News from the South - North Carolina News Feed
Mission Hospital’s immediate jeopardy sanction highlighted a crisis in care • Asheville Watchdog
Editor’s Note: As 2024 comes to a close, Asheville Watchdog staffers take you back and inside their most memorable stories and news events of the year.
I was driving down I-26 on Jan. 11 when I got the call.
The U.S. Centers for Medicare & Medicaid Services had a document I’d been hunting for months, and I would possess it within minutes.
The caller, a CMS employee, told me he had a letter from the North Carolina Department of Health and Human Services informing CMS of its investigation of Mission Hospital and its recommendation that the hospital be placed in immediate jeopardy, the most severe sanction it could face.
State and federal investigators had descended on the hospital in November and December 2023, interviewing nurses, doctors and administrators about the quality of care being provided to patients.
I knew the investigations were happening, but I didn’t know how severe their findings would be. I certainly didn’t expect a finding of immediate jeopardy, which CMS defines this way:
“Immediate Jeopardy (IJ) represents a situation in which entity noncompliance has placed the health and safety of recipients in its care at risk for serious injury, serious harm, serious impairment or death.”
Unless a hospital fixes the conditions that brought about the immediate jeopardy, it faces the loss of its Medicare and Medicaid funding, which can jeopardize its financial viability. As we have reported, the majority of patients in western North Carolina are on Medicare or Medicaid, or are uninsured.
I called my editors and we started an all-hands-on-deck session of calling sources, writing and editing.
Within a few hours of my receiving the call from CMS, we published our story, making Asheville Watchdog the first media outlet to break this major news.
“We have taken those results seriously, and there are no excuses for our patients receiving anything other than exceptional care,” Mission Health spokesperson Nancy Lindell said in the story. “This is not the standard of care we expect, nor that our patients deserve, and we will work diligently to improve.”
On Feb. 1, CMS made it official with its own letter to HCA North Carolina Division President Greg Lowe. The letter stated that the hospital had 23 days to issue a “plan of correction,” which would need to spell out how it planned to fix the conditions that brought about immediate jeopardy.
On Feb. 15, a scathing 384-page report from CMS detailing what caused the failures was released. Again, The Watchdog was the first to report the findings: 18 people had been harmed, including four who died between 2022 and 2023, all because of violations of federal standards of care. I described the report this way in my story:
It spotlights not only patient deaths and long delays in care but also a lack of available rooms, a lack of governing bodies “responsible for the conduct of the hospital,” and multiple leadership failures.
Following a Feb. 23 visit to Mission by state and federal inspectors, the immediate jeopardy finding was lifted. But a coalition of prominent physicians and patient advocates blasted Mission’s plan of correction, writing a letter to NCDHHS Chief Deputy Secretary Mark Benton in which they demanded to know why the plan didn’t require the hiring of more staff.
Mission’s challenges weren’t over. It still risked losing federal funding if it didn’t address issues in key areas: governing body, patient’s rights, quality assessment and performance improvement programs, nursing services, laboratory services and emergency services. The hospital was ultimately found to be in compliance in late May.
The Watchdog’s reporting on immediate jeopardy was just one component of our coverage of Mission Hospital in 2024. Throughout the year, we investigated numerous angles about the largest hospital in western North Carolina. Many of our stories have been grim and tough to report.
A wave of departures
Nurses and doctors have left the hospital, seeking more promising job opportunities. The Watchdog has investigated the departure of neurologists, urologists, cancer medication doctors, pharmacists, hospitalists, registered nurses and others. We’ve spoken to patients, chaplains, administrators and union leaders.
I’ve spoken with many health care workers who say they feel hamstrung by their circumstances. They say they’re unable to leave because they’ve established roots here yet at the same time don’t want to stay because they are burned out or are forced to make compromises, many related to staffing issues at the hospital.
In July, a broad coalition of physicians, patient advocates, clergy and Democratic state Sen. Julie Mayfield launched Reclaim Healthcare WNC. The initiative calls for HCA to relinquish Mission so it can become a nonprofit hospital, as it was before the Nashville company bought Mission Health in 2019 for $1.5 billion.
Our reporting shows that nurses and doctors are working hard through the tumult to give the best care possible to our community. They worked through enormous challenges following Tropical Storm Helene, with HCA supplying a high level of support.
Some still feel as if the company will continue to cut where it can.
Some of the last stories I wrote in 2024 revealed Mission’s plan to close the region’s only long term acute care hospital, Asheville Specialty Hospital, and to raze the St. Joseph’s Hospital campus, whose origins date back more than a century and which has been expensive for Mission to maintain.
About a year ago, I wrote a year-in-review piece about my investigation into the hospital’s emergency room procedures, which nurses said had endangered patients. The story included this statement about Mission:
Not everything is clear, but after two years of reporting, I believe that whatever is happening there, it’s seismic.
I didn’t realize how accurate that statement would be.
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/.
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News from the South - North Carolina News Feed
Judge hears case against Hedingham HOA, security company
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.

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.
News from the South - North Carolina News Feed
Congressman Chuck Edwards to hold town hall at A-B Tech on March 13 • Asheville Watchdog
Despite other Republican members of Congress recently holding town hall gatherings that devolved into raucous shouting matches, U.S. Rep. Chuck Edwards, R-N.C., has scheduled an event in Asheville for March 13.
“I’ve had many constituents ask me lately if I could hold another live town hall. The answer is most emphatically, yes,” Edwards said in a news release Monday. “Being accessible, listening, and answering questions for the people of WNC are among my favorite activities, even if we might not always agree.”
Edwards will hold the in-person town hall from 6 to 7:30 p.m. at Ferguson Auditorium at A-B Tech.
Edwards, who breezed to re-election last November in the staunchly conservative 11th Congressional district, held eight in-person town halls in his first term and had another planned but had to cancel it due to Tropical Storm Helene.
Western Carolina University political scientist Chris Cooper said town hall events are important interactions between elected officials and their constituents. Cooper also said it’s noteworthy that Edwards, who lives in Hendersonville, will hold an event in Asheville, one of the few liberal areas in the district.
“He’s going right into the belly of the beast,” Cooper said. “It’s meaningful. It signals that he is not trying to avoid a situation that might run counter to his partisan interests.”
In June 2023 Edwards hosted an anti-crime summit at A-B Tech after a series of reports in the Asheville Watchdog and other media regarding increased concerns about public safety among downtown business owners, residents, and visitors.
Last week, Edwards issued a statement about town halls but would not confirm any pending events. Edwards said then he hoped to maintain a pace of about one town hall per quarter this term, depending on his legislative calendar.
“Additionally, I continue to hold regular tele-town halls, which allow many more folks to participate directly by simply dialing in,” Edwards said.
In recent weeks, several Republican Congressional members have encountered hostile crowds at their town hall meetings in the wake of the Trump administration’s widespread firings of federal workers and shuttering of programs.
Cooper noted that House Speaker Mike Johnson, also a Republican, suggested last week that Democrats were packing the town halls to make them look contentious.
“It appears that there was some guidance from Speaker Johnson’s office that legislators — Republican members of Congress — should not hold town halls, because some of them have resulted in bad press for the members,” Cooper said. “So yeah, I am pleased that Edwards would host a town hall.”
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. To show your support for this vital public service go to avlwatchdog.org/support-our-publication/.
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News from the South - North Carolina News Feed
Confederate monument in Edenton will remain in place for now
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.

“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.
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