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Wrolllll\ll DepOt Clllhlll
JolIlI c. Buller
JlIllle>> J. Butler
$ 7,935.50
$ 7.935.49
IT 18 VURTHER ORPI!RI!/) thai the I'lIcord httlllB Illlll\l:r >>hall be plllClld ulld.r BOllI.
BY;:CO~~''2
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JOHN C.llUTLl!Jl, Admllllllrllltlroflhlt
EllJ1lo of 1!ll7JIbclh A. BUller, Decewsed.
1'1111111111'
. I IN TIll! COlIllT 011 coMMON I'LEAS
I (;UMlll!l\LAND COUNTY
I
NO. 96.5621 CIVIL TERM
CIVIL ACTION. LAW
V8,
BEvmlL Y CALlFOIlNIA COllPORATION
n/klll Beverly Ileolth Cllfe IId/b/lllllue
IlJdge Haven Convole8cenl Cenler. W1l81.
BEVERL Y ENTERPRISES. INC..
IId/b/lllJlue Ridge II0wn ('onvolemmt
Centl:r. We81. BEV EIU. Y I~NTERPRISES
. PENNSYLVANIA. INC.. IId/b/alllue
Illdge Illlven ConvolcHccnl Ccnlcr. Ine" onu
DLUE RIDGE IIA VEN WEST
CONVALESCENT CENTER,IW',.
Defcndlll1l8
I'LAINTlFF'S 1'[TlTlON FOil AI'PROV AL OF
WllONGI<"UL DF.A1'II/IlUIlVIV AL ACTION SETTLEMENT
AND NOW. Plaintiff, John C. BUllcr. Adllllnl8trntor of the E810te of ElIl..obelh A. Butler.
l)ecellSed. by his Illlorncys. Naulllwl, Smith. ShlsHlcr & Ilall. r~spcelfulIy rcque81s Ihotlhis Court
enter an Order approving settlement oflhe above.relerenced moiler and In support lhereofsubmhs
lhe followlng~
I. l'lllintill'. John C, DUller, Is on adull Indlvldulll residing 01 12 Merino Lane,
Mechanicsburg. Pennsylvania, the Hon of Decedent. ElIl..obeth A, Dutler. and the Adminlslraltlr of
!I
Ihe Eslale of Elll.abeth A, Buller by virtue of Letters of Administrallon granted to him by the
Register of Wills of Cumberland County, I'ennsylvanlll, 01\ March 17. 1995, A copy of the Letters
of Administration 18 allached hereto as ExhlblllA",
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7. Tho Deel/d"". l!1l1Jlbl/lh A, llUIIl/r. dlr:d IlIwsllIll/ ulld wus u rllslrJlllIll.l1' L.uwl/r AIIl/II
TOWIIShlp, Cumberlulld Cl.lullly. l'llllllsylvulllu. h:uvhllllO survlw hllr us hllr ill/lilliI' klllund hlllr. ul
IUWI John C, !luller. SllllUlld JUI1IIlS J, L1ullllr' .on,
II, l'ur.UUIlI III 21l l'u,C,S,^, * l323. I'cllllollllr .ellk. Ihll eOUI'I'. lIpprllvullll' Ihll
prupu.ed .elllell1l1l1l,
9, 1'IIIIntllh cUlJlln\ll. Ill' Ihllllruli:..lulllllupllllulllhllllhll prupu.lId sellllllllcllll. lulr
IIl1d rCII.ullublc IllvllII thll risk ur u dlllcllSII VIlrdlcllllld Ihll Ih"lllld IIc.mumlc hurl:r.o'l. IIl1d IIti:
IIKpecluncy ur ElI1J1beth A, Ilullc:r. who wu. IOlully Incupuclluled ulld sulli:rlld frul1l lI1ulllplll
.clc:rosls wllh pllslllledlcul hlstllry of cerebl'ul une:urysl1I, struke: und se:l1.un:.,
Ill, De.plle: the:lr Pllsltlun Ihnllhe: cure: IInd Ire:lltmlllll pruvlde:d the: de:ce:de:nl while: II
reHlde:nl of the 1iu:lIlly Ille:t or cKce:eded slundurds of cllre: lIJlpllcllble: unde:r lhe: cln:ull1b!unce..
Defelldanl. ure prel)lIred tu CUl1Iprull1lse IIlulnlll1' s cllllr"s un uccounlllf Ihe: r,oSIH, dlve:rslon 1.11'
hUI1IWl resl.lurces. IInd risk of IIdvc:r.e: Jlubllcll)' 1I11e:lldunllo pruceedlng wllh thlllllllllllll.lnlhruugh
lrilll.
II, Pllllnllll' hilS IIgre:e:d In sign II Re:Ie:lI.e:. 1I11llched u. EKh1b11 "B," which cl.lll1mlt.
Pllllntllflo refrllln rrl.lm publlcl1.lnlllhelerm. und condlllons oflhls selllemenl. IInd
Illuke. Ihe lI11reemCnlll.l seule cl.lnllngent upl.lnthe: Court'. declsll.ln tl.l selllllll rccl.lrd. In the cllse
pertulnlng In IhlltcmlS ond condltiulls uf selllcllle:nl.
