Insurance Fraud NEWS
Former Somerset caregiver pleads guilty to abusing, neglecting adult
June 24, 2019, Pulaski County, KY
Attorney General Andy Beshear and his Office of Medicaid Fraud and Abuse today announced the guilty plea of a Pulaski County woman on one count of knowingly abusing or neglecting an adult, a Class C felony.
Ashley Grimes, 23, of Somerset, pleaded guilty in Pulaski Circuit Court June 20, acknowledging the abuse of a resident at the CAKY Somerset in Pulaski County, where she worked as a direct care professional. On July 28, 2018, Grimes sat on the victim while the victim was on the floor.
Grimes will be sentenced to a term of seven years with 30 days incarceration with the remainder to be probated. As part of her plea agreement, Grimes also agreed to be placed on the Kentucky Caregiver Misconduct Registry.
“I am proud of the investigators and prosecutors that secured justice in this case,” Beshear said. “Not only will the defendant serve jail time for her actions, she will be listed on our state’s caregiver misconduct registry.”
Grimes is scheduled to be sentenced July 18 in Pulaski Circuit Court.
This case was investigated by the Office of Medicaid Fraud and Abuse of the Kentucky Attorney General’s Office along with the Department for Community Based Services, Adult Protective Services. The case was prosecuted by Beshear’s Office of Medicaid Fraud and Abuse.
The attorney general’s tip line for reporting allegations of abuse, neglect and exploitation in Medicaid facilities is 877-ABUSE TIP (877-228-7384).
Protecting seniors and vulnerable adults from abuse is a top priority for Beshear’s office.
Earlier this month, Beshear called on Kentuckians, organizations and communities to join his office in raising awareness of senior abuse, neglect and exploitation. Beshear urges Kentuckians to learn the signs of physical and sexual abuse, neglect and financial abuse and how to report it if you suspect these crimes.
To date, civil settlements and criminal restitution efforts by Beshear’s Office of Medicaid Fraud and Abuse have resulted in nearly $88 million in obligations to state and federal Medicaid programs, Medicare, Tricare, commercial payers and other entities.
Over the past three years, the division’s work has contributed to more than 60 convictions related to Medicaid provider fraud or patient abuse, neglect and exploitation.
Source: Berea Online