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HomeMy WebLinkAbout01-29-10 (4)IN RE: ESTATE OF ROBERT W. SIPE, An Adjudged Incapacitated Person IN THE COURT OF COMMON FLEAS OF CUMBERLAND COUNTY, PENNS~rLVANIA ORPHANS' COURT DIVISION No. 21-08-1118 AFFIDAVIT OF SERVICE I, Janelle Yuhas, being duly sworn according to law, depose and say that I served ICristy Scott, representative for Forest Park Health Center, with the annexed Petition for Review Hearing and Appointment of Successor Guardian and Preliminary Decree at her place of business on the 28+~ day of January, 2010. The UPS Proof of Delivery evidencing service is attached hereto as Exhibit „A „ Dated: 2010 J lle Yuhas, Paral gal Sworn to~d Subscribed before me this a~ day of 'J(,VV~t..llcd K , 2010. .~. ~ ~ c o o ary Publ ~ '? z My Commission Expires: ---~' ~, N ~'~~~r; ~ =; c_,,~_; C.7 -E=r ~ COMMONWEALTH OF PENNSYWANIA ~ ~ N 411aWWirl Seri Jennihr K WOOd01d, Notary Public .~- Cqy d I~IrArbuip, Druphin County My f.'ar Mon E~ Oroe Mry 15, 2012 ~; ,~ _. .---~ _- ~- ORIGINAL IN RE: ESTATE OF ROBERT W. SIPE, An Adjudged Incapacitated Person IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. 21-08-1118 PRELIMINARY DECREE ~Jr' ~ da of 2010, upon AND NOW; this y -~~~`~' consideration of the annexed Emergency Petition for Review Hearing and Appointment of Successor Guardian pursuant to § § 5512.2 and 5515 of the Probate, Estates and Fiduciaries Code, it is hereby ordered and decreed that: ~~~at A hearing on the attached petition is scheduled for M in Courtroom No. ~-- ,Cumberland County Courthouse, Carlisle, Pennsylvania 1 013 By the Court: ~~ - ~: ,sue ~ _ - .~=~ Ul .. _. ,~' fl) ~. ~--, ,~ -, r~ ~~ ~ Ti -:d.. - r': ~~~ .. :._~ J l._i ~ ~ --~ pR~G1NAL t T IN RE: ESTATE OF ROBERT W. SIPE, An Adjudged Incapacitated Person IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISIQ~o ~ -; , No. 21-08-1118 - ~ _„ 1,; ~;;,~ --._ ~ , ~....• '.... »~ t~ ';~ -Js: ~ ~ ~~ t _ .. f 1 C~ ,:7 ~ ) G~ _°t EMERGENCY PETITION FOR REVIEW HEARING AND APPOINTMENT OF SUCCESSOR GUARDIAN PURSUANT TO SECTIONS 5512.2 & 5515 OF THE PROBATE, ESTATES AND FIDUCIARIES CODE To the Honorable Presiding Judge of Said Court: AND NOW, comes Petitioner, Guardian Elder Care Horne and Community Services, LLC d/b/a Forest Park. Health Center ("Petitioner"), pursuant to 20 Pa. C.S.A. §§ 5512.2 and 5515, and respectfully represents that: 1. Petitioner, a domestic corporation licensed to do business in the Commonwealth of Pennsylvania, with its principal offices located at 1217 Slate Hill Road, Camp Hill, Pennsylvania 17011, operates a skilled nursing facility at which the incapacitated individual, Robert W. Sipe ("Ward"), is a resident. 2. On or about December 12, 2008, this Court adjudged the Ward to be a totally incapacitated person. See the Final Decree attached hereto as Exhibit "A." 3. On or about December 12, 2008, John Arthur Sipe, Sr. ("Guardian") was appointed as the Plenary Permanent Guardian of the Estate of the Ward. See Exhibit "A. COO P~7 4. The Guardian was asked to assist Petitioner in establishing Ward's eligibility for Medical Assistance benefits by effectuating a spend down of Ward's resources pursuant to his appointment as Guardian of the Estate of Ward, and in response to the Medical Assistance notice denying Medical Assistance benefits. See Cumberland County Assistance Office Notice of Denial, attached hereto as Exhibit "B." 5. The Guardian has actively assisted in the partial spend down of Ward's excess resources; however, when verification of certain expenditures from Ward's M&T bank account was requested, the Guardian became increasingly uncooperative. 