Lake County board approves $15K for veteran conservatee's care at private facility

In the heart of Lake County's government chamber, a pressing issue unfolded during the Board of Supervisors meeting on April 15, 2025. The discussion centered around the ongoing challenges faced by the public guardian in securing appropriate care for a vulnerable individual known as BB, recently released from jail and under conservatorship due to mental health issues and advanced dementia.

As the meeting progressed, Social Services Director Rachel Gilman and Deputy Director Amy Shmetsky detailed the complexities surrounding BB's placement. Currently residing at Nazareth Classic Care, a private facility that does not accept Medi-Cal or Medicare, BB's care costs the county $5,000 per month. This financial burden has raised concerns among supervisors, particularly regarding the sustainability of funding from the general fund, which is already stretched thin.

BB's situation is compounded by his criminal history, making it difficult to find suitable placements. The county has been actively seeking facilities that accept Medi-Cal, but the statewide shortage of beds has hindered progress. Gilman noted that BB is on a waitlist for a facility that could potentially accommodate him, but the uncertainty remains high. “Most facilities are not maintaining waitlists anymore due to the statewide shortage of beds,” she explained, highlighting the urgency of the matter.

The board grappled with the implications of continuing to fund BB's care. Supervisor Sabatier expressed discomfort with the current options, questioning the fairness of using general fund resources for an individual with a troubled past. “I can think of many others to serve with that amount of money,” he remarked, indicating a desire for alternative solutions that could benefit a broader segment of the community.

Despite the challenges, the board ultimately recognized the necessity of maintaining BB's placement for public safety reasons. Vice Chair Rasmussen emphasized the importance of the staff's efforts in seeking reimbursement avenues, acknowledging the delicate balance between fiscal responsibility and the welfare of a conserved individual.

After thorough discussion, the board voted to approve an additional $15,000 transfer from the general fund to cover BB's care for the next three months. The motion passed with a 4 to 1 vote, underscoring the ongoing struggle to provide adequate support for those in need while navigating the complexities of funding and care options in Lake County.

As the meeting concluded, the board's decision reflected a commitment to both public safety and the welfare of individuals like BB, who find themselves in precarious situations within the community. The path ahead remains uncertain, but the dedication to finding a long-term solution continues to drive the county's efforts.