Instrumental in Helene aftermath, Mission Health ‘back to their old ways’
by Jane Winik Sartwell, Carolina Public Press January 30, 2025
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.”
When will Helene-damaged Broadmoor Golf Course be ready for play? FernLeaf Charter School back in business in previously flooded location? • Asheville Watchdog
The Broadmoor Golf Course near Asheville Regional Airport, owned by the airport and leased to DreamCatcher Hotels, suffered over $10 million in flood damage from Tropical Storm Helene. DreamCatcher is rebuilding the course, clubhouse, and maintenance buildings using insurance and company funds, aiming to reopen in spring 2026. Meanwhile, FernLeaf Community Charter School in Fletcher, flooded by Helene, reopened its elementary Creek Campus after nearly a year with new modular buildings. Despite challenges, including ongoing construction and flooding risks, the school rebuilt on its original site with community support and flood insurance, celebrating resilience and continued education.
Today’s round of questions, my smart-aleck replies and the real answers:
Question: The Broadmoor Golf Course near the airport suffered catastrophic damage during the floods of Helene. Only the driving range has been able to operate. But now there is great activity that looks like the course is being rebuilt. I think the property belongs to the airport, and it is contracted out for management. Who is paying for this work, and when might the course be ready again for play?
My answer: I do miss playing this course, mainly because it’s not often I get a chance to hit a wayward shot onto an interstate, in this case I-26. Usually my drives are confined to the woods or a simple two-lane road.
Real answer: In short, a lot is going on at Broadmoor, which is located off Airport Road about a mile from Asheville Regional. The airport does own the property, but it leases the golf course to a company, DreamCatcher Hotels, which operates the golf course and plans to build a hotel on the property.
Zeke Cooper, president and CEO of DreamCatcher, told me his company has a 50-year lease, and it is committed to site improvements.
“As always planned, we are developing a hotel on the property, which we plan to start site work on later this year,” Cooper said via email.
Tropical Storm Helene inundated the Broadmoor Golf Links course, causing over $10 million in damage. // Photo provided by DreamCatcher Hotels
Helene, which struck our area Sept. 27, inundated the golf course and clubhouse. The French Broad River is close by, and the property is, as the name implies, relatively flat.
“The golf course lost over 1,000 trees and had 12-18 inches of silt covering 60-70 percent of the course,” Cooper said. “The first step was to remove all of the tree debris and remove the silt.”
The company finished that in April, and golf course reconstruction started shortly thereafter.
“The clubhouse had two feet of water on the first floor, with the basement completely submerged,” Cooper said. “The maintenance and irrigation buildings were submerged, resulting in total losses of the buildings and all equipment within them. It was a mess!”
Fortunately, they did have flood insurance. Cooper said total damage exceeded $10 million.
“So a lot of the work is being paid for with insurance funds, as well as our own money,” Cooper said. “We do not have an opening date yet, but expect to reopen in spring of 2026.”
For the golfers out there, Cooper gave a detailed breakdown of all the work they’re doing:
On the golf course: Stripping all greens surfaces, adding in new greens mix and reseeding with bent grass. All greens are completed and currently growing in. The 11th green was completely destroyed, as well as some tee boxes. Those have been rebuilt and are growing in.
All of the fairways and tees have been stripped of silt, regraded and tilled. All of these areas are currently growing in with Bermuda grass.
All of the bunkers were stripped, regraded and rebuilt with new drainage and sand. Sod was used around every greens complex and all bunkers, with the work completed about a month ago.
Tropical Storm Helene left behind 12 to 18 inches of silt on the Broadmoor Golf Links course in the Fletcher area. Workers had it removed by April, and the company that operates the course is rebuilding. // Photo provided by DreamCatcher Hotels
The irrigation electrical system was destroyed, and has now been replaced. New irrigation pumps have been operational the last couple of months. Workers also had to clean out and replace drainage systems, along with lots of bank restabilization.