6. Since December 15, 2009, the Guardian has failed to answer or return telephone calls from, or communicate in any way with Petitioner's skilled nursing facility with regard to important information regarding Ward's missing financial resources, all of which were missing due to the Guardian's withdrawal of same. The Guardian has also failed to respond to written correspondence regarding the withdrawals. See the December 22, 2009 Correspondence to the Guardian and delivery confirmation, attached hereto as Exhibit "C." 7. The Guardian has failed to cooperate with Petitioner's request for assistance and verification in establishing Ward's Medical Assistance eligibility, and continues to withdraw funds from Ward's bank account without remitting payment for the skilled nursing care Petitioner has provided and continues to provide to Ward. 8. The Guardian has written checks for "cash" from Ward's M&T bank account since January, 2009, equaling Eleven Thousand, Seven Hundred Twenty-Five ($11,725.00) Dollars, with no explanation or receipts for the purchases and none of these funds were paid to Petitioner for services provided to the Ward. See Ward's M&T Bank Statement Withdrawals, attached hereto as Exhibit "D." 2 s t 9. Despite the Guardian's failure to communicate with the Petitioner's skilled nursing facility, Ward remains a resident of the facility and the balance due to Petitioner for services rendered to Ward is steadily increasing each month, to an amount in excess of Ninety- Two Thousand ($92,000.00). Dollars at present.. -See the Ward's Current Invoice, attached hereto as Exhibit "E." 10. To address the increasing balance due on the Ward's account, Petitioner needs to establish his eligibility for Medical Assistance benefits; however, Petitioner cannot do so without the Guardian's cooperation in the provision of certain information and verifications to the County Assistance Office, and proof of where the aforementioned Eleven Thousand, Seven Hundred Twenty-Five ($11,725.00) Dollars was spent. 11. As the Guardian is unwilling to cooperate in the Medical Assistance benefits application process, and may be misappropriating Ward's funds, Petitioner requests an Emergency Review Hearing pursuant to 20 Pa. C.S.A. § 5512.2. 12. A review hearing is warranted under 20 Pa. C.S.A. §5512.2 because the Plenary Permanent Guardian of the Estate of Ward, has failed to act in the best interests of the Ward and has withdrawn Eleven Thousand, Seven Hundred Twenty-Five ($11,725.00) Dollars in cash with no record of payment to Plaintifffor Ward's medical care or any other explanation. 