12, Consequcntly. Pluintltl'Juln. Dcfcndllnts In requestlllllthlltthc Cl.lurt I.Irder 1111 Cl.lurt
recards In thc CIISC referenclllllthc tuct or tem)s Illld cl.llldlllons 1.11' selllement be sented.
.3.
13, I'hllllllll'n/lallll1d Ihu IlIw linn ul'NuulllulI, Hllllth, Hhlsslur & Hull I\! pruHuuUlltlhlH
muller llud ellhm:d Illtll u ~OIlIIIlMI1Il~Y ICI1 lIl!rcClIlI!II1 with KIIIII 111'111, prllvldllll! filr Iccs Ihr
prolcslIlulIlIllIcrvkclI I'lIld us II pcrccUlllHC 111' thl11:ll'IlKK Ullllllllll rCl'llvcl'cd plllK CSpl1llSCH,
14, l'llull6d Ii)! 1'11111111 tl' hu~ IIl~lIlTcd CSpCIlNC6 III Ihc UIlllllllII 111' $1.59 1.3 5 IIlld 6ucks
upprovul lilr Ihc rill Illh IIrNC IllCII I Ill' IhuNc CSpCIINCN uUI or Ihc pl'll~CCdN 111' thc NCll1clllC1l1.
15, Plullltllrhll6111:!l'ccd, NuhJc~llll IIppl'llvulllflhc ('IlUI'I, III I'uy N,JUIllUII. Sllllth, Shlssh:r
& Hull 33 1/3% or Ihc I!I'IlSS 1I1llllUIll I'ccu\'cl'cd, \\hkh UllllllllllK IUlhc KUIll,)f $16,()6(),li7. Ihr
prolcsslullul6crvkc6 pCl'lill1l1cd. AlIudlCJ, UN I'shlhll "C," !tlthc Fcc AI!I'CCIllCIII csccutcd by John
C. BUllcr, AJlllllllwulor llflhc hllllC nr EII~jlbClh A. rhulcl',
I I), A~~ol'dllll!ly. ICNS CllllllscI'N CSpCIISCS uf$1 ,591.35 ulld pl'OIC66101l1l1 Ices 01'$16,666,67
Ihe remalllder of Ihc procccdN. $J1.741.lJH \\'111 hc dhlrlhulcd uccordllll! 10 the follLlwhll&
apportlonmellt. pelldll1l! upprovul hy thc ('1l1l1'1:
a, Wrol1l!lill Dcuth Clulm
b, Survlvul Clulm
$15,H70,lJ9
$15,870,99
17, The proposcd Nclll<.!mcllt und upportlolllllCl1llN udcquutc 10 prolcct the Interesls ofllle
cstl1te und Ihe bel1el1c1ul'lcN. us wclI us Ihc upproprlutc IIISII1I! UUlhol'lllcs, The proposed
UppoJ1iOllllll1nt hu:; bl1cl1l1pprovcd by thc I'cllImylvlIl1hl [)cpultmCl1t ofl~cvellul1, SCC Ll1tter alluchl1d
us Eshiblt "D,"
1 H, Pursuullt 10 the Wrol1l!l'ul D':nth Act. 42 Pu, C,S,A, ~ 830 I. the bcnel1elul'les of the
Wrolll&t'ul Deuth Cluhn. and the proportioll of their Interest, are os follows:
.4.
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'!J,~. . '.. ~'.,' A" J ,"'f.,;i,l, .,', 't.w,:.'...\!;~~! I /~~",~: "( .: " it, ~':..rr\''''\l''''.~,;,,' I
, , , ',' ~,'UI ',I 'J> 'N' 'hl'). ' l' .1' ,
, ,', I. " /, ,.,,' 'I'fl~""~~'i~ ,,,,It{1 ~iU'~ J..-\IJ,r -",I ;.of.. I ,.J"'II'~U}h' '.1"4'1'1' ,
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Regist~r of Wills at CUMBERLAND County, Pennsylvania
certificate of Grant of Letters of Administration
No. 19!)/)"00217
PA No. :11915-0:117
ES'lWl'l!: OF
m~M~~~~m!;
~g~~n~~S~68~~~!~---
Lat.e of
Decllosed
Social Se~urity No. 176"24"1306_
WHEREAS, aUTLI!:R EL~~~~t__A, , 10tQ of LOWER ^~~EN T9~~JP
TlJ7\~'l', rlliB'l.~
CUMJlERLAND COUNT'!._, died on the _~ day of Ma/:'oh 1996,
and
WHEREAS, the grant of letters of administration
ie requlred for the administration of the estate.
