Thailand’s Department of Health Service Support (DHSS) discovered an elderly care center in Tha Muang district, Kanchanaburi, operating with a significantly altered patient profile. The facility was found to be caring for approximately 100 individuals, including 92 patients with psychiatric conditions—a practice exceeding the scope of its operating license. Dr. Phuwadet Surakot, director-general of the DHSS, confirmed the findings, indicating a violation of regulations governing care facilities in Thailand. This discovery raises concerns about the welfare and appropriate treatment of these vulnerable patients within the Kanchanaburi center. The DHSS is investigating the circumstances surrounding this situation and will likely take action to ensure compliance with healthcare standards. The Ministry of Public Health is overseeing the investigation. This incident highlights the need for stricter oversight of elderly care facilities across Thailand.