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��'�("" � � FINAL GUARDIANSHIP REPORT ""`""""°"
FOR PATRICIA WOOLFSON °ab�a6;c`°"
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l ury I.Patley
March 13, 2015 °rn'°`°•
Report from Guardian of Person and Estate
Cumberland County Aging and Community Services
On February 20, 2012 an emergency Guardianship hearing for Patricia Woolfson was
held before Judge AI Masland. Cumberland County Aging and Community Services was
appointed her Emergency Guardian of Person and Estate. At the time of the hearing,
Ms. Woolfson was a patient at Holy Spirit Hospital. She was admitted following a fall.
When EMS arrived she was found on the floor in water that had overrun the sink
because the faucet was on. She was found to be hypothermic and had open sores on
both legs and "overpowering stench." Her open wounds needed surgical debridement
or else she might have died. She refused the surgery and a psychiatrist determined her
to be incapacitated. Following the hearing, the Office of Aging approved the surgery.
She was later admitted to Golden Living Center-Camp Hill where she still resides.
On March 12, 2012 the final guardianship hearing was held and Cumberland County
Aging and Community Services was appointed her Permanent Plenary Guardian of
Person and Estate by Judge AI Masland.
PERSON
Following the hearing Ms. Woolfson was returned to Golden Living Center-Camp Hill
where she continued to reside until her death. Her admitting diagnoses were anemia, In
HTN, GERD, diverticulosis, anxiety, GI bleed and Iron deficiency.
In June Patricia undenvent an esphagogastroduodenscopy (EGD) because she had
coughed up "coffee like emesis" which could indicate possible internal bleeding.
The doctor reported there were no ulcers, no signs of internal bleeding and that
everything looked good.
When visited by Aging Staff in July she appeared to be doing very well. But on July 12
we were notified that her lab work was not good and that there had been a significant
decline in her functioning ability. Staff were having to feed her and she was
experiencing respiratory problems. She was hospitalized later in the day in Holy Spirit
Hospital's Intensive Care Unit. We were advised by the hospital that she had an
abscess on her right leg that needed to be surgically treated due to the infection in the
wound. She is also suffering from CHF and COPD. Ms. Woolfson was often non-
compliant with her care. She kept pulling of the oxygen tubing and refused to wear a Bi-
pap.
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In October she was readmitted to Holy Spirit Hospital for difficulty in breathing. She was
intubated and put on a vent. She was diagnosed with acute hypoxemic respiratory
failure. The goal will be to wean her off of the ventilator. After consulting with physicians,
our solicitor and staff who knew her, it was agreed that she should be placed on comfort
measures only.
On November 4, 2014 she returned to the nursing home with Aseracare Hospice. She
passed away on 131-15 from cardiac arrest, respiratory failure, and medullary failure.
ESTATE
At time of the Guardianship Ms. Woolfson had a bank account with Integrity
Bank.$17,500.00 was transferred from this account to a new Guardianship account at
F&M Bank. There was $500 left in the old account to keep it open until her direct
deposit can be changed to the new account. Many of these funds were used to pay her
medical bills from the hospitalization.
Ms. Woolfson was approved for Medical Assistance starting in February 2012. Aging
became her Social Security Representative Payee. Her income at the time of her death
was $934.00 from Social Security and $782.90 from a pension. The amount of room
and board paid to Golden Living varied depending on whether OA was in the hospital,
under Medicare, or regular amount. Ms. Woolfson receive the $45 a month for personal
use as allowed by Medical Assistance. The Cumberland County Aging and Community
Services received $100 a month in guardianship fees as provided by the court order.
Balance at the time of her death was $7389.80. Bank activity after death include a
deposit then return of a social security check and a pension check amount, interest and
a refund from the funeral home. A letter informing Department of Human Services'
Estate Recovery Department was sent so Medical Assistance can be awarded the
remaining funds.
Attached is a financial summary of Patricia Woolfson income and expenses. Also
attached is a copy of her check register.