THER'~FORE, I, MARY C. _LEWIS
in and for the County of CUMBERLAND
Commonwealth of Pennsylvania, have this day granted
to JOHN C. <<UTLE~
(~tl'l', UJUlJJ;;/
, RsgiBter of WlllB
, in the
~etters of Administration___
who hils. duly qualified as administrator( rix)
at the above named decedent and has agreed to administer
to law, all of which fully appears of record in my Office
COURT HOUSE, CARLISLE, PENNSYLVANIA
IN 'l'ES'l'IMONY WHEREOF, I have hereunto set my hand and atfiKed the soa 1
of my Offioo on the 17th day of l'larch 1995
i)/1ii,t (? ,41(Jf~"1*'ltJ(&;{rll'i~' [;/1
of the estate
the estate according
at CUMBERLAND COUNTY
EXHIBIT
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**NOTE** ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE)
ElI1Jlblllh A, Uullllr. dlllleuHlld. IIlld, HPllllll1l1l1l1y, thllll IlIlY IIluhllH, ur JUllldllrH. lor Hule lIubllllY,
lIolllrlhullolI, Indllmlllty, ur ulhllrwlslIlIH II rcslllI ul', IIrlH11l1! "mill, ur IlIuny wuy IIUIlIIClIlcd wllh lhe
IIUl'll ur trculIllclIlpruvldcd IU Mr~, lIullllr, Illdudlllll 11IJlIllllllllllllld IU 1111)' IIlJUrlllH HIIHlllllllld IlIulillI
OCCIIIThll! UII OClohllr I J. I 'JIM III Ihll II lUll 1{ldgll Iluwl1.WCM t'<lIlvlllcSCIIIlI ('CIIIIII', ulld OI1UCCUUIII
01' which I.cllul ACIIlllI \\'IIS Il1sll11lllld by thll ull<lcrslglllld III lhll COllrt 01' ('0111111011 I'I<:IIH of
CUlllbcrllllld COIIIII)' III I>llcklll Nll, %~(121. Tbll ul1dcrslglllld lIl1dlll'SlIIl1ds Ulld uurlllls lhlll Ihc
IICCCplllllCC of Huld SlUllls InlillluwlI'<lund sUllslilclllln or IIdlspUICd dlllmllnd lbullhc PIlYI\1ClIlllf
suld sUl\1ls lIullllludmlsslon orliubllllY by IIny pUrly uumlld bll rei II ,
IT IS EXPRESS!. Y LJNIJI'I{:nOOIl ANI> Alil{I;I,:lllhlltlhls I{clcllsllllnd sClllcl\1l1l1llH
Illtlllldlld tu CUWI' IIl1d docs COWl' nOlolll)' 1111 no\\' kllOWIIIIlJllrlcs, 10sslIs, IIl1d dUI\1UI!IIH, but 1111)'
fUlurc IIIJurlcs. Iusscs, Ul1d dUl1l11gcs which urlsc from, or IIrc rcllllcd 10, lhc occurrencc Hctlorlh III
lhc LCIlIII ACllollnotcd IIhove,
IT IS FLJRTIIER LJNIJERSTOOD AND AOREED thut this Is lhc cOl\1plcte RclclIse
UI!l'lllll\1elll und 111ll1lhllrc nrc 110 wrlucn or ol'lllundllrstulldllllls or UllrCCI\1Cllls. dlrecll)' or Illdlrl:cll)'.
connectcd wllh Ihls Relcusc IInd sClllcmllnllhulurllnollllcorpurutcd herclll, This UllI'ccmcl11 shull
bc blndlnl! UpOll und Inlll'e In the succcssors, USSII!IIS, hclrs, cxccutors. udmllllslrulors, ul1d ICl!ul
rcprcsclltllllves oflhc reHpllclive punks hcrelO,
IT IS FLJRTIIER UNDERSTOOD AND AGREED IIllllmlldc purl hercorlhulncllhcr lhe
undersll!lIcd 1101' his 1I11011lC)'S nor lIthcr rcprcscnlutlvcs will, III UII)' 11'11)', publlcl~c 10 olhcr pcrSOl1l1
or III UI1)' I1C\\'S or comnlunlcUl!ol1s mcdlu, Includil1g, bUlllolllmllcd 10, IlCWSPUPCrH. IlIlWslllllcrs.
.2.
