HomeMy WebLinkAbout05-23-13 � rn
ANNUAL REPORT OF � � .� � �;
GUARDIAN (JF THE PERSC►N � �} � �` `''' °Y
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CCIURT OF CC1MM(7Ir1 PI.,EAS t�F � "- �,j
Cunnberland C�LINTY,PENNSYL�ANIA`.r �, � �� ,�,-,
ORPHANS' COURT DIVISI4N ' `-~' ��
Estate of Hazel A. Priest ,an Incapacitated Person
No. 21-09-08?8
I. INT�20DUCTION
Jewish Famiiy S�rvice of Greater Harrisburg,Inc. was appointed
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�Plenary�Limited Guardian ofthe Person by Decree of J. Wesley Oler,h, .3.,
dated January 4,2010
✓�], A. This is the AnnuaM Report far the period from ���ar3' 1 , ����
to December 31 2412 (the"Report Period"};or
� B. 1'his is the�inal Report for the periad from ,
to , (the"Repc}rt 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�ourt by Decree of
J.,dated
For a Pinar Report,ox�nit Sections II through IV.
�`:lAi
Form G-03 rev.10.13.06
J
Estate of ��el A. Pries� , an Incapacitated Person
II. PERSt}IYAL DATA
Age of the Incapacitated Person: $`�' Date of Birth: lUll U1926
III. LIYING A�t;RANGEMENTS
A. Current address of the Incapacitated Person:
922 Susan Circle
Enala,PA 17025
(client will be maving to a lang term care facility on January 4th 2013)
B. The Incapacitated Persc�n's residence is:
�own home/apartment
Q nursing hame
[�boarding home/perst�nal care home
�Guardian's hQme t apartment
�hospital or medical facility
�]relative's home(name,relationship and address)
Q other;
C. The Incapacitated Persan has been in the present residence since 1949{per clie�t�
. If the lncapacitated Person has moved within the
past year, state prior residence and reas�an{s)far move:
�o,m c-o3 �.�o.�3.od Page 2 of 4
Estate of Hazel A. Priest , an Incapacitated Person
D. Name and address c�f the Incapacitated Person's primary caregiver:
Jewish Family Service of Greater Harrisburg,Inc. (JFS)
3333 North Frant Street
�-Iarrisburg,PA 1�110
Limited Permanent Guardiar�
IV. MEDICAL INFORMATIQN
A_ The rr�ajor medical or mental prc�blems ofthe Incapacitatc�d Person are as follows:
Hazel has Uementia which makes her unable ta make financial and medical
deeisions for hersel£ Since last reporting period Hazei is na longer amhulatary and
is canfined to a wheelchair.Hazel has modera#e to severe cognitive irnpairment and
requires 24 haur help with ADL`s. Irt addition,Hazel has diabetes and hypertension
that is controlled through medicatidn and dietary management.
B. Specify what, if any, social, medical, psychologicai and support services the
Incapacitated Person is receiving:
�FS serves as Guardian and coordinates any support services.3FS handles bill
paying,baac�king,and heatthcare decisions.3FS coordinates 24 hour care for Hazel in
her home. These home health aides ensure that Hazel's ADL's are completed and
also provide sociatizatian. 'T�e aides also ccrmpiete her food shopping,meal
prepararion. Hazel's medications are delivered to her home by the pharmacy.
V. GUARDIAN'S OPIIYION
A. It is the opinivn of the Guardian ofthe Person that the guardianship should:
�continue
�be modifed
�be terminated
�o�c-r,3 r�V.io.�3.nd Page 3 of 4
Estate of Hazel A. Priest
, an Incapacitated Person
The reasons for the foregoing opinion are:
Hazel has declined cognitively and physically, since the last report, requiring 24
hour care. Her health issues require her to be in a wheelchair. Due to her Dementia
Mrs. Priest does not have the capacity to care for herself physically ar financially.
B. During the past year,the Guardian of the Person has visited the Incapacitated Person
24 times with the average visit lasting 1 hours, minutes.
The report of a social service organization employed by the Guardian to oversee and
coordinate the care of the Incapacitated Person for the period covered by this Report may be
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 to the penalties of 18 Pa. C.S.A. § 4904
relative to unsworn falsification to authorities. .
�e�.r.,rs� .�a�.,lry
c� �b�� 3 � � LS� s�v,`.�-,
Dat�- Signatu o Guardian of the Person
Marjorie E. Koch LSW
Name of Guardian of the Person(type or print)
3333 N. Front Street
Address
Harrisburg, PA 17110
c;ry,srare,zrp
(717)233-1681
Telephone
Form G-03 rev.10.13.06 Page 4 of 4