A Lake Worth Nursing home caring for criminals should reimburse the state.
That is what a state report says after a FOX 4 investigation questioned why the state's Medicaid program was footing the bill for some residents living at the home.
The Lake Worth Nursing Home cares for parolees and sex offenders but some of the ex cons did not look like your typical nursing home residents. In a May investigation, FOX 4 documented residents all over the community, riding bikes, taking walks, shopping, even drinking in the park.
After the story aired, the state made a surprise visit to determine if Medicaid should be paying for their care. It found 11 residents did not meet the medical necessity requirement for nursing home care.
"For the care of those 11 individuals, it is a little more than $300,000," said Stephanie Goodman with the Texas Health and Human Services Commission. "We will be recovering that from the nursing facility."
The Lake Worth Nursing Home told FOX 4 back in July it was doing the patient assessments but the state's contractor determined medical necessity. The home stood by its assessments. The state says it found nothing inappropriate with the vendor or contractor.
The issue was with the nursing home's lack of documentation with some patients.
"Whether they didn't maintain the documentation, whether they didn't have it to start with, we don't know," said Goodman. "What we know is what they told us a person's situation was, did not match what their own records showed."
The state's report says the nursing home should pay back $321,000 to the state. It is not an order, it is a request.
The report now gets turned over to another state agency, the Texas Department of Aging and Disability, to collect. The home can either pay up or appeal.
A spokesman for the nursing home said he was unavailable for comment and the home's owner did not return FOX 4's calls.
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