HomeMy WebLinkAbout03-0367IN RE:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IRENE COLEMAN, an
alleged incapacitated
person
No.
PETITION FOR ADJUDICATION OF INCAPACITY AND APPOINTMENT
OF PLENARY GUARDIAN OF THE ESTATE AND PERSON IN
ACCORDANCE WITH 20 PA C.S. SECTION 5511
TO THE HONORABLE JUDGES OF THE SAID COURT:
1. Petitioner, HCR Manor Care (hereina~er referred to as "Petitioner"), is a
health care provider qualified to conduct business in the Commonwealth of Pennsylvania,
and is the residential services provider for IRENE COLEMAN, the alleged incapacitated
person. Petitioner maintains offices and/or a place of business within the County of
Cumberland, located at 1700 Market Street, Camp Hill, Pennsylvania 17011.
2. The alleged incapacitated person, IRENE COLEMAN, having a date of birth
of October 22, ! 904, is 98 years of age, is widowed, has a Social Security Number of
and presently maintains her domicile at 1700 Market Street, Camp Hill,
Cumberland County, Pennsylvania 17011.
3. To the best of the Petitioner's knowledge, information and belief, the alleged
incapacitated person has no living parents, spouse and/or adult testate or intestate heirs.
4. The alleged incapacitated person's functional limitations are: disorientation as
to time and occasionally as to place; incontinent; able to speak, but not into complete a
sentence; and inability to perform any activities of daily living without substantial assistance.
5. The alleged incapacitated person lacks sufficient capacity to make or
communicate responsible decisions concerning her person or property due to her age and
physical incapacity, more specifically described herein, which has permanently impaired the
alleged incapacitated person's abilities, and which requires the care available at a skilled
care facility.
6. Petitioner seeks the appointment of a plenary guardian of the person of
IRENE COLEMAN because infirmities of old age and mental deficiencies impair her ability
to receive and evaluate information effectively and communicate decisions in any way to
such a significant extent that she is totally unable to meet essential requirements for her
physical health and safety, and is totally unable to manage her financial resources.
7. The specific areas concerning which IRENE COLEMAN is alleged to be
incapacitated are as follows:
2.
3.
4.
5.
Mental infirmities of old age;
Mental disability;
Moderately advanced to advanced dementia;
Schizophrenia;
Anxiety;
2
6. Seizure disorder~ and
7. Tardive dyskinesia.
8. The alleged incapacitated person, upon information and belief, was never a
member of the armed services of the United States.
9. The approximate value and/or extent of the assets of the alleged
incapacitated person are unknown to the Petitioner.
! O. The estimated monthly net income of the alleged incapacitated person from
all sources is approximately ~line Hundred Ten and 00/100 Dollars ($c~10.00) for social
security benefits.
11. Because of her mental and/or physical condition, the alleged incapacitated
person is totally unable to manage her financial affairs, property, and business and is liable
to dissipate her property or become the victim of designing persons, and lacks the capacity
to make and communicate responsible decisions relating thereto, including the ability to
communicate her need for assistance in these areas.
! 2. Because of her impaired mental and/or physical condition, the alleged
incapacitated person lacks the capacity to make or communicate responsible decisions
concerning her person and is unable to keep herself properly nourished and hydrated,
make her own living arrangements or otherwise tend to the daily necessities of her care.
! 3;. The severity of the alleged incapacitated person's mental and/or physical
condition and the lack of viable, less restrictive alternatives necessitate that a plenary
guardian of her Estate be appointed to manage and handle all aspects of the alleged
incapacitated person, specifically including, but not limited to all issues related to her cash,
checks, and any bank or savings accounts held in her name, stocks and bonds, personal
property, real estate, life and other insurance of which she is a beneficiary, entitlement to
any governmental and non-governmental benefit plans, federal, state and local taxes, claims
made or to be made on behalf of her or against her, the execution of documents, entry
into contracts affecting her and the payment of reasonable compensation or costs to
provide services for her.
1 4. The severity of the alleged incapacitated person's mental and/or physical
condition and the lack of viable less restrictive alternatives necessitate the plenary guardian
of her person be appointed to handle all issues relating to the person of alleged
incapacitated person, specifically including, but not limited to her living arrangements, her
medical and psychiatric care, the administration of medication to her, and the employment
and discharge of physicians, psychiatric, dentist, nurses, therapists, and other professionals
for her physical and mental treatment and care.
1 5. To the extent known by Petitioner, it is averred that the alleged incapacitated
person had an executed a Power of Attorney, but said individual has recently passed away,
and therefore, there is no other individual able to act on behalf of IRENE COLEM^I~I or
make medical/financial decisions on her behalf.
