Loading...
HomeMy WebLinkAbout08-30-12 . __ Neil Warner Yahn, Esquire ~~ ± ~ , f f'i+ , , ~ ' ,~, ` Attorney LD. No. 82278 G ~' w , :~,.. , ; ; ` James Smith Dietterick & Connelly, LLP ~ r.- ~' ' P.O. Box 650 _ e--''-" -n - Hershey, PA 17033 ~ : - ~• - ~; ~- Attorneys for Petitioner , ~ =~=, .. ~ - s-r~ IN RE: KATHLEEN M. KNISELY , an ) IN THE COURT OF COMMON PLEAS OF ~~ Alleged Incapacitated Person )CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ON THE PETITION OF JAMES G. ) KNISELY ) No. OC 2012 EMERGENCY PETITION TO ADJUDICATE INCAPACITATED AND APPOINT TEMPORARY GUARDIAN OF THE PERSON AND ESTATE TO THE HONORABLE JUDGE OF SAID COURT: 1. Petitioner, James G. Knisely (herein "Petitioner"), is an adult individual residing at 3822 Pamay Drive, Mechanicsburg Pennsylvania 17050 and a son of Kay. 2. Kathleen M. Knisely (herein "Kay"), the alleged incapacitated person, resides at 23 West Lawn Circle, Wormlesyburg, Cumberland County, Pennsylvania 17043 and is currently at a Marriott Courtyard Hotel being held under questionable circumstances by her son, namely Samuel Scott Knisely (herein "Scott"). 3. Kay is seventy nine (79) years old and was born on February 11, 1933. 4. It is believed that Kay is incapacitated as a result of the extensive onset of dementia and episodes of significant confusion. 5. Kay was evaluated at Watkin, Nipple Associates by Dr. Walter Watkin, Jr., M.D. as evidenced by the Medical Summary set forth as Exhibit "A" (herein the "Medical Report") which provides in relevant part that Kay is suffering from the ~, ~ ~,, onset of dementia (Petitioner intends to provide a full Medical Evaluation prior to the plenary hearing). 6. Scott was a licensed physician whose license was revoked as further reflected in the attached document set forth as Exhibit "B" for amongst other reasons submitting fraudulent documents before the North Carolina Medical Board. 7. Scott currently resides at 370 Hughes Center Drive in Las Vegas, Nevada. 8. It is believed that Scott also suffers from certain mental infirmities and is now preying upon Kay and her impuissance. 9. It is believed that on or about Monday, August 27, 2012, Scott arrived in Harrisburg from Las Vegas, Nevada and visited Kay unannounced and unbeknownst to Kay's other children (as hereinafter defined). 10. On Tuesday, August 28, 2012, Scott involuntarily removed Kay from her primary residence to a Marriot Hotel on Old Gettysburg Road in Mechanicsburg. 11. Prior to Scott removing Kay from the house, Kay called her sister, namely Mary Lawrence of Old Tappan, New Jersey (on or about the same day) and expressed her concern about being relocated by Scott. 12. Upon being confronted by your Petitioner herewith to return Kay to her house, Scott relocated Kay to another Marriot Courtyard Hotel situated on Eisenhower Boulevard, in Swatara Township under a fictitious name. 13. Contemporaneous with the relocation of Kay, Scott has been advancing certain documents in an effort to transfer a substantial portion of her assets estimated in 2 access of several million dollars from Janney Montgomery Scott to Morgan Stanley Smith Barney as further reflected in the attached Exhibit ""C". 14. In past, Kay granted Scott the power to act as her agent pursuant to a certain Power of Attorney of which said power was revoked after it is believed Scott commingled Kay's assets with that of his own. 15. Petitioner believes and therefore alleges that Scott has returned from Las Vegas to transfer Kay's assets to himself thereby preying upon Kay's weakened intellect. 16. Petitioner believes and therefore avers that Kay's lucidity maybe compromised and that she does not have the requisite capacity to thwart Scott's attempts of self dealing. 17. Kay now requires in home care and a guardian. 