North Carolina
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).
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.
“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.”
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.
Have an announcement or news to share? Contact the Newsweek Health Care team at health.care@newsweek.com.
North Carolina
Greenville man jailed for sex offender registration violation
GREENVILLE, N.C. — A Greenville man is being held without bond after authorities say he failed to report a change of address as required under North Carolina’s sex offender registry laws.
According to Pitt County court records, 66-year-old Charles Eugene Gardner was arrested June 4 and charged with felony failure to register as a sex offender.
Arrest warrants allege Gardner did not notify the Pitt County Sheriff’s Office within the required three business days after leaving his registered address on Ford Street in Greenville.
The charge stems from an alleged violation on May 26 and was filed June 2 following an investigation by the Pitt County Sheriff’s Office.
Gardner remains in the Pitt County Detention Center without bond. He is scheduled to appear in court on Friday, June 5.
North Carolina
Mom driving 111 mph crashes car with 3 kids inside, 2 killed, one in critically injured, NCSHP says
FAYETTEVILLE, N.C. (WTVD) — A child is fighting for his life after a deadly crash late Wednesday in Fayetteville that killed his two brothers, authorities said.
ABC11 has learned the children’s mother was driving 111 mph when the crash occurred, according to state troopers now leading the investigation.
The crash happened just before 11 pm on Cedar Creek Road after Fayetteville police attempted to make a traffic stop.
A North Carolina State Highway Patrol (NCSHP) trooper said the mother sped off before losing control and crashing into a tree. None of the three children, all under 10 years old, was in a car seat, troopers said.
One neighbor, Sara Wallace, said she heard the crash unfold.
“To hear that there were children involved, it’s made it much more, as a mom, scary,” Wallace said.
Wallace, who lives less than a mile from the crash site, described the sounds she heard late Wednesday.
“Within seconds, it was the speed, the thud, and then silence,” she said.
“There was no squealing, there was no braking, there was no crying, there was no sound. And then. Shortly thereafter, all the sirens,” Wallace recalled.
When officers arrived, they found a white Kia had slammed into a tree. The third child, who was ejected from the vehicle, was rushed to Cape Fear Valley Medical Center with life-threatening injuries and later airlifted to UNC Hospital early Thursday morning.
At the scene, debris littered the roadside. “This is the aftermath. The bark stripped from the tree, a taillight, and debris everywhere,” one neighbor described.
Wallace noted the road’s curve can be dangerous at high speeds.
“It is a fairly gentle curve, but once you increase those speeds over that 55 miles an hour, it can be very easy to lose control,” she said.
The mother, who was also injured in the crash, is currently sedated at Cape Fear Valley Medical Center and is expected to recover, officials said.
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The investigation remains ongoing.
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North Carolina
J.R. Smith Graduates From North Carolina A&T, Fulfilling A Promise Years In The Making | Essence
J.R. Smith has accomplished nearly everything a basketball player could hope to achieve. He spent 16 seasons in the NBA, won two championships, played alongside some of the biggest names in the sport, and built a reputation as one of the league’s most fearless scorers. Yet one of the achievements he seems proudest of arrived far from the court.
On May 9, Smith graduated from North Carolina A&T State University, earning a degree in Liberal Studies with a concentration in Applied Cultural Thought. For the 40-year-old former NBA star, the moment represented the ability to overcome a challenge he once believed might be beyond his reach.
Smith’s path to graduation was anything but conventional, because after entering the NBA directly out of high school in 2004, college wasn’t a part of the plan. Years later, following retirement from basketball, he enrolled at the Greensboro-based HBCU and joined the school’s golf team, becoming one of the most recognizable student-athletes in the country. His decision began with a conversation during a vacation in the Dominican Republic.
“Probably the golf trip with Ray Allen,” Smith told ESSENCE. “I was in the DR doing this trip and I saw Ray running back-and-forth to his computer and I asked him what he was doing, and that kind of tipped the whole thing.”
Returning to the classroom required Smith to confront challenges that had followed him since childhood. Diagnosed with ADHD and dyslexia at a young age, academics was a tall order. While he made a career out of hitting difficult shots in packed arenas, college often demanded something different. “To me being a student again,” Smith said when asked what was harder than playing professional basketball. “Being in the NBA and playing in the NBA was something I was born to do and for me academics was something that didn’t come easy to me.”
Over the course of five years, Smith committed himself fully to the experience of college. He worked with tutors multiple times each week, spent long nights completing assignments, and gradually became more comfortable in an environment he once resisted. “For me, it just gives me the opportunity to continuously get better,” he said. “As I got older, I actually wanted to do it more opposed to fighting against it when I was younger.”
Despite the championships, accolades, and financial success, Smith explains that there was one major factor that motivated him to graduate. “My main thing was keeping my promise to my mother,” he said. As news of his graduation spread, congratulations poured in from former teammates including LeBron James, Dwight Howard, and Richard Jefferson. Many celebrated the accomplishment as a reminder that growth does not end when a professional career does. Smith hopes others see something similar in his journey.
“To me just to inspire,” he said. “Inspire [people] to do something outside the box that they wouldn’t normally think of or normally do or something that they’re not good at and take your personal development as seriously as they could.”Smith’s story also serves as a powerful example of what HBCUs continue to provide: opportunity, community, and a place where people can reinvent themselves at any stage of life. “It’s never too late,” he said. “I don’t think it’s ever too late to go.”
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