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Deadline Arrives for Acute Bed Expansion Plans in North Carolina

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Deadline Arrives for Acute Bed Expansion Plans in North Carolina


Wednesday marks the deadline for health systems to submit proposals for an acute bed expansion in North Carolina.  

Four major North Carolina health systems are vying to build or expand hospitals in Buncombe County. AdventHealth, Mission Health, Novant Health and UNC Health have all expressed interest in bids.  

Why It Matters 

Whichever health system wins the bid will be able to expand its area of care to the region. This area covers 23 counties, including Buncombe, Haywood, Henderson and Jackson. Western North Carolina is a mountain region with a population of about 1.15 million people, accounting for about 11 percent of the state’s total population.  

What To Know 

The North Carolina Department of Health and Human Services (NCDHHS) included a need for 129 acute care beds in Buncombe County in 2025 in its latest State Medical Facilities Plan (SMFP).  

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UNC Health told Newsweek on Wednesday that it submitted a plan with the state’s Certificate of Need office to develop UNC Health West Medical Center (UNC Health West), a new, 129-bed community hospital in Buncombe County.  

The new facility plan includes emergency care, labor and delivery services, inpatient acute care and adult psychiatry services. 

“UNC Health West builds on UNC Health Pardee’s record of public service and proven experience and dedication to the western region and UNC Health’s commitment to the health and wellness of our state, resulting in increased access and improved care for the residents of Buncombe and surrounding counties,” UNC Health told Newsweek.  

Novant Health announced in September that it submitted its proposal to build a hospital in western North Carolina.  

The plan includes acute care beds, an emergency room, imaging and pharmacy services.  

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“We remain deeply committed to extending high-quality, compassionate care to Western North Carolina,” a Novant Health spokesperson told Newsweek. “Over the past year, we’ve worked closely with the community and local physicians to grow our specialty care network in the region and have applied for a 34-bed hospital in Buncombe County.”

Novant is based in Winston-Salem and has 19 hospitals and hundreds of outpatient locations and physicians’ clinics in North Carolina and South Carolina. 

Mission Health, part of HCA Healthcare, expressed its plan to apply for the 129 beds, confirming the plan to the Asheville Watchdog earlier this month.  

AdventHealth has also thrown its hat in the ring. The health system said in July that this expansion “reflects the voices of the community and AdventHealth’s commitment to delivering more access, more choice, and more whole-person care to Western North Carolina.” 

“This hospital is more than a location—it is a vision,” Brandon Nudd, president and CEO for AdventHealth Hendersonville and AdventHealth Polk, said in a statement. “It is a promise to Western North Carolina that more not-for-profit, whole-person care is not only coming but also evolving. These additional beds will allow us to meet the growing needs of our region and deliver the high-acuity, compassionate care our communities deserve.” 

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AdventHealth is also building a hospital in Weaverville, North Carolina. This facility was approved by the NCDHHS in 2022 after the North Carolina State Medical Facilities Plan listed a need for 67 acute care beds to serve Buncombe, Graham, Madison and Yancey Counties.  

Mission Health/HCA appealed the decision, leading to a legal battle in 2023 that has delayed the process. In November 2024, AdventHealth announced that the state approved an additional 26 beds for the Weaverville location.  

What Happens Next  

Per North Carolina’s Certificate of Need (CON) program, the major health construction projects require state approval.  DHSR has from 90 to 150 days to review a CON application. Each application is reviewed against the review criteria in the CON Law and any applicable rules adopted by DHSR.  

The review process will begin in November. 

Newsweek reached out to AdventHealth and Mission Health for comment.

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Have an announcement or news to share? Contact the Newsweek Health Care team at health.care@newsweek.com.



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Businesses worry of potential impacts as Marion tightens water restrictions amid drought

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Businesses worry of potential impacts as Marion tightens water restrictions amid drought


The City of Marion is tightening water restrictions as drought conditions persist across western North Carolina, prompting local businesses to prepare for possible impacts on daily operations.

The drought monitor released on Thursday, May 14, shows that extreme drought now covers 90% of western North Carolina.

ASHEVILLE IS MORE THAN 7 INCHES BELOW AVERAGE RAINFALL THIS YEAR, DATA SHOWS

As the region continues moving into a hotter and drier pattern, the City of Marion officials announced Stage Two water shortage restrictions less than a month after issuing a Stage One Water Advisory.

