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�,����°�y,, CUMBERLAND COUNTY
�� ��` AGING & COMMUNITY SERVICES
Q', ;�l� 1100 Cr.��RFMONT Ronr�, CA�,ISI.F,PA 17015
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One Team ...One Mi.r.rion Gary Eichelberger
Chairman
ANNUAL GUARDIANSHIP REPORT
ON LOIS SWANGER
Rithard L.Rovegno
Guardian of Person and Estate
Cumberland County Aging and Community Services
December 18, 2014
PERSON
On September 15, 2010 Judge AI Masland appointed the Cumberland County Aging
and Community Services the Permanent Plenary Guardian of Person and Estate of Lois
Swanger. Following the hearing, she returned to Shippensburg Health Care Center
where she had been residing.
At the time of her admission Ms. Swanger was diagnosed with Alzheimer's disease and
hypertension. Since then the following diagnoses have been added: ambulation
dysfunction, diabetes 2, osteoartherosis and depression.
Over this past year, Lois' dementia has worsened. She has declined to the point of
becoming non-verbal. Hospice was recommended by her physician so Aging staff set
that up with Grane Hospice. She rarely intereacts with staff, preferring to sit by herself.
In February she developed a small open area on her stomach which resolved quickly
with medication. She also developed small tremors and sometimes shakes. Grane
Hospice reported that her diet was changed from mechanical soft to puree due to
difficulty with chewing. She also now requires the use of a Hoyer lift for staff to transfer
her from bed to wheelchair.
It is the request of the Cumberland County Office of Aging that the agency retain
Guardianship of Person for Lois Swanger. The Shippensburg Health Care Center has
demonstrated an adequate quality of care for her medical and ment�problem��'We;a m
believe, therefore, that Ms. Swanger should continue to reside in tha�n�sing fa¢ilit� �
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ESTATE
Originally Ms. Swanger received MA for her nursing home stay but this was later
stopped due to the assets from the sale of the house. She continued to private pay the
nursing home through May 2014 when MA was once again started.
The payment to the home is currently around $287.14 a month. It varies based on the
number of days in the month. Each month she also pays $86.31 for AARP insurance,
$202.00 for United Healthcare and $6.20 to United HD Medicare a month for medical
insurance.
After the sale of the house, Cumberland County Aging received $150 a month for the
guardianship fee that is charged clients who are private pay with the home. When MA
restarted, Aging was paid $50 a month until the correct amount is assigned by the
County Board of Assistance. We have not received official notification at this point.
Attached are a Bank reconciliation statement and a checking account register.
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Janet Paull Date
Aging Care Manager
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