18. The names and addresses of the those persons other than the Petitioner herewith who would be potential intestate heirs of Kay are her four (4) other children, namely: a. Scott Knisely - 370 Hughes Center Drive, Las Vegas, Nevada 27235; b. LeeAnn Knisely-Cast - 485 Front Street, Louisville, Colorado 80027; c. Dr. Barbara Knisely - 3501 Sunset Drive, Madison, Wisconsin 53705; and d. Kathleen L. Knisely - 9008 Avis Court, Vienna, Virginia 22132. 19. Petitioner has no interests which are adverse to Kay's interests and as of the date hereof, the remaining aforementioned children are not able to serve as guardian. 3 20. Petitioner believes this matter is ripe for this Honorable Court to intervene as Kay is unable to make decisions for herself. 21. Petitioner avers that Kay does not currently have a plenary guardian of her person and estate. 22. Petitioner respectfully requests that an emergency hearing be held and that Petitioner be granted emergency powers to act for Kay in all matters of her person and estate until a full and plenary hearing can be established. 23. Petitioner will comply with filing a full Plenary Guardianship of the person and estate consistent with 20 PA C.S.A 5511 within thirty (30) days of the emergency order and therefore requests that this Honorable Court grant the emergency guardianship for such period until a full hearing for permanent guardianship can be heard. Date: ~` _%~' t ~~ By: Respectfully submitted, JAMES, SMITH, DIETTERICK & CONlLLY, LLP ~~ L~~~ Neil W. Y~hn, Esquire Attorney L~. No. 82278 134 Sipe A.wenue Hu~melafown, PA 1703 6 (717) 533-3280 Attorneys for Petitioner 4 Neil Warner Yahn, Esquire Attorney LD. No. 82278 James Smith Dietterick & Connelly, LLP P.O. Box 650 Hershey, PA 17033 Attorneys for Petitioner IN RE: KATHLEEN M. KNISELY , an Alleged Incapacitated Person ON THE PETITION OF JAMES G. KNISELY IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. OC 2012 VERIFICATION I verify that the statements made in this Petition are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. Cons. Stat. §4904, relating to unsworn falsification to authorities. ~~ `,, Dated: ~ ~~ i '~ J ~' Jam s G. Knisely Neil Warner Yahn, Esquire Attorney LD. No. 82278 James Smith Dietterick & Connelly, LLP P.O. Box 650 Hershey, PA 17033 Attorneys for Petitioner IN RE: KATHLEEN M. KNISELY , an ) Alleged Incapacitated Person ) ON THE PETITION OF JAMES G. ) KNISELY ) IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. OC 2012 CONSENT TO APPOINTMENT AS GUARDIAN 1. The name of the proposed guardian is James G. Knisely. 2. The proposed guardian resides at 3822 Pamay Drive, Mechanicsburg Pennsylvania 17050. 3. The proposed guardian is employed as a landscaper. 4. The proposed guardian speaks, reads and writes the English language. 5. The proposed guardian does not have an interest adverse to the alleged incapacitated person. 6. The proposed guardian is not a fiduciary, or an officer or employee of a corporate fiduciary, of an estate in which the alleged incapacitated person has an interest; and is not the surety, or an officer or employee of a corporate surety of such fiduciary. 7. The proposed guardian consents to act as guardian for Kathleen M. Knlsely. i Dated: ~ ~ '~~ ~ `~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SS. On this, the ~~~day of S , 2012, before me, the undersigned officer, personally appeared JAMES G. KNISELY, Petitioner, who, being duly sworn according to law, does depose and say that the facts set forth in the foregoing Petition are true and correct to the best of his knowledge, information and belief. IN WITNESS WHEREOF, I hereunder set~;ny~hand and official seal. t' ~ ~v A A ''/ r,wS V V/~ ~. Jari ~s G. Knisely SWORN to and subscribed before me this day of 7~c, 2012. N to Public COMMONWEAL'T!i ~f= PENNSYLVANIA Notarial Seal 3ulie K. Stambaugh, Notary Public Derry Twp., Dauphin County MY Commission F_xpires June 27, 2015 MEMBER, PENNSYLVAdJIA ASSCKIATlON OF NOTARIES EXHIBIT A ~: V'~tir~, N~p+~ l~s~c~ite~ ~di+~~l ~r~rr~arr ,~ r-~; - ~• ~. Contact Kathleen T{nisely Date tJf Birth February 11, 1933 Address 231N Lawn Cir Gender Female VilormTeysburg, PA 17043-1142 Narita! Status ! (7i7~763-4fx83 {Nome phvne~ language English -preferred .: ~ .