.

That 25-foot deep bypass line was no match for Helene when it rolled into the area in the wee hours of Sept. 27.

The city announced Sept. 29 that the storm “severely damaged the production and distribution system of the City of Asheville’s water system.”

“Extensive repairs are required to treatment facilities, underground and aboveground water pipes, and to roads that have washed away which are preventing water personnel from accessing parts of the system,” the announcement said. “Although providing a precise timeline is impossible, it is important to note that restoring service to the full system could potentially take weeks.”

In an interview the next morning, Asheville Mayor Esther Manheimer told me the damage was similar to what occurred in 2004 and was exacerbated by a washed-out road leading to the reservoir.

“What we’re communicating to people is, plan for (the) long-term — we’re talking weeks, not days,” Manheimer said of potential outage time. “We want people to plan for that. Hopefully it won’t be that long.”

It was that long. 

The city had to replace the two main transmission lines, 24 and 36 inches in diameter, and the 36-inch auxiliary transmission pipe the city had installed in a different location from the main lines after the 2004 outage. 

The city hired multiple contractors who worked around the clock to dig out and replace the two washed-out main transmission pipelines, and the bypass line. They also had to fix the road that leads to North Fork.

Restoration work on a water distribution line along old U.S. 70 in Swannanoa a few days after Helene is shown in this drone photograph. // Photo provided by City of Asheville

Water Resources spokesperson Clay Chandler and Assistant City Manager Ben Woody offered frequent updates throughout the fall, and the photos and videos they aired during the daily briefings told the story: The transmission lines, along with roads and distribution lines, were annihilated. In some cases, workers couldn’t even find the old pipes.

That 25-foot deep bypass line built following the 2004 outage was “engineered and installed to withstand a 2004 event, without a doubt,” according to Woody.

It turns out Helene brought us a 1,000-year rainfall event, though, and 2004 was child’s play comparatively. It also turns out that the city showed vision in completing a major spillway upgrade at North Fork in 2021 that may have prevented the dam from giving way and inundating the Swannanoa Valley and Asheville with a catastrophic cascade.

Non-potable water returned by mid-October

Honestly, after viewing Helene’s power in so many areas, particularly Swannanoa, I’d say it’s a minor miracle that the restoration crews, which included plenty of Water Resources workers, were able to get pipes back in place and restore at least non-potable water by the middle of October. The city opted to replace the bypass transmission line first, and that got the system wet with unfiltered but highly chlorinated lake water.

It was a start, and it at least allowed people to flush commodes and take showers (if they were a little adventurous). 

The city’s Bee Tree Reservoir in Swannanoa also sustained heavy damage from Helene, and high turbidity has kept it out of operation all year. 

The city’s third drinking water installation, the treatment plant on the Mills River in northern Henderson County, remained operational throughout the crisis, but it’s not able to produce enough water on its own to meet the demand of the city’s 63,000 water customers.

Equipment used to install turbidity-reducing curtains sat on the shore of North Lake Reservoir in October. At the time, Asheville water system customers were under a boil water notice more than a month after Helene. // Credit: City of Asheville

The city steadfastly refused to give any specific timeline on restoring potable water, sticking to the “weeks” estimate. Meanwhile, a boil water notice remained in effect as the city tried to reduce turbidity in North Fork with multiple treatments of chemicals that enhance coagulation, and the installation of “turbidity curtains,” which help still the water in front of the intakes to the treatment system.

Meanwhile, the city had been working with the U.S. Army Corps of Engineers, which had assembled a small pilot plant at North Fork to determine just how much turbidity the reservoir’s direct filtration system could handle. 

This brings us to another term we’ve all come to know and love: Nephelometric Turbidity Units, or NTUs.

Measured in Nephelometric Turbidity Units (NTUs), the murkiness at the North Fork Reservoir stood at 79 after Helene. The lake’s natural turbidity typically stood around 1.0 before the storm. // Credit: City of Asheville

This is how turbidity, or water murkiness, is measured. Normally, North Fork’s untreated water is around 1.0 NTUs, but it had soared to 79 after Helene.

Water Resources maintained turbidity would have to drop to 1.5 to 2.0 NTUs for North Fork to be able to treat the water. But it turned out the Corps’ pilot plant directly filtered water, the same way the reservoir does.

The Corps and the city discovered that as the muddiness cleared, it could indeed filter higher-turbidity water, in the 10-12 NTUs range. By early-to-mid November, North Fork was pushing out 17 million gallons of treated water, then 20 million and even more.

The city was on the path to restoration of potable water.

The lead issue, and the return to potable water

But on Nov. 14, it dropped a bombshell: Its testing had detected lead in seven schools, after Asheville water didn’t undergo the normal lead mitigation process for nearly three weeks.

The city’s use of the bypass line for water transmission did not allow for the water to pass through the regular treatment process for 19 days. That regular process involves adding zinc orthophosphate and sodium bicarbonate, minerals that coat the insides of pipes, with the zinc material absorbing the lead and keeping it from reacting with the water. The bicarbonate controls pH.

