HomeMy WebLinkAbout01-24-12ANNUAL REPORT OF
GUARDIAN OF THE PERSON
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
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Estate of WILLIAM HERBERT OCKER an Incapacitated Person
No. 21-09-0695
I. INTRODUCTION
Kimberly Sue Ocker was appointed
®Plenary ^Limited Guardian of the Person by Decree of Kevin A. Hess , J.,
dated 09/11/2009
® A. This is the Annual Report for the period from September 1 ~ 2010
to .September 30 2011 (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 li through IV.
Page 1 of 4
Form G-03 rev. 10.13.06
Estate of WILLIAM HERBERT OCKER , an Incapacitated Person
II. PERSONAL DATA
Age of the Incapacitated Person: 52
III. LIVING ARRANGEMENTS
A. Current address of the Incapacitated Person:
730 Mountain Road
Newville, PA 17241
Date of Birth: 07/07/1959
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 1999
If the Incapacitated Person has moved within the
past year, state prior residence and reason(s) for move:
Page 2 of 4
Form G-03 rer•. /OJ3.06
Estate of WILLIAM HERBERT OCKER
an Incapacitated Person
D. Name and address of the Incapacitated Person's primary caregiver:
Kimberly S. Ocker
730 Mountain Road
Newville, PA 17241
IV. MEDICAL INFORMATION
A. The major medical or mental problems of the Incapacitated Person are as follows:
Diffuse axonal injury to the brain or Traumatic Brain injury (TBI); C6-7 transverse
process fracture.
B. Specify what, if any, social, medical, psychological and support services the
Incapacitated Person is receiving:
Mr. Ocker is unable to ambulate and is dependent on others for most, if not all,
activities df daily living (ADCs). These needs are met by 8-10 hours of care on a
daily basis by an LPN or other caregiver, with supplemental caregiving being done
by his wife and son. He is also continuing to receive follow-up care by a variety of
specialists for his various medical needs.
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 a-03 rev. 10./3.06 Page 3 of 4
Estate of _WILLIAM HERBERT OCKER , an Incapacitated Person
'The reasons for the foregoing opinion. are:
Mr. Ocker's physicians have indicated that this level of care for him will continue,
at least for the foreseeable future.
B. During the past year, the Guardian of the Person has visited the Incapacitated Person
Incapacitated Person besides with the Guardian.nh utes.ife.
times with the average visit lasting hours,
The report of a social se acitated Persotno or he period covered by thistReport may be
coordinate the care of the Incap f
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 the penalties of 18 Pa. C.S.A. § 4904
relative to unsworn falsification to authorities. /~^ -^ ~ _ ~ ~~ ` ~ ~
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llate
Form G-03 rev. 10.13.06
Kimberly Su~C~clc~r
Name of Guardian of the Person (type or print)
730 Mountain Road
Address
Newville, PA 17241
City, state. zip
717-776-7469
Telephone
Page 4 of 4