~ ~+~.c .e, .,~_, « ~.s >, -: ~a"-a rte' .,^:~~~ -~R a~ 't ', ;'.~ r ~ .*~ r s y N ,, y~ n ~ ._ -~ fV3C$. E:.:.: .. e...........Za,....knw .ai9iis~e..:......~....x..o.....:c».<........»..w.:«. s... »».w.. ..».». «»a 1 ~.. .,a.. .i.. ..»...1.h~-~. ..mar: r.. ~.~u;... ..v ~.:« ..s.>`k > ......«.t. w.¢.C~a. `C3 ..1.<.a»ai..3~Lii~' Jw~uaYr.'`._ No ~{~3S;;li~ for aPfarr~' , j ~I ,'~ r ..< ~', ~ '"~ ,~x~a+- ~C ~; ~3 t.. ux e , c ::. _ y a t ~.~ a ?' , r - .r ~~,~~yy_ ~ L .. , .~ _ ;"e 'f."- rte- BY'IYG~I, - i ~ ~. - ~ ~ »...z..-c. 'i' ~ ~ a x .. 9~ .... ..p `` ~ _ . S _ .. ..1 ....... ~..i. Y ~ ta...i ~ ~ Y 1 _ . ~~~i ~.~.- '~.+a'.~:~ ~..s ~sk'.,~`.~>~,>.~#t,~'„f~' >», <~ Hs ~mE v..~ a.... ,< .r. -~...:: ~vl. 3c,t-',~ ...~i.....;i~ .~}y.i ~ mo f,lU ~ f1CC~5 fll?:j LU~I~L~r'~Ef F~~~~ i1 . ~ ^1~ -3f11P~7 t~v i Flr' [~3fla ~~ ~lOn~t' , I'1 ~ ~~~. lit ri f ~j~~J ~h~~`~. .~.... ~ ~""~.y~"' a''~"~'~v~}~''-~"''~s '~; r:. r ~ s., ~, h ~ t '+~ •tr ~Iaa ~^~~~~°x Ti' ~'"~::; v c,,w.~ ~: t f '":1.~'r'.'*r~rrr..~. r,~'ri. F.~~~+{'~ . «s=-:~~t:raa.,.~ k'..sin..dt ~M~~ ~ k-° iEet~..`.~r.#~~x.r.....=:'....: W rxt~'i{~~S$~~~.il~!..'.~ ,i.~#~~'."" ._T. y T ~ p ~'{'U i l~: C~11'ii IIC:U L. ~pr~; ri-~w~'".a~.*.-1`~i., tr 'T '~ ~" ~. 'k•;s r?~."",. rx t'» ...~ 35 r ~ t ~~ ~~..~g i~~~~: '/.~ ~'~C .:i'a ~yt aa~ ~ 'C'}~r-.~!. ~>I~. zi. ~ e >!. ~. ~. !.>~' ~f ~` ~'~~..i». ~{,~4.~~ a s,; - ~a,.et N! ;:~>I c .,.`~ .-.a-~ t s ~.. ma, ~'~3y". > . s µ ~~.'~f s { ~,Gy ':. t! . ,...:i;U~ a.,c,~ :i3:_^ .:... "~~>.»..kira~Y " .u.uiw..~i...:. s>.~ »».,vSF. «w:c+ _~,.,. . ». s..tt . ~ .t ..d.„ ..m..»~ ~;~.. a .. .,~.: t~it'.'[r)ktd..'G >., <. o_, .~ H[:.,..J...,.xr...` .Inca~4:~.~. .. ._ ~- Generalized Anxiety Disorder Last Assessed: 07/27j2012 i1:3 -'.29 AM ~:UJ.C:2}, (Active} s Dementia Last Assessed: 07j27j2012 11:37:40 AM X294.8}~ ~Actiue} Nyperlipidemia (272.4}; (Active} • Anemia {285.8}; {Active) • point Pain Fingers {719.44}; (Active} • Nearing Loss (389.9}; Active} ~ Intercostal T~lyositis X729,1}; (Active} • Lymphadenopathy X785.6}~ (Active} • Insomnia X780.52}; (Active} • Fatigue (780,79}, (Active} Recent Weight Lass ( Lbs} (783,21}; {Active} + Osteoporosis ~~~.~~}; Active} ~ Blood Chemistry Screening Tests As Part C7f Pre-Operative Exam (~172.fi3}; Active} • Lump t)r Mass In BreastRight~ (61.1.72; (Active} ~ Norma! Routine History And Physical Senior Citizen X65-80} {V70.0}; {Active} • Osteoarthritis (715.9t~}r (Active) ~ Lum ~ In fin The Skin-,(782 2}, ';,ctEUe~ ~ e ",_ ,~ r ~ #~ ~ iwt v... r ~~4~ ~,~r', 4 ~~I .Rw -~:` --. .r - ..:_ - 3.>`, ~. `a>r > s~; ,1• ~ t" ~~~~ ~ f~R,9allkhb°" ,' ~ •... sa."1; ..:Y3.. ~...~.~....c-r.......:~--.. .,1G .~.c »a.................::.a_......... ~~; ,,•.... ....u.~: ~. y ...:. ...,....:;~__ L.w....~. ^_... ~s...,ca.~.. ......., s.....< .......K..~ t~3 ~q. it ~T'. ..i.,. .. • Refresh Dry Eye Therapy 1-1 ~'/ Ophthalmic Solution; Instill 1 dr~~p in each eye 4 '_imes daily, Start date: 05j02j2011 (Active} + Aspirin 81 MG Oral Tablet, TAKE 1 TABLET DAILY.; Start Date; 05jO2j2011 (Active} • Alendronate Sodium 70 T~1G Oral Tablet; TAKE 1 TABLET` ONCE WEEKLY; Start Date: O1 j03j2012, End Date: O1 jO1j1900 Active) +w Namenda Titration Pak 5 {28}-10 (21} T~TG Oral Tablet; TAKE AS DIRECTED,; Start Date: 07j05j2012 {Active} ~ Sertraline NCI 50 MG Oral Tablet; TAKE 1j2 TABLET DAILY,; Start Date; 06jOlj2~112; End Date: O,jO1j1900 {Active} ~! Namenda 10 MG Oral Tablet, TAKE 1 TABLET TWICE DAILY FOR EMORY.; Start bate: 07j27j2012; End Date; O1I01 1900 Active ~ r t . i R 1 v' f d t l' A t C 4. Si I .. : i ~+. I~ _' ~iT~ ~~J~~4~?.k yt ,Ni.>.4 .. .» .....,-_~c Y.Ffd-> ~ . ... , z .. ~. . . .. _ .. .... . . i.. n~ `' -i:3%xr. .. ..r ..AA1i "~~. < • Sulfites (ACt~ve} ~ Grass Active} I c,f 3 ~'%'2'l,f I? l 1:-~3:~ l F^~~t ( i lrncc~urZter: ,lul ~'7 ?01~' It~:~f~_~:'~1 ~- ~pther (Active} • Nuts lAct~ve~ N Ct C 1 ( ~3 ~ - S F , t sa .. c ,.i~ .. w(['.. • e_mM.w J .. o. _ ... ,,,7u ..a r.. .. ..