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North Carolina Attorney General · October 1, 2026 · Primary source

Attorney General Jeff Jackson Reaches $98,000 Medicaid Fraud Settlement Over Fake Nurse

Score 75PRIMARYregulatoryState AGNC

What the document says

The North Carolina Attorney General's Office reached a $98,474 civil settlement with White Oak Manor of Burlington, a nursing home, over allegations that the facility hired Nieasha Jones as a nurse despite her lacking a nursing license, training, or experience. Jones worked 54 shifts over approximately three months, interacting with residents and providing direct patient care without the required qualifications or licensure. The facility then billed North Carolina Medicaid for services rendered to residents during this period, including services provided by Jones. The settlement requires White Oak Manor to pay $98,474 to the state, of which $49,237 constitutes Medicaid restitution. The case was initiated following a referral from the Division of Health Service Regulation (DHSR) within NCDHHS to the Medicaid Investigations Division (MID) of the North Carolina Attorney General's Office. The MID, which serves as North Carolina's Medicaid Fraud Control Unit, conducted the investigation. The settlement resolves civil allegations only; no judicial determination of liability or admission of wrongdoing was made.

What this may mean

Applies to North Carolina Medicaid-participating SNFs and other long-term care facilities billing for services rendered by unlicensed personnel. Puts at issue the facility-level obligation to verify licensure and qualifications before billing Medicaid for care provided by clinical staff. The $49,237 restitution component reflects the Medicaid program's recovery mechanism for improperly billed services.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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