Wilson County Social Services Reports Rising Medicaid caseload, Flags Growth in Assisted-Living Boarding Houses

Apr 10, 2025

Department of Social Services Director Kimberly Irvin briefed commissioners on fiscal pressures from Medicaid growth, increased state/county special assistance for in‑home residents, rising CPS complaints and concerns about unregulated boarding‑house style assisted living in Wilson County.

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Kimberly Irvin, director of the Wilson County Department of Social Services, told commissioners the agency is preparing a fiscal 2026 budget request and outlined program trends and operational needs.

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