Driving range: “We were able to open the driving range in a temporary capacity while work was being undertaken on the course,” Cooper said. “We closed the range on Aug. 11, in order to fix damage from the flood. It is currently under construction and we hope to reopen it in the next three to four months. No timetable, yet, as it’s weather dependent this late in the season.”
Clubhouse, maintenance buildings: The company gutted, cleaned and rebuilt the clubhouse. “We are close to hopefully reopening the clubhouse and restaurant in the next two months,” Cooper said. “We are working on finalizing some construction items for a full Certificate of Occupancy, as well as waiting on furniture, fixtures and equipment.”
The maintenance and irrigation buildings are completed and in use, Cooper added.
Question: What is going on with the FernLeaf Community Charter School in Fletcher? I’ve seen they’re putting back in mobile classrooms in the area that flooded, and it looks like it’s close to reopening. I thought they moved all the students to their location further south that sits on top of a hill?
My answer: I suspect all of the new mobile classrooms are actually barges. Pretty ingenious, really.
Real answer: Back in April I wrote about FernLleaf, the flooding at its location off Howard Gap Road in Fletcher, and the school’s plans to rebuild. Helene’s floodwaters filled the buildings with up to six feet of water and swept some of them off their foundations, Nicole Rule, communications, marketing and events coordinator for the school, said then.
On Monday she had some happy news about FernLeaf’s “second act.”
FernLeaf Community Charter School, which sustained major damage at its “Creek Campus” elementary school location in Fletcher, has reopened with new modular buildings. // Photo by Nicole Rule of FernLeaf Charter School.
“On Aug. 13, FernLeaf Community Charter School in Fletcher reopened its Creek Campus — 321 days after Hurricane Helene’s catastrophic flooding swept our main buildings off their foundations and left the campus under several feet of water,” Rule said via email. “In that time, over 430 elementary students and their teachers relocated to our Wilderness Campus (previously home to middle and high schoolers), where they continued learning without missing a beat.”
Rule said, “Community partners, including general contractor Beverly Grant and even the Carolina Panthers Charities (with a $20,000 grant), rallied to help us rebuild.
“While one building is still under construction due to this summer’s unrelenting rain, the reopening marks a milestone for our students, families, and the broader Fletcher/Asheville community,” Rule said. That building should be ready by the end of September.
Michael Luplow, FernLeaf’s executive director, said the school’s “journey has been a powerful demonstration of what we can achieve when we come together.”
“We are immensely grateful for the unwavering support of our students, families, staff, and the broader community,” Luplow said in the press release. “The re-opening of the Creek Campus is not just about a new set of buildings; it is a celebration of our collective spirit and our enduring mission to provide an innovative, inspiring education to our students.”
By the way, FernLeaf did rebuild on the same footprint, which is close to Cane Creek. But this is all approved.
“Since Fern Leaf had previously been constructed in a manner that met our current elevation requirements, they are permitted to go back in at the same elevation,” Town of Fletcher Planning Director Eric Rufa told me in April. “I have encouraged them to go higher, but current circumstances with regard to grade and ADA requirements may hinder that.”
The school did have flood insurance.
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Asheville Watchdog is a nonprofit news team producing stories that matter to Asheville and Buncombe County. Got a question? Send it to John Boyle at jboyle@avlwatchdog.org or 828-337-0941. His Answer Man columns appear each Tuesday and Friday. The Watchdog’s reporting is made possible by donations from the community. To show your support for this vital public service go to avlwatchdog.org/support-our-publication/
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Centrist
The content presents factual information about local community issues, such as flood damage and rebuilding efforts at a golf course and a charter school, without expressing partisan opinions or advocating for a particular political ideology. The tone is neutral and focused on reporting details relevant to the community, reflecting a balanced and nonpartisan approach.