A slide from one of Asheville Water Resources spokesperson Clay Chandler’s presentations showed how the department was using chemical applications and an in-lake filtration system to try to reduce the North Fork Reservoir’s turbidity. // Credit: City of Asheville

The city re-established corrosion control treatment Oct. 30, but it can take 30 to 90 days for the chemicals to fully work.

While health officials and the city said no students had consumed the water, and flushing pipes typically removes any lead that may have leached into the water, customers were understandably concerned. Within a month, the city had been inundated with requests for lead testing kids, more than 8,000 by mid-December.

The lead issues took some of the shine off of the city’s announcement Nov. 18 that it had restored potable water, and that the EPA said the water is safe to drink. As Asheville Watchdog previously reported, two outside experts expressed concern about the lead, as no level is safe in drinking water, and they urged customers in houses built in 1988 or before, when lead rules changed, to get the testing done before consuming water.

A mobile filtration system, possible improvements in the future

Meanwhile, the Corps of Engineers were working on another project, which Chandler, the Water Resources spokesperson, had announced in October, to bring in a mobile filtration system at North Fork designed to work on high-turbidity water. The Corps spearheaded the project, awarding a six-month, $39 million contract to Ahtna/CDM Smith on Nov. 8. The contract has an option to be extended.

The mobile filtration system became partly operational in early December, and Chandler said Dec. 18 that three of 13 units were operational. Eventually it “will do most of the heavy lifting, with North Fork’s existing processes providing support, to produce the average daily demand of 20-25 million gallons of water,” Chandler had said previously.

On another positive note, the initial batch of lead test results came back in early December, with favorable results. Results for 159 homes showed nine had detectable levels of lead “on the first draw,” Chandler said at the Dec. 9 briefing. 

“First draw” means water has sat in the customer’s pipes for at least six hours and a sample is taken without first flushing.

“Of those nine, only three were either at or exceeded the action level of .015 parts per million,” Chandler said then. “Here is the most important part: After flushing for 30 seconds, out of 159 samples taken, zero had detectable levels of lead.”

The news improved Dec. 18 when Chandler noted 305 more tests had come back. 

“Out of 464 results that we’ve gotten back so far, 19 had detectable levels of lead on the first draw,” Chandler said. “Of those 19, eight were over the (EPA) action limit of .015 parts per billion.”

Out of 464 flush samples, where customers let the water run for 30 seconds, two have had  “very slight detectable levels of lead in them,” Chandler said, noting that one could be the result of the customer mixing up test bottles and the other was in a basement sink where the water had not run in weeks.

And that’s where the system is today — with potable water but officials still urging customers in older homes to let the water flush for at least 30 seconds before consuming it, or until the water temperature changes.

Following Helene, the city of Asheville will have to look at a permanent filtration improvement to North Fork, which could cost in the neighborhood of $100 million. // Photo credit: Phillips & Jordan Inc.

It’s been a long arduous process to bring the water back, and Woody said previously the city is going to have to consider some more system improvements to prevent another long-term outage. Those include a primary water transmission line from North Fork that routes in a different direction than the others — and is not in the path of the spillway.

The city also will have to look at a permanent filtration improvement to North Fork, which could cost in the neighborhood of $100 million. The city already has in its capital improvements plan provisions for upgrading the Mills River treatment facility to increase its capacity.

North Fork typically produces about 21.5 million gallons of water a day, Mills River about 3 million. The city also likely will explore another water source somewhere on the western side of Buncombe County, Woody has said.

Clearly, this outage has been a learning experience for the city, and as I’ve noted before, Water Resources did not have a good handle on just how turbid North Fork water could be and still be treated.

But this was truly an unprecedented event — one that caused flooding that eclipsed the previous benchmark flood of 1916. It claimed 43 lives in Buncombe alone, and more than 100 throughout the region, and it caused billions of dollars of losses in property damage.

Put in that context, restoring potable water in under eight weeks was a remarkable accomplishment, albeit not one without some hiccups along the way. 


Asheville Watchdog is a nonprofit news team producing stories that matter to Asheville and Buncombe County. John Boyle has been covering Asheville and surrounding communities since the 20th century. You can reach him at (828) 337-0941, or via email at jboyle@avlwatchdog.org. The Watchdog’s local reporting during this crisis is made possible by donations from the community. To show your support for this vital public service go to avlwatchdog.org/support-our-publication/.

Original article

The post Water outage, and restoration, took center stage this fall after Helene • Asheville Watchdog appeared first on avlwatchdog.org

The Watchdog

Continue Reading

News from the South - North Carolina News Feed

Resilience, tenacity and community were on display in Asheville Watchdog’s photos • Asheville Watchdog

Published

on

avlwatchdog.org – STARR SARIEGO – 2024-12-25 06:00:00

So much of the human spirit in Appalachia centers on community. For hundreds of years we have supported one another during good times and bad. And in 2024, there was plenty of bad.