~.. '....+_~ .. -Y .. .. i • ,History of Destruction flf Flat ~Vu~ By Cryosurgery +Cc~mmer~ts; 07~~`6/2006 Resolved} • History of Remoual ~f Lesion Comments: 06/05/2002-left elbow, left hand by cryosurgery {Resolved} + History of Spinal Anesthesia Epidural Lumbar, Single Comments. OE~/18/2004 (Resolved} ~ History of Diarrhea (Symptom} ~787,9I.}; {Resolved} • History of C3titis Media (382.9}; {Resolved} History of f~titis Media In Both Ears (382.9}; {Resolved} • History of Hypotension X458.9}; {Resolved} # History of Chest Pain X786.50}; (Resolved} +~ History of Allergies {V15.09}; (Resolued} • History of Cough (786.2}: (Resolved} • History of Rhinitis {472,0}; Resolved} • History of Upper Respiratory Infection ~4~65.9}; {Resolved} • History of Abrasion Cif Fingers X915.0}; {Resolved} • History of Abdominal Pain (789.00}, (Resolved} +- History of Nausea (Symptom} (?87.02}; (Resolved} ~- History of Urinary Tract Infection {V13.02}; {Resolved} History of Measles {Rubec~la} (055.9): (Resolved} ~ History of Varicella X052.9}; (Resolved) s History of Pertussis (033,9}; Resolved} ~- History of Pneumonia ~V12.61}; (Resolved} • History of Arthritis {V13.4} Resolved} • Histor of Hemnrrh~+-~l ~~55.6~, ~PP~~,lved .~._ . .~ .- ~r ~ .nom >" r r t e> ~ .. ~ f . _ Y ..:s .~ s a•1 ..,... .-3F" +kF fir ':~ c ~ ;- t ": .. .- . "`..:....,. .,-...«_ .. ».if_ .~..~.xu.,..,,«~.n,..,a.r_..,.rc......w+.. ,..... s:..t.. ,.~~ a.1, .d~~ ,.~. w.K...««. ........~ .,. ~..n .i, ....s. ~, c'~,t:a,. y~,,,.~wiiu~+rw.:.r...-.u ..m. m.~-.a_.W..F....yE..ae:~aLF~t... ~ ~ ~a.-...r Procedure Procedure Date Date CornpEeted Status Cesarean. Se~irn _ - Resolved Tt~nsillectamy - - R-~solved ~~'.: J,r ^:M'' .c •mF .? n^n~, `. ,~T t .... F-[ ...»r~,..«o.Fp ~~. r 1'~ - P i - ~ r.'a.. ~,"+A ;: i '~(> rt~ »~ $ ~.A'15aF nT'~-f, . d 4p ~i :,. ,.. - .. - - ~, ~ ~ ~ y i b.t. i p a < t s l L -^ - .r ., , r.,~.. ~ »..... , a ,.. _ T ... . ... ... ... .u, ~. i..........tw~:...w r.s.`.`a.`~...r~.... x.,1..4.».--- xs......»~.s.~.. ~ ~ ~~.,.u..r.. a.r.u~.... ~.... s ... ;.may , ..~»...x~.....~.......«...„.-,.....J:. ..~~...=..,._. ... „ _.. _.. ... », ...%;,~ . . . .:;.: • Ir~flue~~za - Administered on: 09/24j2010 • Pneurno {Pneumouax} -Administered on; 02J05/20!~2 • Int3uenza~Lofi -~ - UH486AE~ Adm~n~~ er~~l tart 1" 29I2011 __ _ ~, =-~:~"~4~..t .r,;~ r ~-. r '~..~ t ~ v. F' .~o-c xir~ .o~.a ^,~s -~ '~ , F ' r'~.~~ ~~ 4 4 ~~ 3 '~ " Vr- ~" ' ` i_ s'~{'""s„a~[if4~ ~ m ~b ;..u~v."~.w'~..r. .; ~..'tu--w:.SK~+`wi~.M1iJ.7i yaw. s»W._.`......~ ...:Y hrT.`~~..Iu~ti.. .,w...,,.. ar+. a~« _.. ~....tj.s..»....~. .a.i..«.»,~.~:'~. -. ..:» ..^.... .. ........~5.rr lr,<» .... ».».»~:.i sF"~ ...>zs.? s,~,t «.n...t'. ~ Pater~<31 history of 1rather Deceased At Age Comments: 4,~ ~~.ct~ue} ~ Paternal history of Cc~rcrnary Artery Thrornbosis (Active} • Family history of Family Health Status Sister 1 Comments: skin cancer, ear infections Active} ~ Maternal history of Ischemic Stroke (V17.1}; (Active) • Maternal history of Heart Disease (V17.49}; tActive} # Paternal hi~ory of Heart. Disease {V17 49}; (Active} • Famil hist!~r~f ~f Family Health St,~fius Sootr~,e Ct~mmPnfis. deceased - h~~rfi ri ;A~_ ~e (I1ct ve .- t ~ ~-. , r- r_ , .. ~ t R , e '~'", ,_. y k ... ~ "'r ~ ...u .~ '~.~,-~;~ .. _ _.... _._»:.F1.~1 ..~ *...ak..u..~r.,~:._^...a.n.. _~...~k.,s~ _.. ..»......aa......:.y. ~..~ia., iw .a us~a...-,... a:f'~:"~:~_... ..~..w--...v car a.r.:..4,ztSn,+..u.,,....»~......~. +.:. ...». .._,. ... .. ..rrcaser • Marital History ~ tr`JidvvVed (#~~.i~~: f + Sexual Orientation Heterosexual (Aca.ive} • C3ccupation: Retired Active} • Living Independently Alone (Active} • Alcohol Use Comments: social Active} • No History of Dru Use Denied} 9 ~ • Former Smoker Comments: smoked rn collen? ~V~ 5 82~• (Activel - ta ~"~ r ~~~:. ,~1`„w,.~j ~~',4~`y~- .. ,' ~..~~....:s~M~"Ar4,,,~<T.v...~,...~..~»',~.~vr ... .z..».» <~....':.. .. » _...... ,. e... .,.. ...> }.. ... .,, :.. ..~..,......._...~'~.,.'.`,€.