HomeMy WebLinkAbout11-26-12~~ - t~~ ~~
~~~°,~°~y CUMBERLAND COUNTY
\~` AGING & COMMUNITY SERVICES
~ 16 Wl~;s't' HIGH STRf~;I;:I', SUIT>~;100 C~~RLISI,I~,, P11 17013
;~
\, , , (717) 240-6110 oR 1-888-697-0371 I~.xr 6110
~~~~~~' I~:~x: (717) 240-6118
Gary Eichelberger
One Team ...One Mi.r~~ion ('ha~rman
Richard L. Rovegno
Vice ('ha~rman
ANNUAL GUARDIANSHIP REPORT Barbara~B~c;ory
d.~
~,~ ~- ,__ ~ FOR PAULINE DEMLER Terry L Barley
_1 - November 24, 2012 "'r"~`°r
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~~~ ~~?`-~ Report from Guardian of Person and Estate
~ ,---,
~~, ,~~ ~ Cumberland County Aging and Community Services
~~_i ~ , ~ ~ ~r~ - Priscilla Whitman, Aging Care Manager 3
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'~~ PERSON ~
On September 25, 2008, Judge Edward Guido appointed the Cumberland County Office
of Aging as temporary emergency Guardian of Person for Pauline Demler. Following the
appointment, Pauline was admitted to Claremont Nursing and Rehabilitaton Center. On
October 16, 2009 the Cumberland County Aging and Community Services was
appointed permanent Guardian of Person.
Ms. Demler's medical conditions at time of admission were coronary artery disease,
peripherial vascular disease, diabetes milletus, hypercholesterol, hypertension,
ischemic cardiomyopathy, gangrene right third toe, history of myocardia Infarction (heart
attack). She was later diagnosed with dementia with delirium, depression, allergic
rhinitis, paranoia, hallucinations and chronic anemia.
Medications she is receiving are insulin, amlodipine for blood pressure, aspirin for heart,
isosobide for the cardiomyopathy, lisinopril for blood pressure, loratadine for allergies,
plavix for CAS, risperiodine for behavioral issues, sertaline for depression, aricept for
dementia, simvastatin for cholesterol, albuterol for wheezing and ibuprofen for pain as
needed. Her insulin for diabetes was increased this year. Her Zoloft, given for mood
disorder, was decreased because of her often flat effect but there was no change.
Pauline continues to require hands on assistance with her activities of daily living. She
usually eats 100 % of her meals and her average weight is around 200 pounds. She
has not been sleeping well and is having nightmares and screaming in her sleep. She
has been having some delusions and hallucinations in the daytime. In August she was
taken to the ER for chest pains. The EKG was normal and her labs were good and she
was not admitted. She was suffering from a virus.
Pauline likes to get out of her room to go to activities and socialize with other residents.
She especially likes Bingo, music and crafts. On one visit she was found cutting out
pictures of foods she likes to be put on a poster.
1:Mr~I1. US AT aging@ccpa.net OR vISI'I' OUR WF.BSI'1'F AT www.ccpa.net/aging
1~
Pauline's one son, Ed, visits rather frequently and took her out of the facility for her
birthday. He also brought her candy and flowers for Easter. Another son is in prison and
the other is in Texas.
Aging staff visits with Pauline about every 30-60 days. Staff also attends the quarterly
care plan meetings with nursing home staff from nursing, activities, social services, and
a dietician. They also delivered Christmas presents to her and shopped for items that
she needed during the year.
It is the request of the Cumberland County Office of Aging that the agency retain
Guardianship of Person for Pauline Demler. The Claremont Nursing and Rehabilitation
Center has demonstrated an adequate quality of care for her medical and mental
problems. We believe, therefore, that Ms. Demler should continue to reside in that
nursing facility.
ESTATE
Following the appointment as guardian, Cumberland County Aging opened a
guardianship checking account at Sovereign Bank where she did her banking. The
funds in her personal accounts were transferred into the new guardianship account.
The agency assisted Claremont Nursing and Rehabilitation Center, where she resides,
filed for medical assistance which was approved. The agency applied and was named
the representative payee for Ms. Demler with the Social Security Administration.
Ms. Demler's Social Security, which is her only income, remained at $647.00 throughout
the year of 2011 and then increased to $669 at the beginning of 2012. During this year
her main expense has been her portion of the payment toward the nursing care which is
currently $524.03 a month. The Cumberland County Aging receives a guardianship fee
of $100.00 a month. This was approved by the court and included in the court order.
The only other expenditures this year were for some clothing and Diet Pepsi.
Christmas presents were donated by the Home Instead Secret Santa project.
Ms. Demler had previously made pre-funeral arrangements so it was unnecessary for
the Agency to do that.
Attached is a financial summary of Pauline Demler's income and expenses. Also
attached is a spread sheet representing her checking account register.
