HomeMy WebLinkAbout05-07-13 j CUMBERLAND COUNTY
AGING & COMMUNITY SERVICES
SERVICES
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(717)240-6710 OR 1-888-697-03711;x'7'6170
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One Team...One Minion Ba tam B i Cm"
Chairman
Jim HerWff
ANNUAL GUARDIANSHIP REPORT 1,hxChaimaP
C3 �' 1_ a FOR LAVITA NICKEL Ge E1he1mlay
U _! NLt Seererary
O Terry L Barley
c°) � May 3, 2013 Direnor
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� ° z° Report from Guardian of Person and Estate
a Cumberland County Aging and Community Services
cc w Janet Paull, Aging Care Manager 3
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On Way 27, 20 1, Judge Hess appointed the Cumberland County Aging and
Community Services Permanent Plenary Guardian of Person and Estate for Lavita
Nickel. Prior to the guardianship hearing, Lavita was taken by Aging Staff to a Domestic
Violence shelter because she had been assaulted by her grandson. She was later
transported to Claremont Nursing and Rehab Center because she required more care
than the shelter could provide. At the time of the hearing, Ms. Nickel was still a resident
of the Claremont Nursing Rehabilitation Center where she continues to reside.
At the time of her admission, her diagnoses were insulin dependent diabetes,
neuropathy, acute anxiety, chronic paresthesias of extremities, hypothyroidism,
hypertension, dermatitis. Since then she has been diagnosed with depression,
dysphasia, dementia, gait dysfunction, weakness, left intertrochanteric hip fracture with
repair, agitation, arteriosclerotic disease, macular degeneration, and urinary tract
infections. She has been bothered by a lot of itching. They tried Claritin and then added
Benadryl. It does seem to be improving.
She enjoys wheeling around the unit and caring for her "babies" which are several dolls
that she likes to hold as well as try to feed. Her appetite is fair and she is on special
supplements 3 times a day which she enjoys.
Her behavior had been disruptive at times in the past. She was involved in several
altercations with different residents. Fortunately there were no injuries. It took awhile to
get her medications adjusted but the topical Ativan seems to be working. She would
refuse to take the pill when it was in that form. It seems to take the edge off and relieve
some of the anxiety. She is more settled and calm.
She had been on speech therapy to assist with swallowing but that has been
discontinued. She will occasionally become involved with an activity but her favorite
activity is to play with her 2 dolls.
She is visited every 30-60 days by Cumberland County Aging staff. She was also taken
birthday and Christmas presents. ,
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It is the request of Cumberland County Aging that the agency retain Guardianship of
Person. Claremont Nursing and Rehab has demonstrated an adequate quality of care
for her medical problems. We believe, therefore, that Ms. Nickel should continue to
reside in that nursing facility.
Guardian of Estate
At the time of the guardianship, Ms. Nickel had a checking account at Adams County
National Bank in Newville, PA with a balance of$2625.14. This account was later
closed and a guardianship account was opened at F&M Bank.
Her only income is Social Security which was $1140 and then increased to $1156 in
January 2013. The monthly amount paid to Claremont Nursing and Rehab Center is
$995.00 Her largest expense this year was for pre-funeral arrangements which were
made with Hollinger's in Mt. Holly Springs for $2300. Cumberland County Aging was
authorized to collect $100 a month for a guardianship fee, which we did not do until the
funeral arrangements were made.
Attached is a financial summary of LaVita Nickel's income and expenses. Also attached
is a spread sheet representing her checking account register.
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