Inule publlcUIIr.m~IIlIUIlIWJj\UK. rudll1 or I\:le"I~loll.lhc lilclsllr Icnll~ ullll cOlldllllln~ Ill'lhl~ ~ul\llIllIlInl,
All plll1ll1~ llllhl~ ulll'llelllllnlllHpl'll~~ly UIlI'llC 10 deellllc lIUllIllIClllllll all)' uspuClol' Ihls ~lIl1lelllllllllll
1111)' IlIlllllhllr of Ihc Ilews Illedla or III dl~cun Ihlsllloller wllh 1111)'
olher per~olls wholllewr, This pomuroph Is IlllcnLled III bellllllle pllrL Ill' Lhc eOIl~lderaLlon lor
~elLh:lllcnt of lhls clolln. II Is l\lrlher lIxJ1rllssl)' III/n/ed 11M uJ10n UII ollellcd vlolollOIl or lhls
parollraJ1h. till: CourtlslllllpU\wred 10 InlllullIlIonllllllpll1rllCelldhlllslllllls own 1II0Llon or olllllotloll
01'011)' purt)',
IT IS FURTlml~ UNDEl~STOOlJ ANIJ A<mEED lhaL 1IIIIInlllrshuII lIelltlonlhe Courl of
COllllllon Pleus orCullIberlalld Co un I)' lor Ihll upprovulllrlhls selllcllllllll und thll J110Cll1llCIII orall
doculIIllnls pcrtalnhllll11 this selllellllllll undllr seal b)' the Court, and Ihllllhls Rell~lIse and selllcnllml
sholl be: null, void and ol'no l\llther lol'lle and elli:el In lhllewntlhol II Is nol uJ1proved b)' the Court,
Ills also expressl)' olll'eed by Ihe J10rtles lllUllnlheewnllhe Courl does nlllorder 1111 doeulllenls
perlolnlnlllo Ihe sllulelllenl In Ihls Illaller 10 be sealed Ihol Ihls selllclllllnl ollreCllllln\ shall bll
Immedlalely volduble ollhe opllollOf releasees,
IT IS FURTHER UNDEIlSTOOD AND AGIlEED Ihallhls RlllcuSll 1I0nllllllJ1luleS and
oUlhorl~J!s IIljuldollld dOlllul!es 10 bc IlliSllSSlld ul!Olnslthc 1II0lnlll1' for violation of uny J1rovlslunof
Ihis olll'llcmcnl. Includlnll bUlnollltnlllld lolhe pruvisluns prohlbltlnl! disclosure or Inforlllollolllo
\hll ncws media, Ills expressly oL\l'lIlld lhollhc UlIlounlllf such IIquldallld dumul!cs lor euch vlolollon
of Ihls IlcleoNe Is $5,000, Ills undllrslood and ullreed lhollhe disclosure of Ihe lilels or lenllS and
conditions of Ihls scltlemcnllll procecdlnlls before 0 Coort of cOlllpelenl Jurlsdlcllon or 10 any olher
.3 .
II11WrIIIl1Ulllul dUpJll11l1uIllllr ulIl!ncy, Ilucl!ssllry IUUhlulllupprnvuluflhls selllumulll. shull nul bu
deemcd u vlulUllllll <ll'lhu 11<1I1.diNclosurc pl'llvlslullS \ll'lhls UlIl'UUll1elll,
IT IS Fl/RTIIIII{ IINI>I'I{STOOlllhul Ihc Ul1dCI'Nlgl1cd I'Cpl'cscnls Ihlll hu Is Ihu lluly
III1Jl<llIlICd Admil1lsll'lll<l1' <II' Ihc ChlUlc Ill' 1~llzuhclh ^' 1I1111cl', dCCCUhCd 111111 IN uUlh<lrlzull lu
c<lll1l1r<lll1lhc, IIdJllhlUlld KClllc uny ulIllulI Wl\lI1l!lill dcuth clullllK bl'<lUl!hlllll hchulfllfor Inlhc 111111111
Ilfuny <If Ihc dCKL'L'l1duIlIK, hcll'N, KIIr\'II'<lI'K <II' bCllcflclurlcK lit' EllzJlbclh A, 1I1111cl' <II' Ihc Cslulc <If
EllzJlbclh A, BUllcr, dCCCIIKCd, lind, Ihulthc Ilcl'cndUl1lh Illlhc I.cgul ACli<l1l hovc clllcl'cdlnllllhls
NClllclllCI111n 1'c1lullcC <ll1lhcKC I'cl1l'ChCnllllhlllK, Thc IIlldcrhlgllcd cxprcsKly Ugl'CCh hi Indcl11lllf)'.
dclimd ulld h<lld hUl'lnlcNs the Ilcfclldunlh/rclclIsccs ulld ulI <llhcl' pCI'SOI1S, IlsSUclUII<lns, und
cUlllUrutlous, WhClhcl'<lI'l1ut l1ullled hcreln, Ihcll' heirs, CXCCIlI<lI'S, udl11ll1lslI'Uh)I'K. SUcccssurs, uKslgns.
und insul'crs, und Ihell' rCKpccllvc UI!CllIS, SCI'\'unls, und Cl11pl<lYccs rrulllul1Y <II' ulI CUUSUK Ilfuctlul1
ur Icgul chullcngcs I'llhls UI!rCCIllCI11 hl'<llIl!ht by <II' <Ill hdlUlf <lfullY hcll', sUl'vlv,)r, dCSCClldulllur
bCl1clklury ufl:llmbclh A, 1I1lllcl' <II' urlhc CSIIIIC uf J.:Il/Jlbclh ^' IIUllcl', dCCCIIscd, II1c1udll1ll C<lsts,
a!tomcys Iccs. II1ICrcS! ulld dUl11llgcs rcsllltlllg fhllllUIlY such lI,:II<l1l <II' c1H1l1cl1gc,
TilE lJNDElUil<iNEIlIII :I{I':IIY llH'J ,ARI':S Ihlll, hc hilS C<llllplclcly rcud thc IcnllS uflhls
settlelllcllI, hc hus diwlss\:dlhc Icrllls llflhls sClllclllCll1 wllh Icglll ClllllHiClllr his Chlllcc, ulld Ilml
he lully ulldcrstu<ld ulld v<llulllllrlly IIcccplcd Ihc ICI11lS <lrlhls NClllclllCllllill'lhc purp'lKc ol'lllukll1l!
u full ulld nllul C'llllprOllllsc UdJUMI11Clll ulld sClllclllCll1 <If llllY Ulld ulI c1uIIllN <In ucc<lUllluf Ihu
InJuricN alld dalllugcs ubUW.IllCllliuIlCd, und IiII' Ihc cxprcss purposc ul'prccludllll! lill'l!wr allY lurlhul'
or addiliollal suits arisllll! uUluf Ihc ulill'Csuld c1ulllls,
,4.