13. The emergency nature of this petition is based on a Fair Hearing before the Bureau of Hearings and Appeals scheduled for January 25, 2010, wherein Ward's eligibility will be determined. Additionally, there is the ultimate concern that the Guardian will continue to misappropriate Ward's funds. 3 t s 14. Petitioner requests a judicial determination that the Guardian has failed to act in the best interests of Ward by failing to respond to communications from Petitioner's skilled nursing facility with regard to important financial verifications needed to establish Ward's Medical Assistance benefits, including documentation regarding the withdrawals of Ward's funds in the amount of Eleven Thousand, Seven Hundred Twenty-Five ($11,725.00) Dollars. 15. The wasting or mismanaging of the estate is grounds for removal pursuant to 20 Pa.C.S. § 3182, and is applicable herein by and through 20 Pa.C.S. § 5515. 16. Additionally, the Guardian has failed to file an a report with the Clerk of the Orphans' Court containing Ward's assets, investments, receipts, and disbursements, as required in 20 Pa.C.S. § 5521(c). 17. Grounds for removal of a guardian include failing to perform any duty imposed bylaw. See 20 Pa.C.S. §§ 3182(1), 5515. 18. Petitioner further requests that the Guardian be compelled to provide an accounting for his fiduciary actions, especially with regard to the Eleven Thousand, Seven Hundred Twenty-Five ($11,725.00) Dollars that was withdrawn. 19. Additionally, Petitioner requests that this Court appoint Brian D. Brooks d/b/a Pennsylvania Guardianship Association, 117 S.W. End Avenue, P.O. Box 7295, Lancaster, Pennsylvania 17604, to replace the current Guardian of the Estate of Ward. 20. Brian D. Brooks d/b/a Pennsylvania Guardianship Association does not have any interests adverse to the Ward, and he is otherwise qualified to act as Guardian because he currently handles numerous guardianship matters similar to the one at hand. See Consent of the proposed Successor Plenary Guardian attached hereto as Exhibit "F." 4 WHEREFORE, Petitioner prays your Honorable Court promptly schedule a review hearing to determine whether the existing Guardianship Order shall be modified to remove John A. Sipe, Sr. as Guardian of the Estate of Robert W. Sipe, and appoint as the Successor Guardian of the Estate, Brian D. Brooks d/b/a Pennsylvania Guardianship Association. Respectfully submitted, SCHUTJER BOGAR LLC Dated: ~ _ - BY~ Sarah .Brown Attorney LD. No. 200614 (610)727-3793 sbrown@schutj erbogar.com 1055 West Lakes Drive, STE 300 Berwyn, PA 19312 Chadwick O. Bogar Attorney I.D. No. 83755 (717)909-5920 417 Walnut Street, 4~' Floor Harrisburg, PA 17101 Attorneys for Petitioner 5 EXHIBIT "A" (TO PETITIOl~ I:~ 7i:-_ . ih 7'I~IE C:Oi!Z:'.I' OF Coi~~ii~'ION PL1;~4 CU)~~tI3CRI,:~i~1~ CC}LiN"I'1', P~r`ti~1S~'L\+~~Nl:l ~o. ~~ - L``. - 11 :1.n :llie~ccl Ittc:tlr=icit:ticil t'i:rsnn : (~Rl,t{A~`S+ C.C'>L:I~•~' ~l\JISI(:)N rJ Fli~:tL UFCREL ~r-z ~ • Z~ , ~~ ~ ?[I(3~, I)aSCLI tll'1Ull tlll: 1.videl~i:c c-; i\U~~'. this ~ day ai~ a - -- rec~i~°ecl and thi; rccard_ this Court finds b}~ char and con~~inci 11+~ cl~ttlcnce tllill i:.Q13I ZT «'.