HomeMy WebLinkAbout06-07-12_. ~ .-, ;
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'~~~° CUMBERLAND COUNTY
\~` AGING & COMMUNITY SERVICES
~~
1100 C].ARF.[v70N'f ROAll, CAR].ISLI~:, Pr1 1701$
~, (717) 240-6110 oR 1-888-69~-0371 i.x'r 6110
~~~""'' F.~x: 1 ? 240-6118
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L"7 Gary Eichelberger
~r0 ~ T2C17~.. ' O#B MZffZQ?1 Chairman
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Richard L. Rovegno
~~ `';o ANNUAL GUARDIANSHIP REPORT ''«~~~"a,rman
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`~'~~ "~- °- `tea FOR SIBYL ARMS BarbaraB cross
~' ' '~ iecretarv
._3 ~ ~~ ~ "ferry L, Barley
~x._ ':'~ ~ _., ~ w June 6, 2012 Direc(ar
~~ ~ ~~ Report from Guardian of Person and Estate
`'" Cumberland County Aging and Community Services
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On Tuesday April 6, 2010 a final guardianship hearing was held before Judge Masland.
Cumberland County Aging and Community Services was named as the Permanent
Plenary Guardian of Person and Estate for Sibyl Arms.
PERSON
Following the hearing Ms. Arms was returned to the Golden Living-West ShorE~ Center
where she had been residing since being removed from her home by Emergency
Involuntary Intervention. Her house had been condemned by the Borough of Cramp Hill
as unfit for human habitation. She underwent surgery at Hershey Medical Center to
remove an old shoulder implant because it had become infected. She ended up having
a full shoulder replacement. From Hershey she was transferred to Holy Spirit for gall
bladder surgery. From there she was admitted to Claremont Nursing and Rehab Center
on January 21, 2011 where she continues to reside. She has been diagnosed with
senile dementia alzheimer's type, mild hypertension, generalized weakness, anxiety,
depression/bipolar disorder, right had contractures, functional incontinence dysphagia,
and dementia. Medications include Synthroid .075 mg, Aspirin 81 mg, Depakiine
250mg, Aricept 5 mg, Vitamin D 1000, Pepcid 20mg.
By August 2011 Sibyl had gained 14 pounds since being admitted to Claremont in
January. She was placed on a low carb diet. Her bipolar disorder is under coni:rol and
she is not experiencing any major highs or lows. Staff has commented that shE~ likes to
watch what everyone else is doing. In November the nursing staff removed the roam
alert bracelet as she has not made any attempts to elope.
She had lost nine pounds since putting her on a low carb diet and her weight is now
stable. She has been placed on a mechanical soft diet but she does not seem to mind it.
During the year she received Occupational Therapy for a while for exercises and self-
care and Speech Therapy for swallowing. On the monthly visits, she appears well, is
groomed nicely and seems to be happy. On her 75th birthday in March our staff member
provided her with a card, a balloon, and a necklace. Necklaces are one of her favorite
things. In the activities rooms, the group from her floor crowned her queen and sand
happy birthday. She was very pleased. Since she has been placed on an anti-~
depressant she has become more social and seems to enjoy getting out of her room.
She enjoys being fashionable.
I{,~4AI1, US A'1' aging@ccpa.net OR V[SI'1' OUtt WP.BSI"1'F? A'1' www.ccpa.net/aging
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She is medially stable and continues to require hands on assistance. She feeds self
about 50% of the time with the aides assisting 50% of the time by supervising,
prompting and at times actually feeding her. Sibyl enjoys activities and really likes
Bingo, singing, ball and balloon games, and Bible activities.
It is the request of the Cumberland County Aging and Community Services that the
agency retain Guardianship of Person for Sibyl Arms. The Claremont Nursing and
Rehabilitation center has demonstrated an adequate quality of care for her medical
problems. We believe, therefore that Ms. Arms should continue to reside in that nursing
facility.
ESTATE
A guardianship account was opened at Wachovia Bank where Ms. Arms had her
accounts. In October 2010, Ms. Arms' house and property were sold for $47,800.00,
which was $5,800.00 over the appraised value.
.Application for Medical Assistance was made at the time of her admission to Golden
Living. It was discontinued at the time of the sale of the house until her assets dropped
below $8000.00. Prior to that, we were required to cash in her policy with Bankers Life
and Casualty which has a cash surrender value of $237.50. Application was nnade for
Medical Assistance which began in May 2011.
Sibyl's income includes Social Security which was $981 during 2011 and increased to
$1017 in 2012. She also receives a retirement annuity which was $397.12 during 2011
but jumped to $530.05 in 2012, In April 2011 she received a refund from Golden Living
for $4258.37 and then $1273.50 in September.
In addition to the cost of her room and board at the nursing home, a guardianship fee of
$150 a month for 6 months totaling $900 was paid to Cumberland County Aging and
Community Services. The Agency's fee schedule was approved by the court.
The balance of her account at the end of March 2012 was $8,818.43
Attached is a financial summary of Sibyl Arms' income and expenses. Also attached is a
copy of her check register.
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