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Businesses in Marion said the quick escalation is raising concerns about what could come next if drought conditions persist.

“They put us in stage one at the end of April and already it’s not through, it’s not the end of May and they’re already putting us in stage two,” said Barbara Brown, owner of Bruce’s.

Under the Stage Two restrictions, watering lawns, gardens and golf courses will be prohibited. Washing cars, filling residential swimming pools and serving water in restaurants except upon request will not be allowed.

Brown said her restaurant is already taking steps to conserve water.

“We check the bathrooms often to make sure people have turned the water off because we have found from time to time, people leave them running,” she added.

She said she worries stronger restrictions could eventually force businesses to make bigger operational changes.

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“I’m concerned that eventually we might have to go to paper plates, paper cups, silverware,” Brown said.

Other businesses are also considering adjustments.

Kat Garner, a tattoo artist at Blue Ridge Tattoo, said water shortages could affect how the shop operates day to day.

LEADERS URGE WATER CONSERVATION AS DROUGHT DEEPENS ACROSS WESTERN NORTH CAROLINA

“We would definitely be reduced to using distilled water for everything, which would become harder if everyone’s buying it out, so that would definitely make things a little bit more difficult,” Garner said.

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The Stage Two water restrictions are set to begin Friday, May 15, at 8 a.m. and will last until further notice.



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Police: North Carolina man charged after high-speed chase in Erie County, arrested in the Town of Perry

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Police: North Carolina man charged after high-speed chase in Erie County, arrested in the Town of Perry


PERRY, N.Y. — A North Carolina man is in custody after a chase that started in Erie County and ended with an arrest in Perry.

Wyoming County Sheriff’s deputies say Ericson Vasquez-Moran, 22, rammed a Border Patrol vehicle in Erie County around 11:30 p.m. Tuesday before taking off. The suspect was spotted in Warsaw on Route 20A, but a chase was called off due to high speeds.

Then around 2:30 a.m. Wednesday, deputies say Vasquez-Moran called 911 from Perry to surrender.

He’s charged with speeding, failure to keep right, unlawful fleeing a police officer, reckless driving, and reckless endangerment in the second degree.

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Vasquez-Moran was given an appearance ticket for the Village of Warsaw Court and was released to the custody of the United States Border Patrol.



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Asheville City Council unanimously rejects 100-unit affordable housing project

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Asheville City Council unanimously rejects 100-unit affordable housing project


After nearly two hours of public comment, the Asheville City Council unanimously denied a proposed affordable housing complex off Caribou Road—despite the city’s ongoing housing crisis.

The proposal, submitted by developer Pennrose, would have brought 100 affordable housing units to a nearly 10-acre site in the Shiloh neighborhood.

“I’m going to vote against affordable housing tonight, and that’s not a norm for me,” said Asheville City Councilmember Sage Turner.

AFFORDABLE HOUSING PROJECTS MOVE FORWARD ACROSS WESTERN NORTH CAROLINA

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News 13 asked Vice Mayor Antanette Mosely why the city would deny this project amid a housing crisis in Asheville.

She said, in a statement, “I absolutely believe Asheville needs more affordable housing, and I have consistently supported housing projects across the city. But not every site is appropriate for every project.”

Residents who opposed the project said they were not against affordable housing itself, but believed the development was too large for the area.

MAY 13, 2026 – The Asheville City Council unanimously denied a proposed affordable housing complex off Caribou Road—despite the city’s ongoing housing crisis. (Photo credit: WLOS Staff)

“The access is too narrow, there was only one access point, the streets are too narrow, we’ve got a big problem with traffic here,” said Shiloh resident Scott Raines.

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“Perhaps the only thing that I consider as a dead stop for affordable housing is if people are going to be injured or possibly die from the traffic that’s created,” Michael Boses, another resident, said.

ASHEVILLE PROPOSES PROPERTY TAX RATE INCREASE TO CLOSE $8.9M BUDGET GAP

The Shiloh neighborhood, established in 1870, is one of Asheville’s last historically Black communities. Several council members said preserving the area’s legacy factored into their decision.

“My vote for no is because I feel hyper protective of our legacy neighborhoods, I feel hyper protective of Shiloh,” Turner said.

Pennrose responded to the denial in a statement, saying: “While we are disappointed in the Council’s decision concerning the rezoning application at Caribou Road, we respect the community’s interest in preserving the character of legacy neighborhoods.”

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