. ~uo I 4 \095
POllT%lfOIN'l' ... ACIl".ONT
KNOW All):, NIlf I'll' '1'111/11 PRISIlt'l'S, that the undersianed, dooll
hereby irrevooably nalllo find appoint and retain NAt1JIAN, lIMXTH,
SHUIILIR " HALL to be hi,., tl.'"ua and lawful attol.'"nuya to l.'"epresl!lnt
JOHN O. 1lt1'l'~.R, IXa:ClJTOR or TnlE lESTATB or aLUAllTn A. ISt1TUR,
DICIAIIJIlD, and talce OilY Bnd all lIuch otapa all they Illay deem
nElCeIlSlll.'"Y and pl.'"oper in l:hl! llanllling, ~>r.QllEll:ut ion, tl.'"ial or
settlement of any claim of the undaraigned Bgainat Any peraon,
COl.'"pol.'"lltion Ol.'" othor entity in connection with damages Bnd injuriea
sustained by Elizabeth /\, Butler, on or about October 13, 1994
which occurred at Blue Ridge Haven Weat l'Iuroing Bome, Camp Bill,
I?emlllylvania including all ml1tters related thllreto and ensuing
thereafter, with full power and authority to appear on behalf of
the undersigned in any Court of record, adminiatrative proceeding
or any other proceeding whataoever, to do and pel.'"form all and every
act and thing whatsoever that may be requisite and necesaary to be
done aB full to all intents and purposes as the underoigned might
or c;ould do if personally present I hereby ratifying and confirming
all that aaid attorneYII ahall lawfully do or caulle to be done by
virtue of these presents, provided, that me attorneya shall not
have the authority to lIettle aaid claim without our prior approval,
whether oral or in writing,
AND IN CONS IDf:RATION of the services performed and to be
performed, it ia underatood by the ulldersigned that lIaid attorneys
EXHIBIT
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of Pennsylvania
CUlllberlnnd
John c. Butler, IIdnintlilrator or the
EstatEI of IH lv.abeth A, /lutler, Pucll6lil!d
VB.
I.\eVllrLy CIIUfornla COl:pOration n/II/a I3<lverly Ifo:>alth Care
t/d/h/II /lLue IlidHe IflJvun Convalelicent Centel: - Wellt
and
Beverly ~:nterprlsell, Inc., t/d/b/a IHue Rirlge Ifaven
Convalesl;l!nt Center-West COurt or COIIIIllO!' ria..
al1<~ . ~. 911-5li2L ctvtl 'l'erm 19
BeverLy l,nt<n-prUielJ . Pennf3ylvllnia, Inc., ,"I. .........,.".....................,.., ....
t/d/b/Il 'Hue Ilid\Jl! Ifavl!n WUlJt convalescent Center, Ina.
IInd III ... ,.......c.l\tU.MtilJJ1..t.lollW...........,
Blue IHd\11il IIt/vl!1l West Convalescent Center. Inc.
l\i~ ImVl!I'ly CaUforniil COl:pOraUon n/II/a BeVerl~' Health Care. t/d/b/a Blue RidgCl Haven Convalescent
Center - Westl llever.ly Enterprises. Inc.. t/d/b/a Blue RWge Ifllven Convalescent Center-West,
l3evllrly ~:l1terpl:rlsl!s - Pennsylvania. Inc., t/d/b/a Olue nWge Ifaven West Convalescent Center,
Inc. r LW,e Ridge If.wolI West Convalef3cent Center, Inc.
---.- ... .------------.....----..--.....---..-
Y"U are h.,'<lI\, notified thu .Jehn C. "utter. IIdnintstrator of the Estate of
Eltzabeth A, Butler, Deceased
..~.~--.-......-._...._~-.__...--._---.--.--"---..--------------------------------.-------t_____..
Ih. Plalnlj(( hps comm~nced an action In ...c;:.lXU,.~.l;.~\![l......~l'i.........................._....
again 11 you which you are required 10 d.r,"d or a d.r~uh judR1/1enr may b. enlared aplnll )/'lu,
(SEAl.)
Pate ....~i.t;.9~x.W;h........... 19'Ji..
'..... .~I,!~.qr)~!I._t;;~ .~.!ll~p.!-". .... ...... ..........
Prothonotary
>>y .J.~H~:-;.!~).!\\WU1\~)ilt;)'1~il
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Estllte of Ellwbath A. 13utler, Pocellaad
VS.
lleverly Callforntll Co,:p.lrlltion nlklll lleVerly lIetllth Cllre
tldlblll lllulJ Illd\)n ,1I{lvon convalescent Center ~ WIilSt
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ConvlI J eSC<lnt C"l1ter,W<!li t C'lun of (;011I111011 PI.N
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llovel.'"ly l'.nte1llrtseH - POl1nsylvania, Inc., ,11), ..-................................... I~....
t/d/b/Il I3lUl! Illd\)o II..,vun \'IeBt ConvalcBccnt center, Inc.
lltlrl III ......... ..CJ,.'lU.JWtjDl]..~.lf4lol...,........