4
16. To the extent known by Petitioner, it is averred that the alleged incapacitated
person has not executed an Advance Directive for Health Care or Living Will.
17. To the extent known by Petitioner, it is averred that the alleged incapacitated
person does not have a Will.
18. Petitioner is without knowledge or information as to whether the alleged
incapacitated person has funds reserved for funeral and burial.
19. No reasonable alternatives to the appointment of a guardian of the person
and estate of IRENE COLEMAN exist, due to the age and physical condition of the alleged
incapacitated person, and due to the fact that her Power of Attorney has recently passed
away, and therefore, there is no other individual able to act on behalf of IRENE
COLEMAN or make medical/financial decisions on her behalf.
20. The Petitioner proposes that this Honorable Court appoint a plenary
guardian of the estate and person of IRENE COLEMAN, the alleged incapacitated person.
21. The Petitioner requests that the proposed guardian of the estate and person
have no interest adverse to the alleged incapacitated person.
22. No other Court, upon information and belief, has heretofore assumed
jurisdiction in any proceeding to determine the capacity of the alleged incapacitated
person.
23. Llpon information and belief, no other guardian has been appointed for the
Estate or the person of the alleged incapacitated person.
WHEREFORE, Petitioner respectfully requests that this Honorable Court award a
Citation directed to IRENE COLEMAN, the alleged incapacitated person, and to such
other persons as this Honorable Court may direct to show cause why IRENE COLEMAN
should not be adjudged a fully incapacitated person, and in need of a plenary ~uardian of
her person and estate; and why a ~uardian of her person and estate should not be
appointed pursuant to 20 Pa. C.S.A. §5513; and to require notice of this proceeding to
such persons as this Honorable Court may direct.
Respectfully submitted,
Pl~ilip ~.-~
WOLFSOI~
267 East
York, PA
~hol~c, Esquire
~ ASSOCIATES, P.C.
arket Street
7403
(717) 846-1252
ID No. 86341
Attorney for Petitioner
6
VERIFICATION
Philip C. Warholic, Esquire, hereby states that he is the attorney for the Petitioner,
HCR Manor Care, and he is authorized to take this verification on behalf of said Petitioner
in the within action and verifies that the statements made in the foregoing Petition for
Adjudication of Incapacity and Appointment of Plenary Guardian of the Estate and Person
are true and correct to the best of his knowledge, information, and belief, based upon
information provided by the Petitioner.
The undersigned understands that false statements herein are made subject to the
penalties of 18 Pa.C.S. Section 4904, relating to unsworn falsification to authorities.
Date:
Philip C. W/~holic, Esquire
WOLFSO~[ ~ ASSOCIATES, P.C.
267 East tvlarket Street
York, PA 17403
(717) 846-1252
ID No. 86341
Attorney for Petitioner
IN THE COURT OF COl'II'dON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN RE:
IRENE COLEMAN, an
alleged incapacitated
person
No. 21-2003-0367
CONSENT OF PROPOSED GUARDIAN
COMMONWEALTH OF PENNSYLVANIA :
:
COUNTY OF CUMBERLAND :
Neighborhood Services, Inc., 100 South Queen Street, Lancaster, PA 17603, does
hereby certify that it is willing to act as the Guardian for the Person and Estate of IRENE
COLEMAN, an alleged incapacitated person, if the court shall so appoint.
Further, Neighborhood Services, Inc., does hereby certify ~hat it is not a fiduciary of
any Estate in which the alleged incapacitated person has an interest, nor has it any interest
adverse to the alleged incapacitated person.
The facts and opinions contained herein are true and correct to the best of my
knowledge, information and belief.
SWORN and SUBSCRIBED to
before me this ~ ~,~4~ day
of ~l CL~ ,2003.
Vernon Fishe( ' ~'
Executive Director of Neighborhood Services, Inc.
Notary Public
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IRENE COLEMAN, an : No. 21-03-3~'6
alleged incapacitated :
person :
RETURN OF SERVICE
, served a "P~tion for
Udication of lnc ~intment of Guardian" and "Citation" scheduling a
hearing for June 9, 2003, by personal service on the alleged incapacitated person, IRENE
COLEMAN, at the following address:
HCR Manor Care - Camp Hill, 1 700 Market Street, Camp Hill, PA 17011
! verify that the statements made in this return of service are true and correct, i
understand that false statements herein are made subject to the penalties of 18 Pa. C. S. A.
Sec. 4904 relating to unsworn falsification to authorities.
Date:
SWORN and SUBS~z~BED
to_~re me this ,4~. day
,2003.