~ 5l['l~ is_ ancf tilcrc.lorc is adjutl~,cd, a ta.tally inc=illacitated person. _::~ ~ l'hc C'c-urt lincls tllai I~(.)BL-'R-C ~'V. S11'i.: sutlers 1Yam clc.lllenti;l. «•hi:~h eolt~.irf~,n tota(2z' -• . _- o impairs hiti cupncity tit rCCCfVC 1lld t;Vi]lutlle 1nlUrp7ill.lUn L'll'CCLf1'ClV and tt) r!l'etkl' alld ...._ C01'nnitllltl:tltl: dCGI51UI7S COi7Ct:Ttllll~ the nltinag4111L'n! of h[S 111]:llli;lidl iCl~ial7-s or to nlcct c::scl)tial rcciuil-cmcnts li7r Iris physirtll llr:aldt anti St~t'i:.l}'. 'CE1tr5G•ILItIICtc1I i:l~[Cr171tI1:1ili)I15 have talon illtt) cilll,idct'ation the tlltttters 1-etluit't:d by~?t)~ Pa. C.S.:1. ,~ccttrdin~l}': U ~U4U f<~~~'~~ ^e'+~iti' Ilercby aI)point~d Csuardi.tn of t1lr: 1=state o: r'(3Lit~' RT «+: SI1'l and shntt ha~re alatlloriiy and respt)nsibilit}• tc7 rtlanagc and usi: tllc int:ttpu+=ititterl l~crsotl's property for his benclit in accordant;t: «•ith ?U Ya. C.5.r1. S j3(7(a'). Tll~ Guar:Iian of the lstat~ uF ItC)13E1t7' ~~~. S1P11 shaft takt~ contrt_11 eel' the inca{~acitated persi)n~ s ~7ritpcrty and assure that it is adcc{uatcly protected aotiinst loss; tihtill 1I14'C~l sttltj I71'UJ7CrlY it) in4c5tnlents suitahle tcz the ittcLtptlcitated person's circumstanc;:s; sltttll pttrsu~ tltc itlclp.lcitatccl p~:rsons-ti ()UtSt:Ultiln~ elaitns; shah{ il•nccessan` seek tin tzccou, un`~ EClltll SUCIl c7ilC Cll' t)lOrc rerso:ls as have t:cntrolli:cl the it)ca-ptteittttcci person~4 propt:rt}-: ,h~II csulblislt a btid~:el atlcl shall iil~ it re{)c-rt with the C:IirE; eti t[ttr Court about assets, itt~~csttnrr::s. r~c~ipts atld disUurscnl~nt4, as required h}•2(} I'a. C_S.il. ~iS7I(c), within t«~ei~~c nlnllths t,Cthis Decree and annuuflV thet-c::tl'te:r. 'l'ire Guarcliun tillail 1iEe ;tn inventory with the Court ',a .sc,urelilrn.e ~+'ith 4-t,)~r1Cz i'.t./,. 1'~~j~? I atld ~l~I? withitl tl7rei: tllotlthS Ol•this I)ecrec. Acct)rc3isi~, Eii .ti 1 ti. L:.S.:~. ~ (~ j llc: (luard'tcul i~l-the r~:talc nl- RC1I3>I2'1' ~~'. SII'L• is autlloriar:d to spcnci inuumo l;lr the afiares:litl pttr{.~oses ~villtl?ut the Catt7•t's written ctI?prctval. `tile C;uarciittn ,?a the ~Sitlti: of P.C)I31~:1~1' V.'. tilI'~ shall nttt be rcclutreci to post a botlil. An}' c~istint~~ ~cncrat potiver of attorne}•, limited power of tittorn~y alldlclr ilcatth care pc)«'+rl• ujatturney executed I)y the said iLUR>/f~T ~. SIPL-" is hereby speciiicall}' rcvul:ed and rtnilzred null and rigid. + The said R~13EIZl' ~V. SIPE ltas the t•ir~llt tti ttppcaE this Decree to file Superior Court of PLr;nsti~h~ania ~vitl;in thirty (30} dayti of this .necrcc. 'f~h~::if'[~rL[)zc[)[i~a[~cci,ju(licit~l rli:iCl'i))!I)i}[1l)Il5 1}itl'.4 t;1n:'lt i[)ky ronsidcra[iun tltr nlau~~•:; ['('i~Li,V'CL~ l}\' ~t~ l~il. E..~-.'t• ~-~ ~-~• ~ • .l l)L l]illllil!_'S t}f 11c:1 ill)Cl (;ilS}CELttilU1)ti OI ~al\1r llc11t ~)Cc'll i}1:1i1t' (}f~~'~'~(iC(I TlI Il1C til'IiEC[lC[~1C1` ltt[iF[I)L:. i ~-r', ,~ :~:~ _;~ ~- EXHIBIT "B" (TO PETITION) f. NOTICE TO APPLICANT t CuMBERLr,. cAo 33 WESTMINSTER DRIVE ~ . ! - ! ! ~ ~ ~ v uvi~ .... CARLISLE, PA 17013-0599 ! ! ~ ; (717) 240-2700 BENEFIT ~ EIlGl~E ^ ASSISTANCE After the first check which may be a special amount you wiA receive $ CHECK ^ Twice.a Month ^ Once a Month ^ in the Mail ^ At the Hank ^ MEDICAL ^ You have a patient pay liability of $~ ASSISTANCE for the period beginning and ending ^ Effective Date ^ FOOD You will receive S For the month{s) of then you will receive food stamps in the amount of $ STAMPS a month from to ^ In the Mail ^ At the Hank m NLPr25BdG HOME / Leval of pre authorized you are expected io pay S a month inward your care. ^ sERVICES ^ s ec _ _ THE.FOLI_OWING,PERSOIJS. AREINCLUDE ...:,.:, •..