~3:...,~..,_°--- '-_._+ Date pescription~ Test Resutt ~ flf) 1'~~r`l ~ ~ ~:~~:]~ i~?4~ ~~ ~~cc~unt~t': ~til `'>' ~,~ 1 ? 1 ~~:3t~ t~'~~S 27 Jul Zt312 14.41 AM recorded by; Rebut, Ann 1Nei4h 1~2.251~a Body Mass index Calciat~d 24.12 Body urtce Area Ca4culated 1.~ Neart Rate 84 /non BP Sstn~~c 138 r~tmH4] ~~ )r11~5~'f:''.r 9''J '?1f11I.~~~ lam.,,,.,, ~ '''.4"~1 !A"~"' ~'Vr~ ~' `Y ~~ 3` ~{I * 1 7~4 ~aaF °~ ~k ~''n.t 4t ~ ~ ~ s _ .r :..'.'.} ...v : h R ~,~`} ~..»P ~"^ `dr, P ..: i.~ a x t .~.u. .. _s .. 11 . - .~ yy ..,. ~ . ~.. ~.. .. ' .. ~.~.e.~.WAt~Jti.+~.~.a..:'lt`4.'~~ .i rjl Y.: 1 _. .r. . wu..r. w rq.f..... ...: ~`elt~ liar . .. ~ . , . .. ., ik.~.., r..w ~..«, . • Foiic~w-up visit in 1 mon'~~ D7/27/2012 Routin{ Tt~hacco Assessment Ftaiiovr Up 07/27j2~}12 2 years • Mammooram Scre~ntnc~ ~~faterai 07177f2?712 1 veer ~n _ ` ~~. 4 ~t t .: ~ ~ :, ~ j z iF t t .Y.Ir' . '4~/ ..ks1~"~~i F ~ '~• ~ ~ a~ tie zmia~w>.fi~. ht..tit ~~:~ix~.~,:~- ~ .~ . ~ . 7 ~ ~« w _ - s. . g . r.t~.~.~.:.2:...'t":.~.. .. .a x ...».. .. +~Y.u4r'ii~d 10.~.W1I~i.F..W...ll~w-'.. a..rJ. i ... . .. .. .. : ~ «r~r...a.~, ... ... .. .. .. .. Nc Advances ~~r>>~~t~~~~ ~~~~,~~ble ~ :.' dig'~-a~. vC'~ EU .. ~~ ~ ~~. iyy ~. ~!~Y 4 "d ~ . ~ j ~ ~ L:c....i ....'~.i ~~> ~..,.~ d:<..i~: ".: . : ~[.: G-Y - r~ ~e ~ u + ~ ' ,, i ~~ ~ . d. ~ .1 _,.. .. 4tss E f.fe.~Y.i's~~``>'r k1.~Y=. e:'r ......-~~s.i~m~..i~r .».. _ . , .~ s ~ . .. . . . ~.. . +. ..... _. _. _ .. . t e ..e.0... s ~». »...f •-.. - ": '.' > ' ~7 :tr=fir i ~'~i~ ~' `" „n • 4 r+ a ; ~ ~5a ~r~~~ r .. _ ~ s ' ° ~ 4 r e~ . t' ~~ ~:4 ~ .. >. :`a+~r : .n..s~..,:aiar ~«ii,.. i.~.ll_ ._*a'. .;, i aa.> ~... ~:Y.~.., u { ~r d ~''......~a~tuit.'u1~4-af i .:'r,. ,rnnh.:>~.... sx::k ~ a....-i..:aL.....»<. ... ... ..J.-. .... ... .. ..f. .. .......... _... ,... r. ... Primary Care Prc~1«'~`r ',Halter ~Vatk~n Jr 845 Sir Thomas Court Harrisburg, PA 171(39 (717}233-6791 ~Worl~ phone} Pharmacy CVSJPHARMA{:Y #1622 120fl MARKET STREEt" LEMC3YNE* PA 17{}43 ~717~761-4394 (Work phone) ~,i YN` c G ~~ '4~H '~ ~5T F ~~ '~ 4 .r-~..~+ :: 1F .. ' ': ~"~'~' n~~Y:u` ~*"~ .'» ; ~~;~~' L tai 3 = ` ' i ~. t: y'! 6 ._ ... as..+9fF: sl_ ` 'L nkLt r:«3.i..'i. .>s..» ff r w ».yT,iHS-'s.i "i .i~4M. . '.o~ 3- . Si, a: >F& L ~ i _&r.LdSi.~ f~ «u. k ....- •..... x~ ~.r . _ _... . + [^ {{ #p{~+~ ! ~ ~p ~''`(~'('~ Personal. Kathlrf-~ I ~/ I~J~R~ Wormieysk~urg, PA 171343-1142 (717 ~'~ ~-~~83 Home phot~e~ d~~t`t« ~' _FY E ~ ~~~,~~';.~~'M.»».. `w ~ r 1~;~"~ ~ y ~ ~ `' + ... ~. n ».» : ,...r - -~, . »......».. ...~.. ,~ -- k. +^0 ~'~ i' ! ~ s ~ ;•Y'^r~_.. ..a..~~. ~ss',.:_~.~,.»».>u_.,..i~~..W»....~ti~.. ....»ad., ..t »~ i,z..s.t »~ar.,,s~»;?r~:.~A~£~~:3» ra~i~x.v» UMMARI?.At~T+~ ~~ EPISt3©E NQTE ErtcounterJuiy ;~~', 2{312 1%~:3t-f-tJ00(3 imam Enterprise EHR 11.208.428$,91385 Site lNatk:in, Nipple Associates 8~ 5 Sir Thomas Court Narrisbus€~, PA 17109 {717233-791 ~INork phone) Created 3uiy 27, 2012 11;43-04fl0 8y Walter Watkin 3r czf ~ '7'`? 1! t? 1 I :4>:~ 1. EXHIBIT B BEFORE THE NORTH CAROLINA MEDICAL BOARD In re: ) } Samuel Scott Knisely, M.D., ) NOTICE OF CHARGES AND ALLEGATIONS Respondent. ) The North Carolina Medical Board (hereafter Board) has preferred and does hereby prefer the following charges and allegations: 1. The Board is a body duly organized under the laws of North Carolina and is the proper party to bring this proceeding under the authority granted it in Article 1 of Chapter 90 of the North Carolina General Statutes. 2. Samuel Scott Knisely, M.D., (hereafter Dr. Knisely) is a physician licensed by the Soard on July 31, 1993, license number 93-00194. 3. During the times relevant herein, Dr. Knisely practiced neurology in the Greenst~oro, North Carolina, area. FIRST CHARGE FAILURE TO COMPLY WITH A BOARD ORDER 4. Paragraphs one through three are re-alleged and incorporated herein. 5. On February 9, 2001, the Board issued to Dr. Knisely an Order for Examination (hereafter Order) , a copy of which is attached hereto. 6. Dr. Knisely received the Order in June 2001. 