Notary Public
p.o-rxi=.~u. ~
E K. HAVNAER, Notary Public
Hill Boro, Cumberla~ County
mmission Expires June 24, 2006
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
APR 2 § 2003
IN RE:
IRENE COLEMAN, an
alleged incapacitated
person
"No. 1-0,5-03 q
PRELIMINARY DECREE
AND NOW, this ,'~)(~ day of ~)~ ~ 2003, it is hereby
ORDERED that upon consideration of the annexed Petition for Adiudication of Incapacity
and Appointment of Plenary Guardian of the Estate and Person in Accordance with 20 Pa.
C.S.A. Section 5511, it is hereby ORDERED that a Citation be awarded and directed to
IRENE COLEMAN to show cause, if any, why she should not be adjudiCated as an
incapacitated person and a guardian be appointed for his Estate.
A hearing shall be held on the ~ 0r~day of ~~ ,2003, at
/1~00 C2 .m., in Courtroom ~ of the Cumberland County Court House, Carlisle, PA.
At least twenty (20) days' notice of the hearing shall be given to the alleged
incompetent by personal service of the said Notice upon those individuals mentioned in the
Petition, whose addresses are known to the Petitioner, by personal service or by Certified
//
IN RE: IRENE COLEMAN, an alleged
incapacitated person
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-2003-0367
IMPORTANT NOTICE
CITATION WITH NOTICE
A petition has been filed with the Court to have you declared an Incapacitated Person. If the
Court finds you to be an Incapacitated Person, your fights will be affected, including our fight to manage
money and property and to make decisions. A copy of the petition which has been filed by HCR Manor
Care is attached.
You are hereby ordered to appear at a heating to be held in Court Room No. 2, Cumberland
County Courthouse, Carlisle, Pennsylvania, on May 20 ,2003, at 11:00 A.M. to tell the
Court why is should not find you to be an incapacitated Person and appoint a Guardian to act on your
behalf.
To be an incapacitated Person means that you are not able to receive and
effectively evaluate information and communicate decisions and that you are unable to
manage your money and/or other property, or to make necessary decisions about where
you will live, what medical care you will get, or how your money will be spent.
At the hearing, you have the tight to appear, to be represented by an attorney, and
to request a jury trial. If you do not have an attorney, you have the fight to request the
Court to appoint an attorney to represent you and to have the attorney's fees paid for you
if you cannot afford to pay them yourself. You also have the right to request that the
Court order that an independent evaluation as to your alleged incapacity.
If the Court decides that you are an Incapacitated person, the Court may appoint a
Guardian for you, based on the nature of any condition or disability and your capacity to
make and communicate decisions. The Guardian will be of your person and/or your
money and other property and will have either limited of full powers to act for you.
If the court finds you are totally incapacitated, your legal rights will be affected
and you will not be able to make a contract or gift of your money to other property. If the
court finds that you are partially incapacitated, your legal tights will also be limited as
directed by the Court.
If you do not appear at the heating (either in person or by an attorney representing you)
the court will still hold the heating in your absence and may appoint the Guardian requested.
Clerk, Orphans Court Division
Cumberland County, Carlisle, PA
My Commission Ex ires Ist Monday
January, 2006
ATFORNEYS
Daniel F. Wolfson
Amy F. Wolfson
Philip C. Warholic
James K. Reed*
Gordon A. Lynn ^
PARALEGALS
~dichele M. McHugh
i~lelissa D. Sweeney
*Lic~ nsed in Pennsylvania & Maryland
^ licensed in Maryland Only
WOLFSON & ASSOCIATES, P.C.
Attorneys at Law
267 East Market Street
York, Pennsylvania 17403
(717) 846-1252
(800) 321-8467
FAX (717) 848-1146
e-mail: dfwolfson @debtcollection.net
BRANCH OFFICE:
8 Manchester Street
Glen Rock, PA 17327
(717) 235-5014
PLEASE FORWARD ALL
CORRESPONDENCE TO
THE YORK OFFICE
5 May 2003
Orphan's Court Division
Cumberland County Court House
1 Courthouse Square
Carlisle, PA 17013
IN RE: Irene Coleman, an alleged incapacitated person
Cumberland County Orphan's Court No. 21-2003-0367
Dear Sir/Madam:
Please be advised that our office represents the interests of the Petitioner, HCR Manor Care, in
regards to the above referenced matter. Our office has been advised that a hearing in this
matter has been scheduled for May 20, 2003, at 11:00 a.m. Due to the fact that our office
just received the time-stamped copies of the Petition for Guardianship and Citation, pursuant
to this matter, on May 3, 2003, we will be unable to serve them upon the alleged
incapacitated person, and any other interested individuals, within the required twenty (20) day
notice requirement.