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Patricia Wolfson
F8M Trust Account#36 44251
CHECK DEPOSIT
DATE CHECK# AMOUNT AMOUNT BALANCE Description
2/28/2014 782.90 4890.94 Annuiry x
3/14I2014 1078 1586J9 3304.15 Golden Living -March x
3/25/2014 1079 100.00 3204.15 Aging z
3/26/2014 934.00 4138.15 Soc Sec x
3/27/2014 1080 45.00 4093.15 Cash -Guest Account x
3/31/2014 782.90 4876.05 Annuity x
4/23/2014 934.00 5810.05 Soc Sec x
4/25/2014 1081 1579.09 4230.96 Golden Living -April x
4/25/2014 1082 100.00 4130.96 Aqing x
4/30/2014 782.90 4913.86 Annuity x
5/1/2014 1083 45.00 4868.S6Cash -GuestAccount z
5/6/2014 1084 4868.86 East Pennsboro Ambulance VOID
5/13/2014 1085 100.00 4768.86 Aging x
5/13/2014 1086 156379 3205.07 Golden Living -May+ $3.80 March x
5/28/2014 934.00 4139.07 Soc Sec x
5/30/2014 782.90 4921.97 Annuity x
6/2/2014 1.65 4923.62 Santander x
6/2/2014 1087 45.00 4878.62 Cash-Guest Account x
6I16/2014 1088 157529 3303.33 Golden Living -June x
6/16/2014 1089 100.00 3203.33 Aging x
6/25/2014 934.00 4137.33 Soc Sec x
6/30/2014 782.90 4920.23 Annuity x
7/7/2014 1010.18 5930.41 Refund -West Shore ALS x
7l3/2014 1090 45.00 5885.41 Cash -GuestAccount x
7/14/2014 1091 100.00 5785.41 Aging x
7/14/2014 1092 1586.79 4198.62 Golden Living -July x
7/23/2014 934.00 5132.62 Sac Sec x
7/31/2014 782.90 5915.52 Annuity x
8/4/2014 0.13 5915.651n[eres[ x
8/8/2014 1093 45.00 5870.65 Cash - Guest Account x
8/8/2014 1094 100.00 5770.65 Aging x
8/20/2014 0.13 5770781nterest x
8/22/2014 1.42 577220 Santander x
8/22I2014 1095 1563.79 4208.41 Galden Living -August x
8/22/2014 1096 80.56 4127.85 National Recovery Agency x
8/27l2014 934.00 5061.85 Soc Sec x
8/29/2014 782.90 584475 Annuity x
9!4/2014 1097 45.00 579975 Cash -Guest Account z
9/8/2014 1098 100.00 569975 Aging z
9l20/2014 025 5700.00Interest x
9/24/2014 934.00 6634.00 Soc Sec x
9l25/2014 1099 1628 661772 Golden Living -Add'I August x
9/30/2014 782.90 7400.62 Annuity x
10/3/2014 1100 100.00 7300.62 Aging x
10/3I2014 1101 45.00 7255.62 Cash -Guest Account x
10/10/2014 1102 24.52 7231.10 Golden Living -September x
10/20I2014 029 7231.391nterest x
10/22I2014 934.00 8165.39 Soc Sec x
10/31/2014 782.90 894829 Annuity x
11/4/2014 1103 0.00 894829 Cash-Guest Account VOID
11/7/2014 1104 0.00 8948.29 Golden Living VOID
11/12/2014 1105 100.00 8848.29 Aging x
11/12/2014 1106 138.61 8709.68 Golden Living - November x
11/20/2014 0.36 8710.04 Interest x
11/22/2014 934,00 9644.04 SocSec x
11/30/2014 782.90 10426.94 Annuity x
12/3/2014 2.07 10429.01 Santander x
12/5/2014 1107 2951.43 7477.58 Golden Living x
12/18/2014 1108 100.00 7377.58 Aging z
12l20/2014 0.38 7377.961nterest x
12/24/2014 934.00 8311.96 Soc Sec x
12/31/2014 782.90 9094.86 Annuiry x
1/8/2015 1109 45.00 9049.86Cash -GuestAccount z
1/13/2015 1110 1560.43 748943 Goldent Living x
1/13/2015 1111 100.00 7389.43 Aging x
1/20/2015 0.37 7389.80 Interest x
7389.80 Passed away 1/31/2015
1/28/2015 952.00 8341.80SocSec x
1/30/2015 762.90 9124.70 Annuity x
2/4/2015 ACH 782.90 8341.80 Annuity retum x
2/17/2015 500.00 6841.80 Refund Hollinger Funeral Home x
2/20I2015 0.36 6842.16 Interest x
3/2/2015 2.19 8844.35 Santander
3/2/2015 1112 952.00 7892.35 Soc Sec