7. As of the date hereof, Dr. Knisely has failed to comply with the Order. B. The foregoing action constitutes the failure to respond, within a reasonable period of time and in a reasonable manner as determined by the Board, to inquiries from the Board concerning any matter affecting the license to practice medicine within the meaning of N.C. Gen. Stat. ~ 90-14{a}(14}, and grounds exist under that section of the North Carolina General Statutes for the Board to annul, suspend, revoke, or limit Dr. Knisely's license to practice medicine and surgery issued by the Board. SECOND CHARGE CONDUCT CONTRARY TO HONESTY, JUSTICE, OR GOOD MORALS 9. Paragraphs one through three are re-alleged and incorporated herein. 10. On September 10, 2001, Dr. Knisely, through his attorney, faxed a hand-written note to the Board, a copy of which is attached. The note reads: "Dr. Sam Knisely is a patient here. Unit number 39195234." The Hate is written on the letterhead of Jerrold F. Rosenbaum, M.D., Interim Chief of Psychiatry, Massachusetts General Hospital and Professor of Psychiatry, Harvard Medical School (hereafter Dr. Rosenbaum). 11 . Upon information and belief , Dr , Itnisely has never been one of Dr. Rosenbaum's patients and has never, during the times relevant herein, been admitted to Massachusetts General Hospital. 12. Upon information and belief, Dr. Knisely, or someone on his behalf, surreptitiously obtained Dr. Rosenbaum's letterhead, hand-wrote the note described above, and caused this note to be sent to the Board in an attempt to mislead the Board regarding his compliance with the Crder for Examination. 13. The foregoing action constitutes unprofessional conduct, including, but not limited to, the committing of any act contrary to honesty, justice, or good morals within the meaning of N.C. Gen. Stat. ~ 90-14(a}~5), and grounds exist under that section of the North Carolina General Statutes for the Board to annul, suspend, revoke, or limit Dr. Knisely's license to practice medicine and surgery issued by the Board. NOTICE T4 DR. KNISELY • You may, if you desire, file written answers to the charges and allegations preferred against you within 30 days after the service of this notice. 3 • You will be given ~~n opportunity to be heard concerning the above charges and allegations at a place and time to be hereafter designated by the Board, at which place and time you may appear, either personally or through counsel, and may cross-examine witnesses and present evidence in your own behalf . This the ~~ day of October, 2001. NORTH CAROLINA MEDICAL BOARD ;' ~ Eli eth P. Kanof, M.D. President ATTEST: Andrew Watry Executive Director ! 4 BEFORE THE NORTH CAROLINA MEDICAL BOARD In re: } } Respondent. ) This matter is before the North Carolina Medical Board (hereinafter Board}, upon its awn motion, regarding Samuel Scott Knisely, M.D., {hereinafter Dr. Knisely}, N. C . Gen. Stat. ~ 90--14 (a) (5} empowers the Board, "to require a physician licensed by it to submit to a mental or physical examination by physicians designated by the Board ." Finding grounds exist to order such an examination concerning Dr. Knisely, the Board ORDERS, pursuant to this authority, that within thirty days of service of this order, Dr. Knisely shall submit to a complete physical and psychiatric assessment at one of the following locations: Elmhurst Memorial Healthcare Professionals at Risk Program, Elmhurst, Illinois 0630-758-5110}; Falmetto Addiction Recovery Center, Rayville, Louisiana (800-203--6612); Professional Renewal Center, Lawrence, Kansas (877--978-4772}; or Rush Behavioral Health - DuPage Multidisciplinary Assessment Program, Downers Grove, Illinois (630-969-7300}, Dr. Knisely shall cooperate fully with this assessment. Dr. Knisely shall authorize these conducting the assessment to send the Board reports of this evaluation to the following address: Director of Investigations, North Carolina Medical Board, PQ Box 2Q0~7, Raleigh, NC 27619. This the ~ l`? day of February, 2~~1. NORTH CAROLINA MEDICAL BOARD -•~~,~. ,~ '-~. ,+ 7 ,. r Eliz eth P. Kanof, M.D. President ATTEST: C Andrew Ti-Ta try Executive Director (Order for Examination _ Samuel Scott Knisely, M.D.) 09i10~2001 13:27 SMITH: SAMES+ RDWLkI! ~ l.uhfrN+ L ~ t717.3GO11Jt J1tJ . VVV v a/r+ NL~S~~1~,G~'USETTS ~ENI?