HomeMy WebLinkAbout07-08-13 (2) ANNUAL REPORT OF GUARDIAN RECORDED OFFICE OF
OF THE PERSON REGISTER OF WILLS
lQi3 JUL 8 Pn
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY,PENNSYLVANIA CLERK OF
ORPHANS' COURT DIVISION ORPHANS" COURT
CUMBERLAND CO., PA
Estate of JANETTE NEELY an Incapacitated Person
No. 21-08-0032
I. INTRODUCTION
Keystone Guardianship Services was appointed
® Plenary ❑ Limited Guardian of the Person by Decree of Edgar B. Barmy J.,
dated March 5, 2008
® This is the Annual Report for the period from March 6 2012
to March 5 , 2013 (the "Report Period"); or
0 B. This is the Final Report for the period from
to , (the 'Report Period"), and is filed
for the for the following reason:
1. The death of the Incapacitated Person. Date of death:
2. The Guardianship was terminated by the Court by Decree of
J., dated
For a Final Report, omit Sections II through II!
Form G•03 rev. 10.13.06 Page I of 4
Estate of JANETTE NEELY an Incapacitated Person
fill D. Name and address of the Incapacitated Person's primary caregiver:
Staff of Skilled Care Unit at
Courtyard Gardens Nursing& Rehab Center
999 West Harrisburg Pike
Middletown, PA 17057-4801
IV. MEDICAL INFORMATION
A. The major medical or mental problems of the Incapacitated Person areas follows:
Ms. Neely suffers from HTN, Anemia, depression, dementia w/behavioral disturbance,
hypothyroidism, GERD, agitation, allergies,dry eyes,dysphasia,arterial insufficiency,venous
insufficiency, kyphosis, corneal dystrophy, retinal hemorrhage,conjunctivitis, PVD(peripheral
vascular disease); Ms Neely's declined ability to swallow has led to a pureed and thickened
liquid diet. Medicine list attached.
B. Specify what, if any, social, medical, psychological and support services the
Incapacitated Person is receiving:
Though Ms.Neely is prompted and encouraged to attend games and all other
social events within Courtyard Gardens she refuses most of the events. She will sit in
the common area to watch the large TV. Ms. Neely enjoys chewing gum which seems
to ease some of her anxious moods swings.
Ms. Neely is visited once a month by Dr. Nipple,the in-house doctor at
Courtyard Gardens,for monthly check-ups and for any medical issues that may be
presented.
Ms. Neely is seen by geri psych and social services as staff feels is needed.
Ms.Neely has been seen by an occupational therapist on staff to assess her
capabilities in eating. She is on a mechanical food diet.
Ms.Neely sees Dr. Kevin Westra of Harrisburg Gastroenterology as needed
V.GUARDIAN'S OPINION
A. It is the opinion of the Guardian of the Person that the guardianship should:
®continue
C be modified
C be terminated
Form G-03 rev.10.13,06 Page 3 of 4
Estate of JANETTE NEELY an Incapacitated Person
Il. PERSONAL DATA
Age of the Incapacitated Person: 91 Date of Birth: August 22, 1921
III. LIVING ARRANGEMENTS
A. Current address of the Incapacitated Person:
Courtyard Gardens Nursing&Rehab Center
Skilled Care Unit
999 West Harrisburg Pike
Middletown, PA 17057-4801
B. The Incapacitated Person's residence is:
G own home/apartment
®nursing home
G boarding home/personal care home
G Guardian's home/apartment
G hospital or medical facility
G relative's home(name, relationship and address)
Gother:
C. The Incapacitated Person has been in the present residence since 4/1/10
If the Incapacitated Person has moved within the past year, state prior
residence and reason(s) for move:
Fa.m G-03 rev. 10.13.06 Page 2 0£4
Estate of JANETTE NEELY an Incapacitated Person
The reasons for the foregoing opinion are:
It is my opinion that Ms. Neely would not be able to exist in any other type of environment,as
she lacks the mental and physical ability to care for herself.
This remains the same as previously reported: Ms.Neely can no longer walk on her own;
creating a need to be in a geriatric chair with alerts which activate when she forgets and tries to
get out of her chair and/or when she is in a poor mood and tries to get up and walk.
Over all Ms Neely seems to have a good relationship with staff and the guardian and appears to
be content in her environment.
B. During the past year,the Guardian of the Person has visited the Incapacitated Person
24-30 times with the average visit lasting 15—30 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.
t3a1e �,igmaure ofCruardiaa ojrhe Es
/' Constance E Sroneroad
Name of Guardian of the Estate(rype or print)
PO Box 804
Address
CL=be1hW11r Pa 17023
Ciry.Stare.Zip
717-674-5757
Telephone
Form G-03 rev.10.13.06 Page 4 of 4
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