HomeMy WebLinkAbout05-16-11 (2)ANNUAL REPORT OF GUARDIAN
OF THE PERSON
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION ~~ :~~ =~~
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Estate of JANETTE NEELY , an Incapacitated Persolt~ __
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No. 21-08-0032 -~~ ~ - -= .~
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I. INTRODUCTION
Keystone Guardianship Services was appointed
Plenary _~ Limited Guardian of the Person by Decree of Edgar B. Bayley , J.,
dated March 5. 2008
® This is the Annual Report for the period from March 6 2010
to March
2011 (the "Report Period"); or
_~. B. This is the Final Report for the period from
to ,
(the "Report Period"), and is filed
for the 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
For a Final Report, omit Sections II through IV.
J., dated
Form G-03 rev. 10.13.06 Page 1 of 4
Estate of JANETTE NEELY , an Incapacitated
Person
II. PERSONAL DATA
Age of the Incapacitated Person: 89 Date of Birth: August 22, 1921
III. LIVING ARRANGEMENTS
A. Current address of the Incapacitated Person:
Courtyard Gardens Nursing & Rehab Center
999 West Harrisburg Pike
Middletown, PA 17057-4801
B. The Incapacitated Person's residence is:
~~~~ own home /apartment
®nursing home
f 'boarding home /personal care home
l Guardian's home /apartment
~ ~ hospital or medical facility
f~l relative's home (name, relationship and address)
'~ other:
C. The Incapacitated Person has been in the present residence since 4/1/10
If the Incapacitated Person has moved within the past year, state prior
residence and reason(s) for move:
rarm c-n3 rw. lo.~s.o~ Page 2 0£ 4
Estate of JANETTE NEELY , an Incapacitated Person
D. Name and address of the Incapacitated Person's primary caregiver:
Courtyard Gardens Nursing & Rehab Center
999 West Harrisburg Pike
Middletown, PA 17057-4801
IV. MEDICAL INFORMATION
A. The major medical or mental problems of the Incapacitated Person areas follows:
Ms. Neely suffers from general aging issues, along with Dementia, Hypertension,
Hypothyroidism, Depression, Acid Reflux, Hypercholesterol, and Edema
B. Specify what, if any, social, medical, psychological and support services the
Incapacitated Person is receiving:
Though Ms. Neely is prompted and encouraged to attend games and all other
social events within Courtyard Gardens she refuses most of the events.
Ms. Neely is visited once a month by Dr. Nipple, the in-house doctor at
Courtyard Gardens, for monthly check-ups and for any medical issues that may be
presented.
Ms. Neely was seen by a Geriatric Psychologist upon her admittance at
Courtyard Gardens.
Ms Neely was seen by Dr. Rose Blecker of Pinnacle Health Hospital, speech
and hearing center who preformed a videofluoroscopic swallowing study (VFSS), due
to Janette's decrease in eating thickened or pureed food; results were that it would be
best if someone would feed Janette to regulate her intake and that she can eat regular
chopped food but not a mixture of liquid and solids such as found in soup.
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 JANETTE NEELY , an Incapacitated Person
The reasons for the foregoing opinion are:
It is my opinion that Ms. Neely would not be able to exist in any other type of environment, as
she lacks the mental and physical ability to care for herself .
Ms. Neely can no longer walk on her own; creating a need to be in a geriatric chair for alerts
when she forgets and or is in a poor mood and tries to get up and walk.
Ms Neely does have dramatic change in temperament as seen by the guardian on one visit in
which she was very friendly and sociable while eating lunch and two hours later when saying
goodbye to Ms Neely the Guardian was greeted by a surprising slap to the face.
Over all Ms Neely seems to have a good relationship with most of the staff and the guardian and
appears to be content in her environment.
B. During the past year, the Guardian of the Person has visited the Incapacitated Person
24-30 times with the average visit lasting 30 - 90 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.
t
Date
Form G-03 rev. 10.13.06
gnature of Guardian oft sate
Constance E. Stoneroad
Name of Guardian of the Estate (type or print)
PO Box 804
Address
Elr-abethville Pa 17023
Crty, State, Zip
717-674-5757
Telephone
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