~A~ HO~~'~~CA~. i . '~~~=~~ ~ ~~~f ~, ~~ Y ~~Lf MEZ7~~CAL 5G~0O~ je~crald F. lEtcrsen~-a~m, ri~1.L'• 15 1'arkmdtt $1Y2Pt, [~`AC A'1~ C~~JaCOT'l. \-IA3SdC~FeC~ 03313"3117 (:1'rfdf c,~ Ps fc!ri~tnr fin'rr:~~~ Mt~c:~~C~rtJtidtft t:rere+c: flrrii~; T~;1: ii17.72G ri$~, Fix: 61f ~i26,2e~~S ~rvfra.~~r ~N P.+y~h~nrn~ ,~,•]71~1i1: l=~nbacust~p~~~+,~n,n~~8 Flar.~~r~ J41rdr; 7j Ss":~'~ ~ ~ _ S~ +~r ~ ~~~~~~ ~e~~ ~~~~ ~~ ~ ~~ ~~~ ~~~~~~.. ~CYti~•~~JV.:'leeul'1~~~:re`ry Jpr"~~ral~-f ~~)4~ 'ar'k ~~Tt ~Lb1,~~~1 ~L9 LTA ~'~,~ if~~£ BEFORE THE I+IQRTH CARP L Y NA MED I CAI, B 4ARD In re: ~ ~ FINDINGS CF FACT, CC?NCLUSIaNs Samuel Scott Ftnisely, M.D. , ) OF LAW, AND CTtDER i OF DISCIPLINE Respondent. ~ This matter was heard by the North Carolina Medical Board thereafter, ~~Baard'~} vn August 21, 2003. Marcus Jimisan represented the Board, and Edward E. Hollowell. and Donna Tt~.rner Eyster represented Respondent. Samuel Scott ~nisely, M.D. Based upon the evidence presented and the arguments of counsel, the Board enters the followirr.g: FINDINGS QF FACT 1. The Board is a body duly orgarzized under the laws of North Carolina and is the proper party to bring this proceeding under the authority granted it in Article 1 of Chapter 90 of the North Carolina General Statutes. ~ . Samuel Scott Knisely, M.D. , {hereafter, '~Dr. F€nisely" ) is a physician licensed by the Board an ~Tuly 31, 1993, license number 93~Oa190. 3. During the times relevant herein, Dr. ~ni9ely practiced neurology in the Greensboro, North Carolina, area. 4. 4n February 9, X001, the Board issued to Dr. Krlisely an order for Examination (hereafter, "order'} The order required that Dr. Ifnisely submit himself to a complete physical and psychiatric assessment at ane of four specified health care, facilities. 5. Dr. Knisely received actual notice of the Carder on or about June X001 and hired an attorney to represent him in regard to the Board's Order. ~. Dr. Knisely failed, to comply with the Order, and admitted at the hearing, that he never received an assessment from one of the four designated health care facilities listed in the Board's Order. 7. In. or about September X001, Dr. ~Cnisely traveled to Boston, Massachusetts. There he attempted to obtain an evaluation to submit to the Board, o9tensibly to demonstrate an effort to comply with the Board's Order. 8. On September 1~, ~QO1, Dr. Knisely faxed to his attorney, and his attorne~r faxed to this Board, a hand-written note. The note reads: "Dr. Sam Knisely is a patient here. Unit number 39195234." The note is written on the letterhead of .~'errold ~' _ Rosenbaum, M, D . , Interim Chief of Psychiatry, 2 Massachusetts General Hospital and Professor of Psychiatry, Harvard Medical School (hereafter, °Dr. Rosenbaum"}. 9. At the hearing on this matter, Dr. I€nisely admitted that the handwriting that appears on Dr. Rosenbaum's letterhead is his awxl. Dr. Knisely also admitted at hearing that he wag never a patient of Dr. Rosenbaurn's. Dr. Knisely did not have permission or authorisation from Dr. Rosenbaum to use his letterhead. 10. By surreptitiously obtaining a copy of Dr. Rasenbaumrs letterhead and by authoring a note giving an impression that he was one of Dr. Rosenbaum's patients, Dr. Knisely attempted to mislead the Board that he was being evaluated by Dr. Rosenbaum far purposes of complying with the Board's Qrder. Based upon the faregaing Findings of Fact, the Board enters the foJ.].awing; CONCLUSIONS OF LAW 1. The Board has jurisdictior~ over Dr. Knisely and the subject matter. 