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Patient dies in Mission emergency department bathroom after call for help goes unanswered • Asheville Watchdog

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avlwatchdog.org – ANDREW R. JONES – 2025-02-20 16:34:00

A patient in Mission Hospital’s emergency room died in the bathroom last week after calling for help but getting no immediate response.

Hospital spokeswoman Nancy Lindell confirmed the incident to Asheville Watchdog on Thursday and said one employee has been fired and more action may be taken in an ongoing investigation. But several ER nurses contend that the department was crowded and understaffed that evening, with no rooms available when the patient arrived.

“The sudden death of a patient is devastating, and we grieve whenever there is a loss of life,” Lindell said. “We realize there are many questions that need to be answered, and we are examining every aspect of this incident. Our investigation indicates that certain staff who had been trained did not follow hospital protocols. We have terminated one individual and have reported to the appropriate agencies. We are working diligently to address any additional issues that are identified during the course of our investigation.”

Lindell would not provide additional details about the incident, including the number of staff and patients in the emergency department at the time.

The unidentified man arrived at Mission by ambulance Feb. 10 for a respiratory complaint or chest pain and went to the emergency department’s internal processing area, according to multiple medical staffers who spoke to Asheville Watchdog on the condition of anonymity because they were not authorized to discuss the matter. 

Typically a patient who arrives in the ER by ambulance is immediately admitted to a room so they can be closely monitored. But no rooms were available, they said. 

An electrocardiogram, or EKG, was ordered for the patient, they said, but he needed to go to the bathroom before the procedure and was taken there by wheelchair. 

“Once they were in the bathroom, they pulled the red cord for assistance,” said an emergency department registered nurse who was working that evening.

When the cord is pulled, an alarm sounds throughout the emergency department and a light flashes.

“Our leadership there at the time had called over our radios multiple times for somebody to please check that bathroom out in the lobby,” the nurse said. “Probably between 12 and 15 minutes it had been going off with no one checking on that patient. And then when they did check on the patient, the patient had arrested,” meaning his heart had stopped beating.

Triage nurse found patient

A nurse who was responsible for triaging patients ultimately entered the bathroom and found the patient, multiple nurses told The Watchdog. She was not supposed to be involved in responding to patient needs in the waiting room.

“After people weren’t answering, she stepped away (from her triage role), which she shouldn’t have been put in that position to step away, in all honesty, because she could have missed something coming through that door,” one nurse said. “But she stepped away and found him.”

Staff tried to revive the patient, but were unsuccessful.

North Carolina Department of Health and Human Services spokesperson Hannah Jones said Division of Health Service Regulation staff “is not on-site at Mission Hospital and cannot comment on possible investigations.” 

The department declined to say whether Mission had informed it of the incident.

Gerald Coyne, managing director of Affiliated Monitors Inc. –  the independent monitor responsible for ensuring HCA Healthcare lives up to the commitments it made when it purchased Mission in 2019 – said he was aware of the incident. 

“We are not conducting an independent investigation of it, because, you know, right now, I think there’s others that hopefully are,” Coyne said.

The nurses told The Watchdog that they thought staffing levels were inadequate that evening and led to the man’s call not being responded to immediately. 

The emergency room was extremely busy, one nurse said, with 25 to 40 patients in the lobby during the busiest part of the night. 

Another nurse said there were patients out the door at one point, many with severe symptoms.

“From what I observed, I would say it’s because of the staffing shortage, based on acuity and volume,” one nurse said. “They’re going to say there’s no staffing issue because of what we’re, quote unquote, fully staffed according to rooms, but we’re not staffed according to the lobby.”

She said nurses were trying their best under challenging circumstances.

“I mean, they’re trying to work up every critical person that comes through that front door who doesn’t have a room, and leadership was aware, because they were calling over the radio that entire time for somebody to go check on that bathroom,” the nurse said. 

Staffing has long been an issue, nurses contend

For years, nurses have contended Mission is not staffing its emergency room adequately, putting patients at risk. 

“This issue dominoes down because they are not properly staffing their floors to take enough patients,” one nurse said. “It trickles down to the ER. These patients are not getting rooms at appropriate times, because we are holding patients that could be taken care of upstairs. But instead of being taken care of up there, the way they’re saving money is by holding them in the emergency department.” 

