HomeMy WebLinkAbout07-07-10 (2)
ANNUAL REPORT OF
GUARDIAN OF THE PERSON ~''
~ ~ , ^_j,
~, -,
~
r ~-
COURT OF COMMON PLEAS OF ~',~ `~ =`~ '„~
Cumberland COUNTY
PENNSYLVANIA
~~
~ ~: .
`
, ~,..
ORPHANS' COURT DIVISION ~
~ w %~~' ~ ~`_
~ N .~<-~
Estate of Joseph M. Feldish , an Incapacitated Person
No. 2006-411
I. INTRODUCTION
GOOD NEWS CONSULTING, Inc. ,was appointed
Plenary ^Limited Guardian of the Person by Decree of M.L. Ebert , Jr. ~ J,~
dated July 5, 2006
Q A. This is the Annual Report for the period from July 6 ~ 2009
to July 5 2010 (the "Report Period"); or
^ B. This is the Final Report for the period from
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
i)
Estate of Joseph M. Feldish
II. PERSONAL DATA
Age of the Incapacitated Person: 80
III. LIVING ARRANGEMENTS
A. Current address of the Incapacitated Person:
Manor Care Carlisle
940 Walnut Bottom Road
Carlisle, PA 17015
B. The Incapacitated Person's residence is:
^ own home /apartment
/^ nursing home
^ boarding home /personal care home
^ Guardian's home /apartment
^ hospital or medical facility
^ relative's home (name, relationship and address)
^ other:
C. The Incapacitated Person has been in the present residence since 8-21-06
. If the Incapacitated Person has moved within the
past year, state prior residence and reason(s) for move:
an Incapacitated Person
Date of Birth: 12-27-29
Form G-03 rev. 10.13.06 .Page 2 Of 4
Estate of Joseph M. Feldish
an Incapacitated Person
D. Name and address of the Incapacitated Person's primary caregiver:
Staff at Manor Care Carlisle in Carlisle, PA
IV. MEDICAL INFORMATION
A. The major medical or mental problems of the Incapacitated Person are as follows:
Dementia and Parkinson's disease
B. Specify what, if any, social, medical, psychological and support services the
Incapacitated Person is receiving:
He received 24 hr. 7/day a week care at the nursing home which tends to all his
physical and psychooocial needs. His attending physician visit monthly to monitor
his status. Guardianship care manager visits monthly to oversee his care and
provide support.
V. GUARDIAN' S OPINION
A. It is the opinion of the Guardian of the Person that the guardianship should:
~ continue
^ be modified
^ be terminated
Form G-03 rev. 10.13.06 Page 3 of 4
Estate of Joseph M. Feldish , an Incapacitated Person
The reasons for the foregoing opinion are:
There is no other willing and able person nor has Mr. Feldish's status improved.
B. During the past year, the Guardian of the Person has visited the Incapacitated Person
12 times with the average visit lasting hours, 25 .minutes.
The report of 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 information is correct to the best of my knowledge,
information and belief; and that this Verification is subject to the penalties of 18 Pa. C.S.A. § 4904
relative to unsworn falsification to authorities.
July 5, 2010 ~ C /~'~~ / " C
Date Signature o Guardian of the Person
GOOD NEWS CONSULTING, Inc.
Name of Guardian of the Person (type or print)
140 Roosevelt Ave. Suite 206
Address
York, PA 17401
City, State, Zip
(717) 843-1504
Telephone
Form G-03 rev. 10.13.06 Page 4 of 4