~:• - ~ .: .-:'..:-.-- .'• ::: ~'' N NAME ECiC PS RVI ~ E N NAME I' 01 ROBERT S1PE ~ ~ ~ * • r ~ e - • 85~ACOD rre.r o7 sS01~~ YOUR TOTAL RESOURCES ON 11/1108 EXCEED THE RESOURCE LIMIT FOR MEDICAID LOAlG TERM CARE. TOTAL RESOURCES ARE $31,765.69 AS OF 11/1/O8. Name ____ Name UNFARNEDINCOME _ Name UNEARNEDiN ME TOTAL GROSS MONTHLY INCOME $ TOTAL GROSS MONTWLY INCOME $ GROSS MONTHLY DEPENDENT CARE COSTS $ GROSS MONTHLY DEPENDENT CARE COSTS $ DI AL COSTS G OSS ME C R $ _ - -- - - - - - - - - -- - -_ '_ - Telephone WatarlSewage ~~'©MEDICAL' i45S1STAN_ GEY =':=:=:Nuiribei;ofPersdrpi;~ Electric GarbagelfrasFl Name o LY Gas Utility Installation $ pit Other $ GROSS UTELITY COST5/UTILITY STANDARD' $ $ RENTIMORTGAGE $ Narne N LY TAXES $ $ INSURANCE COST ON HOME $ $ TOTAL SHELTER COST $ __ $ TOTAL GROSS MONTHLY INCOME NET MONTHLY 1NCOMEINET SEMI-ANNUAL INCOME INCOME LIMIT CO RECORD NUMBER CAT CFRDlG 01ST 21 123638 PAN 0 .Y 7/30/2009 240-2748 Mafiing Defe Telephone Number SCHUTJER BOGAR ~ 1055 WEST LAKES DRIVE SUITE 300 BERWYN PA 19312 ATTN: SARAH BROWN L --~ Jfyqu, do i-oi trnderstand Qurdecis/ari.orhaveanyquesttorr~ contact jrour~worker, ~~ ^ CLIENT ^ APPEAL COPY ~.^-~- ~~-.~°`'LEGAL'IiELPIS AVAILABLE AT:';i.''r.. °;.:•.::: ~~ ~ LEGAL SERVICES INC. 8 IRVINE ROW CARLISLE, PA 17013-0000 (717)243-9400 ^ CASE RECORD COPY PAlFS 182 9108 EXHIBIT "C" (TO PETITION) pia .-:~-~;>°., ~: ,~.; . ~ r~ ~--~ r.:., ~~ ~~ :;'.:'i .;.~~J Email: sbrownQse6utjerbogar.cam Direct Aial: {bi 0) 727-3793 vrA o~~t~ght~r~tr Mr. John A. Sipe, Sr. 90 Salem Chuxch Road Lot 506 Mechanicsburg, PA 17050 RE: Robert W. Sipe Dear John: December 22, 2009 _~hu:.~r Boyar LLG Fax (610} 727-4345 www_schutj erbogarcorn ~ cosy Qn December 11, 2009, we spoke on the phone and I explained that the County Assistance Office needed receipts for all the purchases made with the cash withdrawals you made from Robert Sipe's M&T bank account in October, 2009. You indicated to me that you would take receipts for such purclases to Forest Park Health Care Center, our client, on Saturday, December 12, 2009. To date, Forest Park has not received any receipts from you. I have since spoken to the County, and in addition to the expenditures from October, 2009, the County also requires receipts for a1I purchases made with checks written from Robert's checking account from January 2009 through July 2009. The checks written during that time period are in excess of $15,000.00. If you fail to provide the requested receipts to prove the cash withdrawals and expenditures were spent for Robert's benefit and/ or his medical care, we will pursue civil litigation against you wherein a judge will require proof of exactly how Robert's money was spent. Should you have any questions or concerns regarding my request for the payment receipts or anytl-ung in this regard, please do not hesitate to contact me directly at (610) 727-3793. Sincerely, SCHUTJER BUGAR LLC Sarah J. Brown, Esquire H~.n=.IEL.._. ~.S > PniL~.:S~ :(Ih. fir. > r ~c:!,'.