If patients are in rooms, “they can actually get treatment,” the nurse said. “They would be put on a monitor where we can watch their heart rate, and we can watch their rhythms. They can get breathing treatments, all these things that they cannot get in a lobby, critical medications that they cannot get if they’re not on a monitor because they’re so high risk.” 

The Watchdog asked Lindell, the hospital spokesperson, about the nurses’ contentions about staffing, but she did not respond.

Ashley Bunting, an emergency department nurse and union member, spoke generally about staffing in her department. She was not working the night of the incident.

“We have seen improvements before,” Bunting said. “We have fought this fight before, we have brought up these same issues of hall beds, patients in the waiting room, unsafe staffing. We have seen improvements, obviously not a fix. And to see it backslide to know that, that we have the capability, the hospital has the resources to make improvements, and that, you know, we’re backsliding really, really shows that they’re choosing their profits over their patients, and that I think is the biggest slap in the face of all.”

In December 2023, Mission leaders sent an email to hundreds of medical staff reminding them that they were to respond when alerted to a emergency department patient’s loss of consciousness or “emergent” condition, and to stop to stabilize patients at risk of dying. 

The email was sent amid state and national investigations into safety practices at Mission, including in the emergency department, that ultimately led to a U.S. Centers for Medicare & Medicaid Services finding that patients had been placed in “immediate jeopardy” because of deficiencies in care. Following the finding, CMS issued a 384-page report that detailed the deaths of four people related to issues in the emergency department. 

A Watchdog investigation found those deaths coincided with staffing deficits.

Mission was given 23 days to issue a plan of correction, and the finding was lifted in February 2024 following a visit by federal and  state inspectors.


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 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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The post Patient dies in Mission emergency department bathroom after call for help goes unanswered • Asheville Watchdog appeared first on avlwatchdog.org

News from the South - North Carolina News Feed

Flooded homes, cars frustrate people living in Wilson neighborhood: ‘I’m so tired’

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www.youtube.com – ABC11 – 2025-06-16 12:08:08


SUMMARY: Residents in a Wilson, North Carolina neighborhood are expressing frustration after yet another round of flooding damaged homes and vehicles following heavy overnight rains. Water rose to knee level on Starship Lane, flooding driveways, cars, and apartments. One resident reported losing music equipment, furniture, and clothes for the third time due to recurring floods. The rising water even brought worms and snakes from a nearby pond into homes. Debris and trash were scattered as floodwaters receded, leaving many questioning why no long-term solution has been implemented. Residents are exhausted, facing repeated loss and cleanup efforts after each heavy rainfall.

“We have to throw everything out. This is my third time doing this.”

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McDowell DSS shakeup after child abuse not reported to NC DHHS

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carolinapublicpress.org – Lucas Thomae – 2025-06-16 08:54:00


More than three months after McDowell County placed its Department of Social Services (DSS) director Bobbie Sigmon and child protective services manager Lakeisha Feaster on paid leave, details about internal issues remain limited. A state letter revealed McDowell DSS failed to notify law enforcement of child abuse evidence and violated state policies, also neglecting required face-to-face visits and risk assessments. After nearly four months on leave, both Sigmon and Feaster resigned. Interim director Ashley Wooten is overseeing operations as the county considers restructuring social services, potentially consolidating departments into a human services agency, which may eliminate the traditional DSS director role.

More than three months after McDowell County placed its Department of Social Services director on leave, officials have kept quiet about upheaval inside the office responsible for child welfare and a range of other public services. A letter obtained by Carolina Public Press revealed that McDowell DSS failed to alert law enforcement to evidence of child abuse — and violated other state policies, too.

County commissioners placed former McDowell DSS director Bobbie Sigmon and child protective services program manager Lakeisha Feaster on paid administrative leave during a special session meeting on Feb. 3. Another child protective services supervisor resigned the following week.

[Subscribe for FREE to Carolina Public Press’ alerts and weekend roundup newsletters]

County Commissioner Tony Brown told local news media at the time that the county initiated an investigation into its DSS office and the state was involved, but did not provide any details about the cause for the investigation. County commissioners haven’t spoken publicly about the matter since.

That Feb. 21 letter, sent by the N.C. Department of Health and Human Services to Brown and county manager Ashley Wooten, offered previously undisclosed details about issues at the DSS office.

