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IN THE COURT UF+COMMt3N PLEAS t}F c ,�, � ,�'; �
CUMBERLAND COUNTY,PENNS�LVANI�� � �`�` =,��' �
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ORPHANS COURT DIVISION �, � � �'� �"�" ���,�� ,
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ESTATE OF ELLEN E,PARI�S, `� � rv ; �� �`,;
AN ALLEGED INCAPACITATED PERSQN-� � ' �
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PETITION UNI3ER§��11 t3F THE PI2UBATE,
ESTATES AND FIDUCIARIE�CtJDE T{J ADJUDGE
ELLEN E. PARKS TO BE TOTALLY INCAPACITATED AND
APPtJINT A GUARDIAN FUR HER ESTATE AND HER PERS(JN
TO THE HONORABLE JUDGES OF SAID COURT:
HCR Manor�are Carlisle �"Petitioner"}respectfully represents that:
1. Petitioner is a skilled nursing facility wherein resides Ellen E. Paxks, an alleged
incapacitated person.
2. Ellen Parks was born on Apri12, 1939 and is currently 74 years af age.
3. Ellen Parks resides in a private nursing facility in Cumberland�ounty, whase
address is.
�I�R ManorCare Carlisle
940 Walnut Bottorn Road
Carlisle, PA 1701 S
4. Because E11en Parks resides in Cumberland County,this Court has jurisdiction
pursuant ta § 711 �3 Q}af the Probate,Estates and Fiduciary Code and � 5512�a},
�. Petitioner is unaware of any living relative�of Ellen Parks.
6. Petitioner's courisel ordered a professional skip trace search to attempt ta locate
potential intestate heirs of Ellen Parks.
7. Petitioner is unaware of any assets owned by Ellen Parks.
8. Petitior�er is unaware of any income received by E11en Parks.
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9. Petitioner's is without knowledge of whether Ellen Parks was a member of the
Armed Services of the United States and, consequently, whether she is receiving any benefits
from the United States Veterans' Administration.
10. Petitioner intends to file an application for Medical Assistance("MA")benefits
on Ellen Parks' behalf to help pay for the cost of her care at HCR ManorCare Carlisle.
11. To Petitioner's knowledge, Ellen Parks has not appointed an agent to act on her
behalf under power of attorney, nor has a guardian been appointed to make financial or
healthcare decisions for her.
12. Ellen Parks' treating physician is:
Dr. Darryl Guistwite, D.O.
56 Ashton Street
Carlisle,PA 17015
Phone: (717) 609-2052
13. Dr. Guistwite diagnosed Ellen Parks as suffering from dementia, a condition
which causes incapacity and requires that she receive 24-hour-a-day care.
14. Because of the lack of a representative willing or able to act on Ellen Parks'
behalf, and due to the onset of Ellen Parks' dementia,there may be no less restrictive alternatives
to the appointment of a Guardian of the estate and person of Ellen Parks.
15. Because of Ellen Parks' dementia, she is totally unable to manage or even
appreciate the significance of her financial affairs, property and business and to make and
communicate any decisions relating thereto, including the ability to communicate her need for
assistance in these areas.
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1�. Because of Ellen Parks' dementia, she Iacks the capacity to make ar communicate
any respansible decisions concerning her pearson and is unable to attend to her personal hygiene
or to keep herself praperly nourished and hydrated or car�ununicate to others her need for
assistance in these areas.
17. Because of the severity�►f Ellen Parks' dementia,the assistance of other persons
or services would nat enable Ellen Parks to participate in the making af any decisians concerning
l�er estate or person.
18. The severity of Ellen Parks' dementia requires that a plenary guardian be
appointed ta m.anage her estate, Said guardian should be appointed to manage and handle all '
aspects of her esta#e, specifically including,but not limited to: all issues relating to her cash,
checks in any bank or savings account held in her name,her stocks and bands,her personal
property,her real estate,her life and other insurance af which she is a beneficiary,her
entitlement to any govern�ment or non-government benefit plans, federal, state, local taxes,trust
accounts af which she is the beneficiary, claims made or to be made on her behalf ar against her,
the executian of documents,the entry i�to c�ontracts affecting her and the payment af reaso�able
compensatian or cc�sts to pravide services for her.
19. The severity of Ellen Parks' dementia mandates that a plenary guardian of her
person be appointed to handle all issues relating to the persan of Ellen Parks, specifically
including but nc�t limited to: her living arra�gements,her medical and psychiatric care,the
administration of inedicatian to her and the employment and discharge of physicians,
psychiatrists, dent�sts,nurses,therapists, and other professianals for her physical and mental
treatment and care.
2U, The proposed guardian of the person and estate of Ellen Parks is:
Good News Consuiting, Inc.
140 Roosevelt Avenue
Suite 2Q6
York, PA 1740I
Phane: {717} $43-1504
21. The praposed guardian, �oad News Consulting, Inc., does not have any adverse
interests ta the person or estate of El1en Parks, and an accept��nce to serve as guardian af the
person and estate is attached hereto as Exhibit A.
22. Gaod News Cansulting, Inc. has been suggested as guardian of the person and
estate of Ellen Parks because they have extensive experience in handling such matters.
�3. Petitianer is without knowledge of whether Ellen Parks executed an advan�e
health care directive.
24. No other Court has ever assumed jurisdiction in any proceeding to deter�nine the
capacity of El1en Parks.
2S. Due to the limited resources of Ellen Parks,Petitioner requests that court-
appointed caunsel far Ellen Parks be paid by Cuxnberland�ounty.
WHEREFORE,Petitianer prays that a Citation be issued directed to Ellen Parks to show
cause why she should not be judged a totally incapacitated person and Good News Consulting,
Inc. be appointed permanent plenary guardian of her person and her estate, with notice by
personal service ta Ellen Parks, '
Respectfully Submitted,
Date: g ..2�` � By.
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n' ' J. Glatfelter, squir
orney I.D.No.: 2 935
John N. Kennedy, Esquire
Attorney I.D.No.: 68278 '
KENNEDY�PC LAW OFFICES
P.O. Box 5100
Harrisburg, PA 17110-0100
(717)233-7100
Attorneys for
HCR ManorCare Carlisle
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�'''aiics,,Ell�r�
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'��undersi��d hereby vear�es the st�t�e��vf fact�t�ie�`�z�g�in�dc��cu�m��t
�re tnz�a�,d��rr�ect t�t.��b�st c�f his t�x h�r kn�w��g�,infc��n�ti���r�belief. �e ox
she u�t�erstax�ds any fals�e sta�m�ents ther�iu��re�ubject to the�►�nalties cont�ined in 18
P�.C.S, �4�04,�celating t�u�aswc�rn falsic�r�at��n tc�au�o�laies.
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P'rint�Jt�b Titi�e: ,,���..��lZ,�'�..�' ���� ���
���ManorCa�e C�rlisle
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XHIBIT
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Parks,EIIen
+�o�vsE�vT���►ROPC����,
GU�I�N
Gaad 1�►lews Consultin
g,Inc. does hereby Certi �
fY ��y are wiZling to act as
permanentplenaty gu,�.dian ofthe
person and estate of E11en E.Par��an
incapacrtated pe�on, if the�� alleged
urt shall so aPpaint.
Further, Good News Co
nsulting,Inc. hereby Certifies the ��
any estate zn which E11en E.Par�s 3' not a fiduciary of
�as an interest nor�d�►�hey ha�,e�
currently adverse to Ellen E. Par�� nY other�nterest :
person or esta.te.
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Signature '���+���� ���`- �
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Print: �1:1�'c.-��'S S 3
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Gvod News �onsulting, Inc.
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