State Recommends Immediate Jeopardy for Mission Hospital

The North Carolina Department of Health and Human Services recommended placing Asheville’s HCA-owned Mission Hospital in Immediate Jeopardy after a September survey (Sept. 15–19 and Sept. 22–26, 2025) found multiple patient-safety lapses from incidents in July, August and September 2025, including failures in patient identification, telemetry escalation and monitoring, safe transport with continuous monitoring, and infection-prevention practices. The state recommended a 23-day termination for noncompliance with federal Medicare and Medicaid participation conditions and shared its findings with the CMS regional office, which will determine whether to uphold the designation and any sanctions. The inspection found some alleged violations ongoing while one infection-prevention issue was deemed abated. Mission Hospital said it has implemented extensive corrective action plans, shared them with CMS, disputes that current insufficiencies remain, and has welcomed an expedited follow-up survey. This would be the hospital’s second Immediate Jeopardy identification in two years; a February 2024 designation was lifted in June 2024 after corrections.