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a a F-
CHECKING ACCOUNT FOR
Pauline Demler
Account # 511082967
Pauline Demle r
Acct# 511082 967 _ __
-
- ------
--------- --- ----
DATE CHECK # CHECK
AMOUNT DEPOSIT
AMOUNT ~
BALANCE Description
8/29/2011 366 502.03 3208.02 Claremont Nursing x
9/2/2011 647.00 3855.02 Soc Sec x
9/8/2011 36~ 100.00, 3755.02 Aging & Comm Svcs -Sept-_______ x
100.00 i --- _ -.. _
3655.02
Cash for clothing
x
_ __ _
9/23/2011
---
-
---
1 __ _ _
--- - 369
-
502.03 __
0.03
__ _
-- _ 1
i
3655.05 ,
_
-,
---- _ -
i
Interest
- ---- --- - -__ __
----- -
Claremont_N_ursing - _____ -
~----
x
-- -
x
0/3/2011
10/6/2011
370
100
.00 I
647.00 3800.02
3700.02 Soc Sec ___ _ _
Aging & Comm Svcs -Oct x
x
---
10/24/2011
10/24/2011
,
371 ' _
502.03 _
0.03
I
3700.05
3198.02;
Interest ~
Claremont Nursing
x
x
11 /3/2011 i
__ i
-- ~ 647.00
--- -- 3845.02 Soc Sec x
11 /10/2011 ~ 372 , 100.00 ! 374
5.02 Aging & Comm Svcs -Nov x
11 /23/2011, - - -- -- --_ - -___ ~-- _-- ~ 0.03 _
_
3745.05 Interest --- ___-_ ______~ --
_12/2/2011 ~ t 647.00 4392.05
----- Soc Sec
------------------ x
12/12/2011 ; 373 100.00 4292.05~ Aging & Comm Svcs -Dec x
12/23/2011 ~ _- -_- ___ __ _ 0.04 , 4292.09 i I nterest _ x
1 /3/2012 i 669.00 4961.09 Soc Sec x
1/4/2012 374 502.03 4459.06 Claremont Nursing x
1/18/2012; _
3751 100.00 4359.06
------- Aging & Comm Svcs -Jan
- x
------ -------
376 502.03 __ 7 ~ Claremont Nursing ___ _ ___ ___- _ x
--
_ _ -- -- --
1/24/2012'
2/3/2012 -- __ _ __ 0.04'
------
669.00 3857.0
~
4526.07 Interest ------ -- ---
Soc Sec X--
x
2/14/2012 _--
377 ---
100.00 ~
68
0
4426.07
3858
04 ~
Aging & Comm Svcs -Feb
i
Cl
t N
x
_
378
.
3
5 ~
- _- _ _ __ .
~ aremon
urs
ng x
2/24/2012
-
--- --------
--------
f_ --------~
------- ~
n eyes
- --- __ ------ --- __ -- ---- ----~ x
-
3/2/201
2 ,
~ 669.00
-- -- ~ 4527.08
- - - Soc Sec _ ___
--- - ---- - _ _ __- a x
- -
.
-
3/12/2012 fi 379 _ _
T 100.00 ___
T 4427 08 Aging & Comm Svcs -March ~ x
_
3/20/2012; ---
380 --
524.03 __
3903.05
Claremont Nursin
- --- --- g ---- - --- _-
-
x
- --- -__~
3/23/2012 ~ __- - - -
0 03
i 3903.08 - -- -
-
Interest
x
4/3/2012
4/16/2012 _ _
ACH
---
381 _ __
- - -----
100.00 ~ 669.00
' _
i 4572.08
4472 08 _ _
. Soc Sec
CC Aging x
x
---
,4a't9/?012
-
-
; 382
- --- _
524.03
a
3948.05 _ ___ _
Claremont Nursing
x
--------
4/24/2012
- - --
-- ---- - ---
---
-
- _
0.04
-- ----
3948.09 __ ____
; Interest __
x
5/3/2012
5/10/2012 __ _
_ 383 _ __ ___
~ _ __ 100.00 } ___ 669.00
~ i 4617.09
4517.09 Soc Sec
CC Aging _ _ _
N
i
Cl x
x
5/21/2012 384 524.03 3993.06
--- aremont
urs
ng_____ x
5/24/2012
6/1 /2012
------- 0.03
669.00
' ~ 3993.09
i 4662.09 i Interest
Soc Sec x
x
6/11/2012
6/20/2012 385
386 100.00
~ 524.03 . 4562.09
4038.06 CC Aging ~
Claremont Nursing _ - _ _ _ x
~x
6/22/2012 ~ 0.04 4038.10 ~ Interest x
6/28/2012
___ 6/28/2012
7/1/2012 ___
___387
___ 388 ____
489.07
______34.96 _
_ ___
____
669.00 ____ 3549.03
i 3514.07
4183.07 !Claremont Nursing
Claremont Nursing__
Soc Sec x__
x
x
7/9/2012 13.38 4196.45 cash deposit x
7/11/2012 389 ___100.00 --__ __ ~ _
- _4096.45 ; CC A in _ ___ ___
g
- --- __ x _ _
_ ___
7/23/2012
1 0.04 i 4096.49
:
~ Interest
x
_
- - - --
1 --- --- -
} _ --- --_------ -- - --- - _-----
-- -
N
i
7/20/2012 390 524.03 1 3572.46 urs
n
Claremont x
CHECKING ACCOUNT FOR
Pauline Demler
Account # 511082967
----------- 12
9.95t_ . --- ~
~ ~ 3562.51
- --- Delux Checks
--- ------ -- x
8/3/2012. i
~__ 669.00
4231.51 ~ -
Soc Sec --- -
x
8/10/2012 391 100.00
_ ! 4131.51 ! CC Aging x
8/22/2012
-.- 0.04 ,
-
- ___ -
4131.55 _ __-_--_-_-
I nterest x
8/21/2012
----
392 r
524.01 ~ ':
- -
3607.54 ----..--
~Claremont Nursin
g - ------- -- -- i
__
x
8/31 /2012 ~
7.00 j 3614.54 Deposit x
8/31 /2012 , ~
669.00 4283.54 i Soc Sec i x