State letter details DSS missteps

According to the letter, McDowell County reached out to the state with concerns that its DSS office hadn’t been notifying law enforcement when evidence of abuse and neglect was discovered in child welfare cases.

The letter didn’t say how or when the county first became aware of the problem, but District Attorney Ted Bell told CPP that he had “raised issues” with the county about DSS prior to Sigmon and Feaster being put on leave. Bell’s office was not involved with the investigation into McDowell DSS.

The state sent members of its Child Welfare Regional Specialists Team to look into the claim. Their findings confirmed that McDowell DSS had failed in multiple instances to alert law enforcement to cases of abuse.

Additionally, the state identified several recent child welfare cases in which social workers failed to consistently meet face to face with children or adequately provide safety and risk assessments in accordance with state policy.

“Next steps will include determining how to work with (McDowell DSS) to remediate the service gaps identified in the case reviews,” the letter concluded.

However, that nearly four-month-old correspondence is the state’s “most recent engagement” with McDowell DSS, a spokesperson for the Department of Health and Human Services told CPP last week.

Sometimes the state will initiate a “corrective action plan” when it finds a county DSS office in violation of state policy. If a county fails to follow through on its corrective action plan, the state may strip the DSS director of authority and assume control of the office.

Just last month, the state took over Vance County DSS when it failed to show improvement after starting a corrective action plan.

The state hasn’t taken similar measures in McDowell.

McDowell considers DSS overhaul

Wooten has served as the interim DSS director in Sigmon’s absence. He told CPP that Sigmon and Feaster resigned “to seek employment elsewhere” on May 31, after nearly four months of paid leave.

That Sigmon and Feaster resigned, rather than being fired, leaves open the possibility that they may continue to work in DSS agencies elsewhere in North Carolina. CPP reported in 2022 on counties’ struggles to hire and retain qualified social workers and social services administrators.

Wooten would oversee the hiring of a new DSS director if the commissioners choose to replace Sigmon, but the county is considering an overhaul to its social services structure that may eliminate the director position entirely.

The restructure would consolidate social services and other related departments into one human services agency, Wooten said. The county may not hire a new DSS director in that case, but instead seek someone to lead an umbrella agency that would absorb the duties of a traditional social services department.

A 2012 state law changed statute to allow smaller counties to form consolidated human services agencies, which are typically a combination of public health and social services departments. 

County DSS directors across the state opposed such a change to state statute at the time, but county managers and commissioners mostly supported it, according to a report commissioned by the General Assembly.

At least 25 counties moved to a consolidated human services model in the decade since the law was passed.

McDowell shares a regional public health department with Rutherford County, so it’s unclear what a consolidated human services agency there might look like. Statute does not define “human services” so it’s up to the county what to include in a consolidated agency.

Wooten told CPP that no decisions about such a transition have been made.

This article first appeared on Carolina Public Press and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License.

The post McDowell DSS shakeup after child abuse not reported to NC DHHS appeared first on carolinapublicpress.org



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

This article from Carolina Public Press focuses on administrative failures within McDowell County’s Department of Social Services, relying on official documents, quotes from public officials, and a chronological recounting of events. It avoids emotionally charged language and refrains from assigning blame beyond documented actions or policies. The piece does not advocate for a specific political solution or frame the story through an ideological lens, instead presenting the issue as a matter of public accountability and governance. Its tone is investigative and factual, reflecting a commitment to journalistic neutrality and transparency without promoting a partisan viewpoint.

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Enjoying the I-26 widening project? Great, because it won’t be over until July 2027 — if it stays on schedule • Asheville Watchdog

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avlwatchdog.org – JOHN BOYLE – 2025-06-16 06:00:00


The I-26 widening project in Buncombe and Henderson counties, originally slated for completion in 2024, is now expected to finish by July 1, 2027. Delays stem from added infrastructure like Exit 35 for the Pratt & Whitney plant and a new Blue Ridge Parkway bridge. Traffic congestion and safety concerns continue, especially westbound near Long Shoals. Drivers face narrowed lanes, slowdowns, and limited truck restrictions. Some relief is expected by July 4, with westbound traffic moving to new lanes. Meanwhile, the \$1.1 billion I-26 Connector project has begun, with full completion not expected until at least 2031—or likely later.

Among the many topics that draw continued interest — and ire — from you good readers, the I-26 widening project has to be right at the top of the list.

