New York Attorney General Letitia James is investigating about a half dozen guardianship organizations and how they manage the health and financial affairs of hundreds of elderly and infirm New Yorkers deemed incapable of looking after themselves, according to people familiar with the matter.

Judges often rely on guardianship companies to care for the so-called unbefriended, people who don’t have friends or family able to look after them. Oversight of these guardians, however, is scant, with officials rarely visiting wards to check on their care. Meanwhile, the courts that appoint the guardians rely largely on financial paperwork to determine a person’s well-being. That dynamic, the news organization found, has resulted in fraud, abuse and neglect of the state’s most vulnerable.

After ProPublica’s first story was published, a judge ordered NYGS to pay back that ward $5,400, representing about a year’s worth of fees, writing that the company had provided “minimal services, if any” during that time.

In another instance, ProPublica reported that the company collected monthly fees from an elderly man even after he’d left the country — and also after he died.