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ANNUAL REPORT OF
GUARDIAN OF THE PERSON
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
Estate of Margaret Chapman, an Incapacitated Pelson N
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I. INTRODUCTION
Frank A. Parrott was appointed
® Plenary OLimited Guardian of the Person by M. L Ebert, Jr. , ,-.,
dated Deoerr~r 9, Zppg
® A. This is the Annual Report for the period December 9, 2009
to December 31 2009 (the "Report Period'; or
[ ] B. This is the Final Report for the period
to
(the "Report Period"), and is filed
for the following reason:
1. The death of the Incapacitated Person. Date of death:
2. The Guardianship was terminated by the Court by Decree of
J., dated
For a Final Report, omit Sections II through IY.
Form G-03 rev. 10.13.06
Page 1 of 4
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Estate of Margaret Chapman, an Incapacitated Person
II. PERSONAL DATA
Age of the Incapacitated Person: 90
III. LIVING ARRANGEMENTS
A. Current addttess of the Incapacitated Person:
Date of Birth: March 14,1919
As of January 2, 2p10, Ms. Chapman resides at The Meadows, an assisted living facility
located at Bridgeport. W V.
B. T1ie Incapacitated Person's residence is:
^ ownhome / apam~ryent
^ nursing home
[] boarding home /personal care home
(.] Cfuardian's home /apartment
^ hospital or medical facility
~] relative's home (name, relationship and address)
®~ The Meadows, an assisted living
facility located at Bridgeport,
C. T'he Incapacitated Person has been in the present residence since January 2,
2010 If the Incapacitated Person has moved within the
past year, state paor residence and reason(s) for move:
Her prior residenrce was 107 October Dr., Apt. #3, Camp Hill, PA. Her primary care
physician and a neuropsychologist referred by the Cumberland County Office of Aging
evaluated Ms. Chipman, and concluded that she would be best served in a dementia assisted
living facility in order to maintain her safety and care. Ms. Chapman did not have any
relatives in Cumbeerland County; her relatives live near Bridgeport, W V, and can assist with
her medical need. She was relocated to The Meadows, an assisted living facility that is part of
Maplewood Seniok Living Community.
Appropriate pleadings will soon be filed in Harrison County, WV, to transfer the Cumberland
County guardiana~hip to WV.
Forne G-03 rev. 10./3.06 Page 2 of 4
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Estate of Margaret Chapman, an Incapacitated Person
D. Name and address of the Incapacitated Person s primary caregiver.
The Meadows and the Visiting Angels, located at Bridgeport, WV.
N. MEDICAL INTr'ORMATION
A. The major medical or mental problems of the Incapacitated Person are as follows:
Senile Dementia of the Alzheimer's type, moderate (Source: Christopher Royer,
Psy. D., Clinical Neuropsychology Report dated May 20, 2009), in consultation
with Dr. Conger, Ms. Chapman's primary care physician.
B. Specify what, if any, social, medical, psychological and support services the
Incapacitated Person is receiving:
The Meadows' is an assisted care facility with a nurse on duty 24 hours a day. In
addition, Ms. Chapman has 24 hour personal care provided by Visiting Angels, a
national company that specializes in providing personal care and rnmpanionship to
elderly personb. Visiting Angels employees are screened with background
investigations Ito determine suitability for providing personal care for elderly
individuals. '11he Meadows required 24 hours supervised care for Ms. Chapman.
Also, the Meadows provides social activities, (such as bingo, art classes, exercise
instructions, alnd other activities), three meals a day plus snacks, and medical
monitoring.
V• GUARDIANS OPINION
A. It is the opinion of the Guardian of the Person that the guardianship should:
® continue
^ be modified
^ be
Form G-03 rev. 10.13.06
Page 3 of 4
Estate of Margaret Chapman, an Incapacitated Person
The reasons far the foregoing opinion are:
Ms. Chapman bas shown a remarkable benefit from residing at the Meadows. She has
gained weight by eajting 3 meals a day. Previously, Ms. Chapman had not taken any
prescribed medicine for over 13 months. No one was monitoring her physical and mental
well being. Also, sloe was suffering from "sundown syndrome". At the Meadows, she has
made friends and, allong with the personal caregivers, began socializing with the Meadows
residents.
B. During the ~ reporting period, the Guardian of the Person has visited the
Incapacitated Person
3 tiimes with the average visit lasting several hours, minutes.
After the reporting period, planned visits are at least once a month or more after February
~ ne report o~ a social service organization employed by the Guardian to oversee and
coordinate the care of the Incapacitated Person for the period covered by this Report may be
attached to supplement'this Report.
I verify that the foregoing infom~ation is correct to the best of my knowledge
Information and belied and that this Verification is subject to the penalties of 18 Pa. C.S.A. § 4904
relative to unswom falsification to authorities.
February 18, 2010
Date
ofGnardian of Person
Frank A. Parrott
Name of Guardian of the Person (type or print)
7747 Porters Hill Lane
Address
Lorton, VA 22079
Ciry, State, Zip
(703) 339-0199 (home)
f7031489-0465 (celll
Telephone
Form G-03 rev.10.13015 Page 4 of 4