2. By not submitting himself to a complete physical and psychiatric assessment at one of the four designated health care fac~.lities pursuant to the Board's Order for Examination, Dr. 3 Knisely failed to respond, within a reasonable period of time and in a reasonable manner as determir~,ed by the Board, to inquiries from the Board concerning any matter affecting the licer~se to practice medicine within the meana.ng of N.C. Gen. Stat. § 90- 14(a}(14), and grounds exist under that section of the North Carolina General Statutes far the Board to annul, suspend, revoke, ar limit Dr. Knisely's license to practice medicine and surgery issued by the Board. 3. By writing a note an Dr. Rasenbaum's letterhead, without Dr. Rosenbaurn's permission, so as to create an impression that he was Dr. Rosenbaum's patient, when in fact he was not, and by submitting that note to his attorney, who then conveyed it to the Board, Dr. Knisely attempted to mislead this Berard that he was attempting to comply with t3~iis Board's Order for Examination, and such conduct constitutes unprofessional conduct, including, but not limited to, the committing of any act contrary to honesty, justice, err good morals within the meaning of N.C. Gen. Stat. § 9~-14(a}~6~, and grounds exist under that section of the North Carolina General Statutes far tk~e Board to annul, suspend, 4 revoke, or limit Dr. Knzsely's license to practice medicine and surgery issued by the Board. QRDER 1. The North Carolina medical license of Samuel Scott Knisely, M.D. be and hereby is REVOKED. This the ~ ~ •-~ day o f ~,`~v 2 p ~ 3 , FORTH CAROLINA MEDICAL BQARD By Charles L. Garrett, Jr., M.D. President 5 BEFORE THE NORTH CAROLINA MEDICAL BOARD In re: ) ) ORDER OF SUMMARY Samuel Scott Knisely, M.D., ) SUSPENSION OF LICENSE Respondent. } This matter is before the North Carolina Medical Board (hereafter Board} upon information that Samuel Scott Knisely, M. D . (hereafter Dr . Knisely} , has failed to respond, within a reasonable period of time and in a reasonable manner as determined by the Board, to inquiries from the Board concerning any matter affecting the license to practice medicine within the meaning of N.C. Gen. Stat. § 90-14(a)(14), and has engaged in unprofessional conduct, including, but not limited to, the committing of any act contrary to honesty, justice, or good morals within the meaning of N.C. Gen. Stat. ~ 90-14 {a) (6) . The Board finds that the public health, safety or welfare requires emergency action. The Board therefore ORDERS, pursuant to N.C. Gen. Stat. § 150B--3 (c) , that Dr. Knisely's license to practice be SUSPENDED effective on service of the certified copy of this Order to him personally or at his last known address. This the ~~ day of October, 2001. NORTH CAROLINA MEDICAL BOARD r By: i , Elizabeth P. Kanof, MD ATTEST: r And=ew Watry ~ Executive Director Page two of two - Order of Summary Suspension of License regarding Samuel Scott Knisely, M.D. EXHIBIT C ~IeRS~ 5er~d H 11 A~~ou~T i-~F~~-r~lft~l~~ ~~ file e F° I(~,~ir/ G Nun ~~~ ~ F r~ r~ ~~' 85~y"~°~ i~~~~~ie~ ~ ~ ~~~~,s~ ,.r ~~~ }~ w~ ~~/, z ° is Neil Warner Yahn, Esquire Attorney I.D. No. 82278 James Smith Dietterick & Connelly, LLP P.O. Box 650 Hershey, PA 17033 Attorneys for Petitioner IN RE: KATHLEEN M. KNISELY , an ) Alleged Incapacitated Person ) ON THE PETITION OF JAMES G. ) KNISELY ) IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION No. OC 2012 CERTIFICATE OF SERVICE I, NEIL WARNER YAHN, Esquire, do hereby certify that I served a true and correct copy of the foregoing EMERGENCY PETITION TO ADJUDICATE INCAPACITATED AND APPOINT TEMPORARY GUARDIAN OF THE PERSON AND ESTATE upon the following below-named individua by_I.~S;,,,.Mail, first class postage prepaid, at Hershey, Pennsylvania this ~ ~' day of Y , 2012. SERVED UPON: Scott Knisely 370 Hughes Center Drive Las Vegas, Nevada 27235 Dr. Barbara Knisely 3501 Sunset Drive Madison, Wisconsin 53705 LeeAnn Knisely-Cast 485 Front Street Louisville, Colorado 80027 Kathleen L. Knisely 9008 Avis Court Vienna, Virginia 22132 ``-,. . _ .~' ~' ;' NEIL W NER YAHN, ESQUIRE Att~rn' .D. #82278