SUMMARY: Brooke Johnson, 29, became the first woman to skateboard across the U.S., completing a nearly four-month, 3,000-mile journey from Santa Monica, California, to Virginia Beach. Motivated by a promise to her late stepfather, Roger, who suffered a spinal cord injury and encouraged her to skate across the country, Brooke fulfilled her goal while raising over $54,000 for spinal cord research. Despite emotional and physical challenges, she felt Roger’s support throughout. At the finish line, she wore a necklace containing his ashes, symbolizing their shared journey. Brooke plans to rest before deciding her next adventure. Donations continue via “Brooke Does Everything.”
Brooke Johnson traveled by skateboard from California to Virginia Beach over 118 days to raise over $50000 for spinal cord injury …
www.thecentersquare.com – By Alan Wooten | The Center Square – (The Center Square – ) 2025-08-18 08:01:00
Hurricane Erin, which rapidly intensified from Category 1 to Category 5 over the weekend with winds near 160 mph, weakened slightly to Category 4 on Monday while remaining offshore. At 8 a.m., it was about 115 miles north-northeast of Grand Turk and 890 miles south-southeast of Cape Hatteras, moving northwest at 13 mph. Dare County declared an emergency, ordering evacuations for Hatteras Island and the Outer Banks, where NC 12 is at risk of flooding and damage. While Erin is expected to miss U.S. landfall, North Carolina’s coast remains within its wind field amid ongoing recovery from Hurricane Helene.
(The Center Square) – Erin, once a Category 5 hurricane over the weekend that more than doubled wind speed to nearly 160 mph, on Monday morning remained on a path to miss landfall of the United States though not without forcing evacuations in North Carolina.
At 8 a.m., the Category 4 hurricane was just east of the southeastern Bahamas, the National Weather Center said, about 115 miles north-northeast of the Grand Turk Islands, and about 890 miles south-southeast of Cape Hatteras. Erin was moving northwest at 13 mph, forecast to be going north by Wednesday morning while parallel to the Florida panhandle.
Erin had 75 mph maximum winds Friday at 11 a.m., a Category 1, and 24 hours later was near 160 mph and Category 5. It has since gone to a Category 3 before gaining more intensity.
On the Saffir-Simpson Hurricane Wind Scale, Category 1 is 74-95 mph, Category 2 is 96-110, Category 3 is major and 111-129 mph, Category 4 is 130-156 mph, and Category 5 is greater than 157 mph. While the most-often characterization of Atlantic basin cyclones, the scale is without context on storm surge – a key factor in damage at landfall.
Dare County on Sunday declared an emergency with evacuations ordered for Hatteras Island and the Outer Banks. N.C. 12, the famed 148-mile roadway linking peninsulas and islands of the Outer Banks, is likely to go under water and parts could wash away – as often happens with hurricanes.
NC12 begins at U.S. 70 at the community of Sea Level and runs to a point just north of Corolla and south of the Currituck Banks North Carolina National Estuarine Research Reserve. Two ferries, Hatteras Island to Ocracoke Island and Cedar Island to Ocracoke Island, are part of the route.
Nearly all of North Carolina’s 301-mile coastline is within the outer wind field projection from the National Oceanic and Atmospheric Administration’s National Hurricane Center. The greatest speed, however, is 20 mph.
Erin’s rapid intensity is among the greatest on record, and particularly so for prior to Sept. 1. Hurricane force winds (74 mph) extend 60 miles from its center.
By midnight Thursday into Friday, the storm is expected to be past a point parallel to the Virginia-North Carolina border and gaining speed away from the coast.
The storm’s miss of the state is particularly welcome in light of Hurricane Helene. Recovery from that storm is in its 47th week. Helene killed 107 in the state, 236 across seven states in the South, and caused an estimated $60 billion in damage to North Carolina.
Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.
Political Bias Rating: Centrist
The content provided is a straightforward news report on Hurricane Erin, focusing on meteorological facts, evacuation orders, and recent hurricane impacts in North Carolina. It presents detailed information about the storm’s strength, projected path, and historical context without expressing any opinion or advocating for a particular political viewpoint. The language is neutral and factual, offering updates from official sources and avoiding ideological framing. Thus, it reports on the situation without contributing any discernible political bias or ideological stance.