No, not the I-26 Connector project, which we will get to complain about for roughly the next decade. I’m talking about the widening of I-26 through Buncombe and Henderson counties, the $534 million project that started in October 2019.

Initially, it was to be completed in 2024, but that date got pushed back to this year. Then next year. 

And now?

“Our revised contract completion date for I-26 widening in Buncombe — which includes Exit 35 — is July 1, 2027,” David Uchiyama, spokesperson for the North Carolina Department of Transportation in western North Carolina, said via email.

You read that right — two more years of harrowing passes through Jersey barriers, slamming on the brakes because the pickup in front of you didn’t notice the line of cars in front of him coming to a standstill, and serious concrete envy when you drive I-26 in Henderson County, which is a glorious four lanes on each side in places.

Most times I go to Asheville, I take I-26. It’s gotten so I give myself about 40 minutes for what once was a 20-minute trip, mainly because I just don’t know what I’m going to get. 

Best-case scenario is a sluggish slog through the Long Shoals area and up the mountain to the Blue Ridge Parkway, as the tractor-trailers refuse to move over and they slow everything down. Worst-case scenario is a wreck, for which I can plan on settling in for a good 50 minutes or so.

Clearly, this road project makes me a little grumpy, but I can assure you I’m not the only one. I routinely hear from readers who might even outdo me on the grump-ometer. Most recently, an octogenarian wrote to express his displeasure:

“If the pace of building the Connector takes as long as building out I-26 at the Outlet Mall to below the airport and beyond toward Hendersonville, it almost certainly will not be completed in our lifetimes, and I’m 82 years old. Could you please determine why this project is still not complete? It seems like an interminable length of time exacerbated by the many days one passes through the area and sees lots of machinery not in use nor any work going on at all. It seems to me that magnificent roads in Western Europe get done a lot faster, and certainly in China where significant projects get done three times faster than here with work ongoing 24 hours a day. You want to get things done, then China’s approach may be worth our consideration. Or, are we too soft?”

I chuckled. To be fair, China is a communist country that builds apartment buildings and roads that folks don’t even use, and if you’re a worker there, they might suggest your life could be a lot shorter if you don’t put in all that overtime.

Heading into Asheville on westbound I-26, traffic narrows down to two lanes bordered by concrete barriers. This traffic pattern will change in about a month, though, the NCDOT said. // Watchdog photo by John Boyle

To be fair to the NCDOT and its contractor, the new exit for the Pratt & Whitney plant got added in well after the I-26 widening had begun. 

“The addition of Exit 35 — an economic development project in addition to a project that will relieve congestion and increase safety — created (the) completion dates,” Uchiyama said.

Back in March, when another reader had asked about delays, Luke Middleton, resident engineer with the NCDOT’s Asheville office, said, “The addition of a new interchange, Exit 35, after the project was more than halfway completed extended the timeframe needed to complete the north section.

“The south end of the project did not have these obstacles,” Middleton said then. The new exit was announced in early 2022.

Middleton noted that Exit 35 will include an additional bridge and multiple retaining walls, “which increased the overall project timeline by almost two years.”

This month, I asked if the contractor was facing any penalties because of the extended time frame.

“Damages will not be charged unless the contractor is unable to complete the work by the newly established contract date,” Uchiyama said. “If work goes past that date a multitude of items will be considered before damages are charged.”

Those damages could be $5,000 a day. 

While it may appear work is not going on yet with the interchange, that’s a misperception, Uchiyama said.

“The contractor started working on the westbound on and off ramps in March of 2024,” Uchiyama said. “I-26 traffic has been on the other side of the interstate island, which obstructs the view of drivers in the area.”

Over the past month, “earthwork operations have started on the offramp on the eastbound side of I-26, just south of the French Broad River,” Uchiyama added. He also noted that the interchange bridge will be a little less than one mile south of the French Broad River bridge and about halfway between the French Broad River and the Blue Ridge Parkway.  

New Blue Ridge Parkway bridge building has been slow

Another factor in the widening slowness is the construction of a new Blue Ridge Parkway bridge, which Middleton acknowledged in March “has taken longer than anticipated, which has resulted in a delay to remove the existing structure. Removal of the existing structure is key to getting traffic in its final pattern.”

Uchiyama said the removal of the old bridge is coming up this summer.