While we greatly appreciate your assistance and cooperation in handling this matter, please be
advised that, due to the aforementioned reasons, we have no alternative but to request a
continuance of this matter and request that a new Preliminary Decree and Citation be issued
upon the alleged incapacitated person by your office. Accordingly, we respectfully request
that this matter be taken off of the Court's calendar for May 20, 2003, as our office does not
yet know which Judge this matter was to be assigned to. Please contact our office to inform us
as to the new hearing date/time at your earliest convenience.
Should you have any questions or require any a~tk~. ~ i~,form~t~a0~ please do not hesitate to
contact the undersigned. ~-.
Sincerely,
WO, LFSON e,t ASSOCIATES~ P.C.
P i iD C. W,~fi:holic, Esquire
PCW/ts
LtV 9-
IN RE: IRENE COLEMAN, AN ALLEGED
INCAPACITATED PERSON
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-2003-0367
IMPORTANT NOTICE
CITATION WITH NOTICE
A petition has been filed with the Court to have you declared an Incapacitated Person. If the
Court finds you to be an Incapacitated Person, your rights will be affected, including our right to manage
money and property and to make decisions. A copy of the petition which has been filed by HCR
MANOR CARE is attached.
You are hereby ordered to appear at a hearing to be held in Court Room No. 2, Cumberland
County Courthouse, Carlisle, Pennsylvania, on JUNE 9 ,2003, at 11:00 AM. to tell the
Court why is should not find you to be an incapacitated Person and appoint a Guardian to act on your
behalf.
To be an incapacitated Person means that you are not able to receive and
effectively evaluate information and communicate decisions and that you are unable to
manage your money and/or other property, or to make necessary decisions about where
you will live, what medical care you will get, or how your money will be spent.
At the hearing, you have the right to appear, to be represented by an attorney, and
to request a jury trial. If you do not have an attorney, you have the right to request the
Court to appoint an attorney to represent you and to have the attorney's fees paid for you
if you cannot afford to pay them yourself. You also have the right to request that the
Court order that an independent evaluation as to your alleged incapacity.
If the Court decides that you are an Incapacitated person, the Court may appoint a
Guardian for you, based on the nature of any condition or disability and your capacity to
make and communicate decisions. The Guardian will be of your person and/or your
money and other property and will have either limited of full powers to act for you.
If the court finds you are totally incapacitated, your legal rights will be affected
and you will not be able to make a contract or gift of your money to other property. If the
court finds that you are partially incapacitated, your legal rights will also be limited as
directed by the Court.
If you do not appear at the hearing (either in person or by an attorney representing you)
the court will still hold the hearing in your absence and may appoint the Guardian requested.
By: ,
Cle'l'k, Orphansk[,.C~')urt Division '
Cumberland Cou'h-~, Carlisle, PA
My Commission Expires 1 st Monday,
January, 2006
IN RE: IRENE COLEMAN,
IN THE COURT OF COMMON PLEAS OF
AN ALLEGED INCAPACITATED': CUMBERLAND COUNTY, PENNSYLVANIA
PERSON
21-03-0367 ORPHANS' COURT
ORDER OF COURT
AND NOW, this ~ day of May, 2003, IT IS ORDERED that the
hearing currently scheduled for Tuesday, May 20, 2003, IS CONTINUED. The hearing
on the petition for adjudication of incapacity and appointment of plenary guardian of the
estate and person in accordance with 20 Pa.C.S.A. Section 5511, shall be held at 11:00
a.m., Monday, June 9, 2003, in Courtroom Number 2, Cumberland County Courthouse,
Carlisle, Pennsylvania. A Citation is awarded and directed to Irene Coleman to show
cause, if any, why she should not be adjudicated as an incapacitated person and a
guardian be appointed for her estate.
At least twenty (20) days notice of the hearing shall be given to the alleged
incompetent by personal service of the said notice upon those individuals mentioned in
the petition, whose addresses are known to the petitioner, by personal service or by
certified mail.
:sal
IN THE COURT OF COkIMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN RE: :
IRENE COLEMAN, an :
alleged incapacitated :
person :
:
No. 21-2003-0367
FINAL DECREE
AND NOW, TO WIT, this ,~'C2 day of
,2003,
consideration of the within Petition and hearing thereto, IRENE COLEMAN,
is hereby adjudicated to be an incapacitated person, and Neighborhood Services,
Inc., is hereby appointed plenary guardian of the Person of IRENE COLEMAN.
Neighborhood Services, Inc., is due a reasonable fee that will be deducted
from the income of the Incapacitated Person in concurrence with their current fee
schedule.
IT IS SO ORDERED: