At one location, seniors reportedly entered without recording their attendance, even though the facility was submitting Medicaid claims based on patient visits.
At another, attendance records contained dates that had not yet occurred.
The discoveries come as federal authorities continue pursuing multimillion-dollar fraud cases involving New York’s adult day care industry.
A Surprise Visit Raises Immediate Questions
Oz arrived at Kent Senior Care around 8:30 a.m. alongside a federal investigative team.
Almost immediately, discrepancies between the facility’s reported operations and what investigators observed caught his attention.
A posted occupancy notice indicated that the building could accommodate a maximum of 70 people. However, Oz questioned why Medicaid billing appeared to reflect consistently full attendance.
“The bills we’re getting are as though it’s completely full all the time,” Oz told the director.
The facility’s director maintained that attendance documentation supported the claims.
But the inspection soon revealed another problem.
According to Oz, several seniors entered the building without signing the attendance records that were supposedly used to verify services.
“People were just walking in there without signing anything,” Oz said. “And then after I showed up and he saw what we were doing with my team, he started collecting these documents to be signed.”
Investigators also questioned transportation charges submitted to Medicaid.
The facility reportedly billed for specialized wheelchair transportation, yet Oz said he could not identify anyone using a wheelchair during his visit.
“I don’t see any wheelchairs here,” he said.
When confronted about the discrepancy, the director suggested the billing information might have been duplicated from previous records.
“Probably he just copied and pasted,” the director said.
That explanation did little to resolve questions about whether the services billed to taxpayers had actually been provided.
Attendance Records Reveal an Even Stranger Discrepancy
The federal team’s next stop was Evergreen Adult Day Care, where investigators encountered another unusual situation.
A manager reportedly claimed the facility could serve approximately 200 seniors on particularly busy days.
Yet Oz observed only about 25 people during the inspection.
Although attendance can fluctuate throughout the day, investigators were particularly interested in whether the facility’s documentation accurately reflected the services being billed.
Then came the most striking discovery.
Records reviewed during the October 20 visit reportedly included attendance entries for October 22 and October 23.
Those dates were still in the future.
The discrepancy immediately raised questions about whether patient visits were being recorded before they occurred.
While the existence of inaccurate records does not independently establish criminal wrongdoing, documentation of future attendance would warrant scrutiny in any program that reimburses providers for services delivered.
Oz made clear that federal officials were no longer prepared to accept questionable explanations without further examination.
“You’re getting this letter from the U.S. Government because we don’t believe you,” Oz told the Kent director.
New York’s Medicaid Spending Comes Under the Microscope
The inspections arrive amid growing scrutiny of New York’s enormous Medicaid budget.
According to figures cited by Oz, the state’s annual Medicaid expenditures climbed from approximately $55 billion in 2013 to $116 billion in 2025.
Federal taxpayers reportedly finance roughly 60 percent of those costs.
Meanwhile, spending associated with New York’s senior adult day care programs has approached $1 billion annually, according to Oz.
Those numbers have intensified questions about whether existing oversight mechanisms are sufficient to prevent fraudulent billing.
And prosecutors have already identified major criminal schemes involving similar services.
In February 2026, federal authorities charged two men from Flushing in connection with an alleged $120 million adult day care fraud operation spanning nearly a decade.
In a separate case, a Brooklyn day care operator received a 76-month federal prison sentence following a $68 million Medicaid fraud scheme involving services that prosecutors said were never provided.
The cases illustrate how vulnerable publicly funded health programs can become when reimbursement claims are not adequately verified.
Authorities have described schemes involving improper payments to Medicaid beneficiaries, fabricated service records, and billing for care that patients never received.
Oz also alleged that some fraudulent operations involved organized criminal networks and financial incentives paid to seniors.
He claimed certain participants received between $1,000 and $1,200 to participate in questionable billing arrangements.
Those broader allegations, including claims involving money laundering and human trafficking, require independent substantiation and should not be treated as established findings against the facilities inspected.
Still, Oz offered a severe assessment of the activities he believes investigators are uncovering.
“It’s really a clubhouse for crime,” Oz said.
Hochul Administration Faces Fresh Pressure
The federal investigation has also renewed scrutiny of Democratic New York Governor Kathy Hochul and her administration’s handling of Medicaid oversight.
Earlier this year, Oz pressed state officials to explain New York’s comparatively high Medicaid spending.
He cited figures indicating that the state spent approximately 36 percent more per beneficiary than the national average and nearly 80 percent more per resident.
Hochul previously characterized the federal scrutiny as politically motivated.
But following the October inspections, the governor acknowledged a joint effort involving state health officials and federal investigators.
She described the initiative as part of a “massive effort to combat fraud and abuse” within Medicaid.
The cooperation represents an important development in the ongoing dispute over the state’s management of the program.
For critics of New York’s Democratic leadership, the situation raises a broader question: Why did enormous fraud cases emerge before stronger safeguards were put in place?
However, the state’s participation in the investigation does not by itself establish that officials knowingly ignored misconduct.
Taxpayers Deserve Answers
The controversy extends beyond questionable paperwork at two Queens facilities.
Medicaid exists to provide medical assistance to eligible Americans, including low-income families, seniors, and people with disabilities.
When fraudulent claims drain public resources, they threaten the integrity of a program that millions depend upon.
Oz underscored that concern while confronting the Kent facility’s director.
“Is that what our federal tax dollars for Medicaid is supposed to go to?” Oz asked the Kent director. “Or is it life-saving heart surgery? Or new therapies for cancer?”
The question highlights the stakes of the federal crackdown.
Every improperly paid claim represents money that could otherwise support legitimate medical services or reduce the burden on taxpayers.
The inspections also raise difficult questions about the reliability of attendance documentation, the verification of transportation services, and the responsibility of government agencies to detect suspicious billing patterns.
Federal investigators will ultimately need to determine whether the irregularities observed at these facilities reflect administrative failures, deliberate misconduct, or a combination of both.
For now, no conclusion of criminal liability should be drawn solely from the inspection footage.
But the images and allegations have provided fresh ammunition to critics demanding stronger oversight of New York’s Medicaid system.
And among all the troubling details described during the visits, one stands out.
Investigators reportedly found attendance entries dated October 22 and October 23 during an inspection conducted on October 20.
For a taxpayer-funded program that depends on accurate records to justify payments, that is a discrepancy officials cannot afford to dismiss.