Our world was turned upside down in September when Tropical Storm Helene caused such unimaginable loss of life and destruction. Even now, nearly three months after the flood waters subsided, we are left with so many questions. How should we rebuild? Will there be more frequent, more intense storms in our future? How can we help those who lost so much?

As a photographer accompanying Asheville Watchdog’s reporters in chronicling Helene’s aftermath, I have seen folks at their best and worst. I’ve witnessed enormous resilience, tenacity and sense of community as fellow residents cope with the loss of loved ones, their homes, their businesses.

Truth be told, those strengths were on display all year, as our region dealt with serious issues, ranging from the federal sanctions against Mission Hospital to a presidential election like none in modern history.

As the year ends, I am sharing a collection of Watchdog images I captured in 2024 that I believe highlight the challenges we’ve faced and our hopes for the future. Some capture the biggest news events of the year and others portray the subjects of the stories our reporters produced.

They include Missy Harris, a former Mission Hospital chaplain who described working under HCA management as a staggering “moral injury”; a woman known as Patient No. 12, whose delay in treatment at the hospital was chronicled by federal investigators; and DeWayne Barton, whose historically Black community is in the crosshairs of the Interstate 26 Connector project.

Light and composition drove many of my choices, such as a photo I took of PEAK Academy Executive Director Kidada Wynn, whose school faced a federal civil rights complaint that John Boyle chronicled in January.

Another image features Compass Point resident Norma Peeler, who figured prominently in a column John wrote about the first year of that permanent supportive housing facility. I chose one photo because it was both whimsical and illustrative of a serious demographic challenge our area faces. And one image, which accompanied a story looking at Buncombe’s recycling challenges, stands as a sobering reminder of just how much waste we generate.

This collection illustrates the tapestry of our community, the year none of us will forget and the commitment The Watchdog has to bringing you stories that matter.

Patient #12’s story was one of at least 15 detailed in a 384-page report from the U.S. Centers for Medicare & Medicaid Services (CMS), which in February placed HCA Healthcare-owned Mission in immediate jeopardy.
A truck prepares to dump trash at Curbside Management, also known as Curbie, the county’s main recycling center. Buncombe County residents use an astounding number of single-use plastic bags every year — 130 million, by one estimate — and, despite being recyclable, nearly all end up in landfills.
Burton Street, a historically African American community, is in the crosshairs of the I-26 Connector project. “This project is huge, and it’s been going on for so long, people still don’t believe it’s going to happen,” said DeWayne Barton, president of the Burton Street Community Association.
A Donald Trump supporter captures the presidential candidate’s Asheville rally in August on her cellphone.
Raincoats and hats were in abundance at Democratic vice presidential candidate TimWalz’s rally at the Salvage Station in September. Less than two weeks later, Helene destroyed the venue.
PEAK Academy Executive Director Kidada Wynn greets students waiting to enter the school’s lunchroom.
Missy Harris, a co-pastor for the Circle of Mercy congregation in East Asheville, servedas a part-time chaplain at Mission Hospital from 2018 to 2023.
Compass Point resident Norma Peeler became homeless in 2020, she said, after 30 years of struggling with a crack addiction. She started smoking crack to numb an unbearable pain – the murder of her 2-year-old daughter by her live-in boyfriend.
Tap dancers Gail Hensley, 75; Susan Richardson, 62; and Lynne Gaudette, 70, rehearse at the Harvest House Community Center. The trio belong are part of the Silver Tsunami – the growing number of seniors living in Buncombe County.
Weeks before Helene, former Asheville City Councilman Marc Hunt, a river advocate and volunteer consultant on Woodfin’s kayaking wave project, gave The Watchdog a tour of floodplains near the French Broad and Swanannoa rivers. The Watchdog published a story about the growing threat of floods in Asheville on Sept 17, 10 days before the storm.
A sign along a creek in Biltmore Village warns of the possibility of flooding. The neighborhood was one of the hardest hit by Helene.
Wes Barnett walks amid the rubble in Swannanoa near where he found his neighbor, James Dockery. Dockery and his wife, Judy, wre two of the 43 people killed in Buncombe County by Helene.
Bee Tree Christian Church, founded in 1872, was severely damaged by Helene.
Sarah Moore sits where she found her father, Timothy Moore, fatally pinned under a tree outside the Woodfin home they shared. “I can’t get that picture out of my mind,” Moore said.
Jesse Craig stands beside the remains of his parents’ home in Fairview. They were two of the 11 members of the Craig family killed by landslides.
An American flag discovered among the rubble stands where landslides devastated Craigtown.

Photographer Starr Sariego’s photos have been featured in exhibitions in Asheville and across the country. Contact her at ssariego@avlwatchdog.org. To show your support for this vital public service go to avlwatchdog.org/support-our-publication/.

Original article

The post Resilience, tenacity and community were on display in Asheville Watchdog’s photos • Asheville Watchdog appeared first on avlwatchdog.org

The Watchdog

Continue Reading

Trending