“We anticipate switching traffic from the old bridge to the new bridge and new alignment on the Blue Ridge Parkway late this summer,” Uchiyama said. “Once traffic has been moved to the new alignment, the contractor will begin taking down the existing bridge.”

I wrote about the parkway bridge last August, noting that it was supposed to be finished between Halloween and Thanksgiving. The $14.5 million bridge is 605 feet long, 36 feet wide and will provide two lanes of travel over I-26.

It’s also right in the area where I-26 traffic gets bottlenecked pretty much every day, especially traveling west (which is really more northward through this area, but let’s not split hairs). Coming from Airport Road, you’re driving on three lanes of concrete, which narrow down to two at Long Shoals.

Add in a fairly steep hill leading up to the Parkway bridge, and it’s a guaranteed bottleneck. I asked Uchiyama what causes this.

Westbound traffic on I-26 often slows down or gets congested on the hill heading up to the Blue Ridge Parkway bridge. // Watchdog photo by John Boyle

“Congestion issues existed for years prior to construction,” he said. “The opening of new lanes, wider shoulders and faster speeds approaching this area, and the opening of lanes in the opposite direction exacerbate the perception of current congestion.”

Allow me a moment to note that this is not a “perception of current congestion.” It’s congested through here every day, just about any time of day, and it’s particularly horrid during rush hours. If I’m heading to Asheville during rush hours, or coming home, I opt for another route. 

As far as the bottleneck, Uchiyama said the NCDOT had to narrow four lanes down to two.

“Functionally, NCDOT chose a traffic pattern that trims four lanes down to two while providing drivers with ample time for merging to the appropriate lanes, including the Long Shoals Road offramp,” Uchiyama said.

One problem with congestion on westbound I-26 is that slow-moving tractor-trailers take up both lanes, instead of pulling to the right. // Watchdog photo by John Boyle

Part of the problem is this is an area where you get people not paying attention and then slamming on the brakes, or folks hauling arse into the construction zone instead of slowing down, resulting in someone slamming on the brakes, or a rear end collision. It’s unpleasant to say the least, dicey and dangerous to say the most.

Regarding trucks not moving over, don’t look for that to change.

Right now there’s just nowhere to pull over as you head up the mountain, so pulling over trucks is not practical.

“The truck restriction enacted prior to construction has been suspended to increase safety for construction workers, those who would enforce any truck restriction, and those responding to any crashes or breakdowns,” Uchiyama said. “NCDOT and other agencies — including law enforcement — will revisit the necessity of a truck restriction upon completion of the project.”

Some relief in sight

Once you crest the hill and pass under the Parkway bridges, the construction zone is curvy and lined with concrete barriers. You better be on your toes through here, in both directions.

Some relief is coming, though.

“The current configuration is temporary — less than a month remaining,” Uchiyama said. “The contractor anticipates moving traffic to the new westbound alignment from Long Shoals (Exit 37) to Brevard Road (Exit 33) before the July 4th holiday,” Uchiyama said. “This will provide for more shoulder area.”

So that covers the widening project.

But if you really think about all this, the fun is just starting.

 By that, I mean we can now anticipate the $1.1 billion I-26 Connector project kicking off and creating traffic issues for, oh, I don’t know, the next 25 years.

I asked Uchiyama if we can expect these projects — the ongoing widening and the Connector — to overlap.

“On the calendar? Yes. On the ground? No,” Uchiyama said. “Construction has started on the south section of the Connector. The north section is slated to start in the second half of 2026.”

I’m going to classify that as overlapping, at least in my world.

The NCDOT’s official page on the Connector project lists the completion date as October 2031. I’m going to add five years, just to be on the safe side.


Asheville Watchdog welcomes thoughtful reader comments about this story, which has been republished on our Facebook page. Please submit your comments there. 


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/.

Original article

The post Enjoying the I-26 widening project? Great, because it won’t be over until July 2027 — if it stays on schedule • Asheville Watchdog appeared first on avlwatchdog.org



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

This content provides a detailed and pragmatic overview of a local infrastructure project without showing clear ideological bias. It critiques government project delays and inefficiencies, compares practices internationally, and addresses practical concerns of local residents. The tone is concerned but balanced, focusing on accountability and transparency rather than promoting a specific political agenda or leaning left or right.

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