~n. ?r. s ?~.~,.'f'., 7-t. 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Ext. 865 Phone 1-888-880-7090 Fax 1-814-265-1377 Email djordan@guardianeldercare.net _ JOHN sIPE 90 SALEM CHURCH ROAD LOT 506 MECHANICSBURG PA 17050 Please Detach and Return with your payment Resident Resident Discharge Date Statement Date Payments Posted Through PAGE ~. 22725 SIPS ROBERT [~ 12/31/2009 12/31/2009 1-888--880-7090 @ EXT 865 USE MASTGRCARO/VISA/DISCOVER PAYMENT ENCLOSEQ DATE DESCRIPTION UNITS REL'EREt~iCE AMOUNT BALANCE PREVIOUS BALANCE 84,925.05 89,925.05 12/14/2009 TRUST FUND PAYMENT CHECK ~f1283 -1,368.26 83,556.79 12/03/2009 BEAUTY/BARBER 1 11.00 83,567.79 12/31/2009 LAUNDRY 46.50 83,619.29 12/31/2009 INCONTINENCE 3I 263.50 83,877.79 01/01/2020 ROOM & BOARD- JANUARY 31 @267.00 8,277.00 92,154.79 --- ................ ................. ... .._.......... .... . - :.:....... ENDING BAT,ANCL:~.:::.::.:.::::.::.:.:::_::.:..::_:: ................. ............................... •---- ---- - -------- ..... _._.. 92 154.79 YOUR PAYMENT OE 92,554.79 IS DUE AEON RECk:IPT Forest Park Health Cent 1-888-880-7090 SIPS ROBERT W 22725 EXHIBIT "F" (TO PETITIOl~ ~~~~'i`4N~ O~~~tOPOffiCD PRRtKANRN'P pI,~A~tY ~~'ARIkfA~I_O_F T~ EBTA~E -~...~.~ Esien D. Brooks dlala Permsylvania Crtfardianship Associstidn, the perrraanent Pl~'Y guardian of the estate proposed in the foregoing Emergency Petition ~evic++sr Hearing and Appointcaent of Successes t,ruardian, agzeps to t~ccept the a}tpnintrnent as pennant plenary gutudian of the estate and avers that ha is not a fiduciary of an estate in which the iacapacitated per~an has an interest. and the pchcmmattent plermry guardian of the eatatc of Rabcrt W. Sipe lses ~aa i~sts adverse to biro. Hated: , /., ~G~^ Brian n. Brooks dlb/a Pra%syivaaie Guartli~ahip Aswcia#ion 0tr5566ZLZL Zb~bt 916Z/0Z/T0 VERCFICATION The undersigned Hereby verifies ,that the statements of fact in .the faxegoing CERTIFICATE OF SERVICE I hereby certify that a true and correct copy of the foregoing Petition for Emergency Review Hearing Pursuant to Sections 5512.2 & SSI S of the Probate, Estates and Fiduciaries Code, 20 Pa. C.S.A. ~~ 5512.2, & SSI S, was served via U.S. Postal Service, First Class mail, upon the following: Robert Sipe c/o Forest Park Health Center 1217 Slate Hill Road Camp Hill, PA 17101 John A. Sipe 90 Salem Church Road, Lot 56 Mechanicsburg, PA 17050 Dated: ' ~ ~ J ~ ~ D BY~ Ja 11eYuhas, Paraleg UPS: Tracking Information i Proof of Delivery Dear Customer, This notice serves as proof of delivery for the shipment listed below. Tracking Number: Reference Number(s): Service: ShippediBHled On: Delivered On: Delivered To: Signed By: Location: 1ZY99V530199018225 GE-FP-005 NEXT DAY AIR 01/27/2010 01/28/2010 9:37 A.M. 700 WALNUT BOTTOM RD CARLISLE, PA, US 17013 LOGUE RECEIVER Thank you for giving us this opportunity to serve you. Sincerely, UPS Tracking results provided by UPS: 01 /28/2010 10:19 A.M. ET Page 1 of 1 _ _____ ___,. ,,,.,,,RwP1,Trankin~/nrocessPOD?lineData=HARRISBURG%SEKB%... 1/28/2010