IJlUl! llid'Ju lIilwn WUGt LOIlVlIll!acent Center, Inc.
IXl; BUVUI"ly Cllll ~orntll CotpJrlltion n/k/a l!evoJ:"ly lIealth Cllr!!, l/d/b/II 1J1ue Ridge Hllven Convalescenl
Center' \'/llBtr llovoJ:"ly Ellterpl:'ises, Inc., t/d/b/ll I3luo Ilidge lIaven Convalescent Center.West,
IJoveJ:"ly I;~ntllrptrises - Pennsylvania, Inc., t/d/b/B OLlie Ilidge Hoven West ConvlIlescl'Jnt Contot,
tnc. r BluQ IlJdge II oven West Convalescent Center, rnc.
........................................................................
You ar. h.,.b)' lIoun.d that John C. Outlet', I\rininistl:'Btor o~ the EstBte of
Eli~abeth A. Outlet', Deceased
. ~ .. .. .... ~ ~.... ..-.......... .. .. .. ............................ ....................... ........,..................................................................................... ..........
lilt Plallllill hus <ollllll'nerd an aellon III ..Sj.XU.~~.t.tqt!.::.[<!Il'!.._... ..........................
uKahll1 vou which you art rt'lulr.d 10 d.l.nd or a d.lauh jud(!l1ltnl lIlay be rlll.rod ugalnll \'Ou,
(S~^L)
Pal. m.~tQl,1f1A.lgh........... 19~~.
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Prolhonotary
Ily .. J~~~~:-;, ~).J \\~\.!t~ll~\),:.tt D~J I
, Deputy
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Commonwealth of Pennsylvania
County of Cumberland
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John C, Butler, /lQniniet/.'lltor of L1lo
li:atatl! ()f t;;li~/IbfJth A, l3ullur, Deceased
VB,
Bevel'ly Cal1fomia COrp:l/.'ation n/k/a Bevel'll' Iielll.th Clll'<!
t/d/b/a Blue IHdgo Iloven Convoleecont Conte/.' - Weet
I'!nd
Beve/.'ly Entotl1rieea, Inc., t/d/b/l'! Blue Ridge Hllven
Convalescent Center-West Cnurl of Common Pleu
II~ N 96-5621 CiVil Te/:1n 19
Beverly ~.nterprieee - l'ennaylvonill, Inc., 0 ....-.................,......... ..... ...-
t/d/b/a I3lue rHdge Hoven Weet Convaleecent Cente/.', Inc.
dnti 1/1 ..__...._..CJ..'lU.MtJ.on.~.l.aw-.........._
Blue IHdge Illlven West Convalescent Center, Inc.
'IDI Bevel'ly Clll Horn la Corporatlon n/k/a Beverly Ilealth Ca/.'e, t/d/b/a Blue flidge Haven Convaleecent
Center' Weetr l3everly l':nterpr:iaee, Inc., t/d/b/a /HUll Ridge Itaven Convalescent Center-Weetr
Beverly Enterpidel!!e . Penney lvania, Inc., t/d/b/a B),ue Ridge Itaven Weet Convlllosecent Center,
Ille., Blue IHdge Itaven Weet Convaleecent Center, Inc.
---.. .-----....--.---..---....---------------
You are hel,b\' notified UIOI John C, Butler, I\dninistrator of the t;;etate of
t;;lizabeth A. Butle/.'. Deceaeed
..._..._.____.......______________.____________._.._._.___M____.______.__._____..._______.___..___
Ih. Plainllff hue ccmmencrd an aCllon In ..S~...'tn.I.\~.t.~Q!).:.J>!I}'L........,..............m....
ago hili you which you are required 10 defend or a deraull Judgmenl Illay be enlll'ld .gaJntt you,
(SML)
Dale ._..~~rM};:j!.th..__.._.... I9'Ji.
,..... .l~mlJ\t~._'h_~!tt~f!~...... _..... .m___"
Prothonol.4ry , ,
py ..J~~~5~:-:.~).JJ}~~~H~~.),ltf.Jlj1il
Oepury
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JOHN c. BUTLSR, ADMINISTRATOR OP
THII "STATII OF ULUABRTH A, F.IU'rLBR,
OBCBASBP,
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BBVBRLY CALIFORNIA COR~ORATION I
n/k/a BIEVBRLY HlUIL,!'II CMB, t/d/b/a I
BLUB RIDGB IlAVEN CONVAt.BSCBN'l' I
CBNTBR - WIlB'r I
fiND I
BEVBRLY ENTBRPIUSBS, INC. I
t/d/b/a BLUB RIPGJ:: HAVBN I
CONVALESCBNT CENTER-WBST I
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BBVIERLY lltITER~RIBBS - PBNNSYLVANIA, I
INC" t/d/b/a BLUE RIDGE HAVEN WBsT,
CONVALIESCIlN'r CEN'I'BR, mc, I
AND I
BLUE RIDGE HAVEN WEST CONVATJJ~SCENT I
CBNTBR, INC. I
Defendants I
~laintiff
v,
IN Tum COURT OP COMMON
~L8AS, ~UMBBRLAND COUNTY
NO,
qt,Q- 5tCJ I
CIVIL ACTION
JURY TRIA~ D~MANDRP
,
.,RABCI.,. 'OR WRl.'L. or stlllllolfS
TO TH8 PROTHONOTARY,
Please ismue a Writ of Sun~ons in the above aotion seq. leg.
