PRINTED: 10/26/2017

FORM APPROVED
Division of Health Service Regulation
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY
IDENTIFICATION NUMBER: COMPLETED
A. BUILDING: ______________________

110592 B. WING _____________________________

10/19/2017
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
20 DAVIDSON DRIVE
BUNCOMBE COUNTY DETENTION FACILITY
ASHEVILLE, NC 28801
(X4) ID SUMMARY STATEMENT OF DEFICIENCIES ID PROVIDER'S PLAN OF CORRECTION (X5)
PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE
TAG REGULATORY OR LSC IDENTIFYING INFORMATION) TAG CROSS-REFERENCED TO THE APPROPRIATE DATE
DEFICIENCY)

J 000 10A NCAC 14J Initial Comments J 000

Chris Wood conducted the compliance

investigation.

This compliance investigation was conducted as

per 10A NCAC 14J JAILS, LOCAL
CONFINEMENT FACILITIES Rules. This building
was approved for use in 1995 under North
Carolina State Building Code (NCSBC) 1978 with
a facility expansion in 2008 under (NCSBC) 2005
Edition with an occupancy classification of Group
I-3. The jail design capacity is 428 male beds and
96 female beds with a total design capacity of
524 beds. The investigation began at 10:00 am
and ended at 12:30 pm.

A Report of Inmate Death was received by the

Construction Section on October 9, 2017. This
compliance investigation was conducted in the
death of inmate Michele Smiley that occured on
October 6, 2017. A Report of Inmate Death dated
October 6, 20017 indicated that the inmate was
found in distress at 1:24 pm on October 6, 2017.
The report indicated the time of death was
approximately 2:05 pm on October 6, 2017 and
that the place of death was in the hospital. The
report also indicated that the manner of death
was other.

The deficiencies determined during the

investigation are as follows:

J 36 10A NCAC 14J .0601 (c) Supervision J 36

(c) Officers shall directly observe, at least four

times per hour, inmates who display the following
behavior:
(1) physically hitting or trying to hit an officer;
or
(2) being verbally abusive; or
Division of Health Service Regulation
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE

STATE FORM 6899

KCWF11 If continuation sheet 1 of 3

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
PRINTED: 10/26/2017
FORM APPROVED
(X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY
COMPLETED
A. BUILDING: ______________________

110592 B. WING _____________________________

10/19/2017
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
20 DAVIDSON DRIVE
BUNCOMBE COUNTY DETENTION FACILITY
ASHEVILLE, NC 28801
(X4) ID SUMMARY STATEMENT OF DEFICIENCIES ID PROVIDER'S PLAN OF CORRECTION (X5)
PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE
TAG REGULATORY OR LSC IDENTIFYING INFORMATION) TAG CROSS-REFERENCED TO THE APPROPRIATE DATE
DEFICIENCY)

J 36 Continued From page 1 J 36

(3) stating he will do harm to himself; or

(4) intoxicated, as determined by a score of
.15 on a breathalyzer or displaying slurred speech
or smelling of alcohol or inability to control
body movement; or
(5) displaying erratic behavior such as
screaming, crying, laughing uncontrollably, or
refusing to talk at all.
In addition to displayed behavior, a previous
record of a suicide attempt or a previous record
of mental illness shall warrant observation at
least four times per hour.

History Note: Authority G.S. 153A-221;

Eff. October 1, 1990;
Amended Eff. June 1, 1992.

This Rule is not met as evidenced by:

Based on staff interview and record review on the
morning of October 19, 2017, the facility did not
place the inmate on a four times per hour direct
observation watch as required by this Rule.

Finding include: Record review of a Report of

Inmate Death dated October 6, 2017 indicated
that the inmate was admitted to the Buncombe
County Detention Center (BCDC) on October 6,
2017 at 11:46 am. Staff interview of the 1st
Assistant Administrator indicated that inmate was
not placed on a four times per hour direct
observation watch. Record review of a Nurse's
statement dated October 6, 2017 indicated the
following: the inmate reported that she had taken
something before she was arrested; the inmate
admitted that she had taken methamphetamine;
and the inmate had taken a lot of the drug. The
record further indicated the following; the inmate
smelled of alcohol and admitted to drinking earlier
in the day; the inmate was unable to eat food; the
Division of Health Service Regulation
STATE FORM 6899
KCWF11 If continuation sheet 2 of 3

Division of Health Service Regulation
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
PRINTED: 10/26/2017
FORM APPROVED
(X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY
COMPLETED
A. BUILDING: ______________________

110592 B. WING _____________________________

10/19/2017
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
20 DAVIDSON DRIVE
BUNCOMBE COUNTY DETENTION FACILITY
ASHEVILLE, NC 28801
(X4) ID SUMMARY STATEMENT OF DEFICIENCIES ID PROVIDER'S PLAN OF CORRECTION (X5)
PREFIX (EACH DEFICIENCY MUST BE PRECEDED BY FULL PREFIX (EACH CORRECTIVE ACTION SHOULD BE COMPLETE
TAG REGULATORY OR LSC IDENTIFYING INFORMATION) TAG CROSS-REFERENCED TO THE APPROPRIATE DATE
DEFICIENCY)

J 36 Continued From page 2 J 36

inmate began having agitation, restlessness, and

irritability and was constantly moving. The record
further indicated the following: the inmate stated
she was burning up; the inmate was pulling at her
clothing; the inmate was taken to the bathroom;
and the inmate began having extreme anxiety,
increasing unsteadiness, and was pacing in the
bathroom. The record also indicated the
following: the inmate put on a lighter shirt; the
nurse attempted to cool the inmate down with
cool water; the nurse was unable to get vital
signs; and staff intervened and moved the inmate
to Cell #1.

Interview of the 1st Assistant Administrator

indicated that the inmate was placed in Cell #1 at
12:17 pm on October 6, 2017. Record review of
the documented supervision round record for Cell
#1 from 12:51 pm on October 6, 2017 until the
time the inmate was found in distress indicated
that there were no documented direct observation
rounds made during this time frame.

Division of Health Service Regulation

STATE FORM 6899
KCWF11 If continuation sheet 3 of 3