(Please see attached sheet for applicable addresses.)
NAOKAN, SMITH, SHISSLER & HALL
B~~S~~p~~';~i!o~~.' ~I~!r.
Attorney I.D. No, 24580
2QO North Third Stroet
P.O. Box 840
Har/.'isburg, ~A 17108-0840
Telephone, (717) 236.3010
Counsel for Plaintiff
Date, October 11, 1996
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Commonwealth of Pennsylvania
County of Cumberland
John c. Butler, IIdlliniatrator of the
Eatllte of Eli~abeth 1\, Butler, Dece6s~1
VB,
Beverly Califomia COl1xJl'/ltion n/k/ll Bevel'ly lIealth Cllre
t/d/b/a Blue Ridge Iloven Convlllell'lent Center - Wellt
and
Beverly li:nterpdaea, Inc., t/d/b/lJ Blue llidge Ilaven
Convaleecent Center.West C~urL o( (101111"011 PI.u
and
Bevel'ly I::nterpdace . Pennaylvllnia, Inc" No, ..~~:_5.~?L..9~Y.~~~........... 19....
t/d/b/ll Blue flidge lIoven Weet Convaleecent Con tor , Inc.
and III ..... -.. ...CJ..'lI.l.Mtion .~.1.aw.........__..
I3luo Ridge lIaven Went Convalescent Centor, lnc,
TOI I3evedy California COl:pOration n/k/n l3cver.ly Health CIIl'O, t/d/b/a D1Ul!! ~Wgl! Haven Convalelfcent
Conter . Welltl Beverly Entarprieell, Ino" t/d/b/o Blue Ridge 1I11ven Convaleecent Center.Weatt
Beverly Enterpidflee . PennaylvllnilJ, Inc., t/d/b/a Blue Ridgo Haven Wellt Convaleecent Center,
Inc. I Bluo Ridge Haven Weet Convaleecent Center, IIIC,
~~.~.-~~--_.-..~------.-----_._--.-._--------
You ~I'O h.,.b)' nollflod lh~l John C, l3utlel', Mnlniatrator of the Estate of
Elbabeth 1\. Butler, Deceaeed
..-------------.-.---------.-.-------------.-.---.-----------.------.---.-----------------.-..-.-.
the Plllnllf( hue commoncpd an aCllonln .._~j.xtJ..~.U'2(l.::.kl}l;mm..........__.............
~glllllll you which you are r"lulr,d 10 do(,"d or a d.(aull ludll1Tlen' IIllY be ell II red agalnlt you,
(SEA~)
Dille ....Ql:t~~.1!.t;11.......~... 19'.li..
;,..... .....~O~t'J~!t..)i;t....kl_Elt~'.r........................ ........."'...
Prothonotary
By ...)~H~.0J~}~H{.li:1:))~-t.,
Deputy
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BBVB~~Y CALIFORNIA CORPORATION
n/k/a BBVIlR~Y HIllAL'1'H CARE, t/d/b/a
B~UII RIOlJlE HAVBN COl'lVALIESCIIN1'
CRNTIllR . wlEs'r
770 Poplar Church Road
Camp Hill, PA 17011
BIIVBRIN BNTIllRPR I S"S, INC,
t/d/b/a llLUIll IUDGS HAVBN
COl'lVA~IllSCIllNT CIllNTIllR-WBST
770 Poplar Church Road
Camp Hill, PA 17011
BIIVB~~Y IINTBRPRISBS - PENNSYLVANIA,
INC" t/d/b/a BLUIll RIDlJlll HAVliN WBST
COl'lVALBSCBNT CBN'rBR, INC,
770 Poplar Churoh Road
Camp Hill, PA 17011
BLUB RIDGB HAVliN WBST CONVA~BSCBNT CBNTBR, INC.
1318 Fourth StrQet Northwest
, Jamestown, North Dakota 88401
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IN TIll COURT or COMMON PLI'..U, CUMBEIlIAND COlINTY, PENNSYLV ANJA
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TERENCE S. HEVNER and
F"YE J. IIEVNER,
Plalnwr.
NO.
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CIVIL "CTION. LAW
BLUE RIDGE IIAVEN WEST, INC.,
WR'BT SIIORE IfEALTII RFJIAB CENTER,
BEVERLY IIEAL11I AND
IWIABIUTA1'ION, INC.,
BEVERLY ENl'ERPRJ8ES, INC., .nd
BEVERLY ENTERPRISES OF
PENNSYLVANIA, INC.,
Derendanll
JURY TRIAL DEMANDED
A V ISO
USTED IIA SIDO DEMANDADO EN I.A CORTE. 51 Ulted deaea de(enderMl de 1aJ
queju expuealU en 1aJ pdahw Illlulentea. debc !omar accloo denlro de velnLe (20) dCalI pIlItlr
de Ia feeha CIl que rec:lbl6 Ia dcnllnda y el .vllO. Ulled debc praentar c:ompll'ccendl eacrill
en perIOllI 0 por abollado y presentar en Ia Corle por eacrt!o IUI defen... 0 IUI objeelonca I lu
dcmandiu en IU c:onlra,
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Be Ie Ivl.. que U no IIC deftende. c1 cuo puede procedcr un Ulled y II Corle puede
decldlr CllIU contra Iln nw Ivila 0 notiftCllCl6n por cualquler dlnero reclanwlo en la demanria
o por cUI\q1llcr 0lrI quejl 0 c:ompcnlllCldn reclamadOI por c1 Dcmandanl.c. USTBD PUBOE
PBROER D1NERO, 0 PROPRIEDADES U OTROS DERECHOS IMPORTANTES PARA
USTED.
LLEVE ESTA DEMANDA A UN ADOGADO INMEDlATAMENTE.
81 USTED NO TIENE 0 NO CONOCE UN ABOGAOO, VA Y A 0 lJAME A LA
OnCINA EN LA DIRECCION ESCRlTA ABAJO PARA AVERlGUAR DONDE
PlIEDE OBTENF.R ASISTENCIA LEGAl...
CUMBERLAND COUNTY BAR ASSOCIATION
IAw)'er Retel'n! Benke
Two Ubut)' Street
CarllIIe, PeDlll)'lvanla 17013
(717) 24' . 3166
1-800-lIlIC).'10l
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12, 1111, Illtlon occurred u . reIt.Ilt or the neallaence or !he employ.., 1IOIl1I, andJor
Iel'VIIIII of the Defendanll and wu dlle In no mannOI' 1.0 any act or failure 10 let on the put of
the Plaintiff.
13. 1be nqllaencc of the employ.., qenl4, and/or ICrvanll of die Dcfendanl4
conallled of the followlnal
I) Palllna 1.0 RICOanb.c the IpCCIaI dement of hann and
danaer of Ice llf1 die plIrkinalot;
b) PermlUlna or a1lowlna the ir'.c 10 ICCUlIlu1a1e In die
parkina lot of the fllClllty wlltll the Dcfendanll knew that
III patronl and Invltees luch II the Plalntl ff would have
1.0 traverse die area;
c) Palllna to utllb.e that dqrcc of are required for
buslneu InvhlJCI such II the Plaintiff by not malntalnlJlI
the prcmlllel In I lIIfe and usable condition;
d) Palllna to Inspect the prcmllCl 10 dlllOOver lhc unlllfe
and hazardOUI condltlon of Ice on the parkinalot;
e) Palllna 10 warn or protect the Plaintiff from the unlllfe
and hazardOUI condition of Ice on the parkina lot when
the Dcfendanll knew or should have known that the
Plaintiff would be unable 10 protect himself:
t) Palllna to correct Ihe hazardoul and danaeroul Icy
contiltlon that the Dcfendanll knew or should have
known existed on the prcmlllel;
a) Creatinl or a1lowlna 1 hazardoul condl lion 10 exist
which the Dcfendanll knew or should have known
involved an unreuonable risk of danaer 10 perlOlllsuch
u the Plaintiff who would not know or have reason 10
know of the unreasonable risk of harm:
3
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17, AI . ""'II of the nqll,enccl of the Defendlnll, the PlalnlJ<< hu IUffered, or /lilY
IIlfrer, . IOVete 1011 of hll earnln.. I/Id Impalnnent of hll earnln, Clp&clly and the lOll of
Income and ImpaJrmetlt of amln, ClIIlIICity will, or may continue In !he Mure.
18, AI a luull of Ihe neallaence of the Defendantl, the PlalnUff hu UndtTaone, and
In the Mure /lilY undergo, IllUt mental and phy.lcaJ paln 6Jld .ufferina, menlall/laulsh I/Id
humlllaUoo, lOll of IIfe'l pleuUlU, IICIJ'rinl and dl.naurelllent, and . /Illvere IImll.atiOl1 In hi.
purlult of dlllly lICllvlUes, all 10 hi. glUt 11111 and delrimetlt.
WIIEREFORE, 1)llIinllff I'lllpecllully rtqUC11J 'nIl. Honorable Court 10 enter judamenl
aplnll the Defendanll III 111 Illlountln e~celll of the mllndalOry IlIbllraUon IImlll.
COUNT II
FAVE J. IIEVNER
Y.
BLUE RIDGE HAVEN WEST, INC., WEST SnORE IlEALTII REHAB CENTER,
BEVERLV IlEALTII AND RElIADILlTATlON, INC.
BEVERLV ENTF.RPRISES, INC" and
BEVERLY ENTERI)RlSES 0'" PENNSVLVANIA, INC.
19. The aJleaatlonl contained In paragraphs I !hrough I~. Inclusive, are Incorporated
herein III fully u !houllh set forth Illlena!h.
20. Solely U II result of !he neallaence of !he Defendanll. and !he l'CIullln.lnjurlea to
her IpOUIO. !he Plaintiff, Paye J. Hevner, hili been deprived of the UlI.Lanc:e, compllllOl1shlp
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