Loading...
HomeMy WebLinkAbout04-17-15 t ANNUAL REPORT OF GUARDIAN OF THE PERSON COURT OF COMMON PLEAS OF Cumberland COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION Estate of Diana L. Fenton-Pate , an Incapacitated Person No. 21-2013-1022 c, rn rn rn Tri m C> . `n I. INTRODUCTION ' `"' � = rn e' Thomas P. Pate `n ,Baas appoint 0 Plenary MLimited Guardian of the Person by Decree of Judge Thomas A. Placey J., dated 22 January, 2014 0 A. This is the Annual Report for the period from 1 April 2014 to 31 March , 2015 (the "Report Period"); or El B. This is the Final Report for the period from , to (the"Report 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 Court by Decree of J., dated For a Final Report, omit Sections II through IV. Form G-03 rev.10.13.06 Page 1 of 4 Estate of Diana L. Fenton-Pate , an Incapacitated Person II. PERSONAL DATA Age of the Incapacitated Person: 61 Date of Birth: 5 November, 1953 III. LIVING ARRANGEMENTS A. Current address of the Incapacitated Person: 5034 Erbs Bridge Road,Mechanicsburg, PA 17050 B. The Incapacitated Person's residence is: own home/apartment ®nursing home boarding home/personal care home Guardian's home/apartment hospital or medical facility ®relative's home(name,relationship and address) ®other: C. The Incapacitated Person has been in the present residence since 1 July, 1996 . If the Incapacitated Person has moved within the past year, state prior residence and reason(s) for move: Form G-03 rev.10.13.06 Page 2 of 4 Estate of Diana L. Fenton-Pate , an Incapacitated Person D. Name and address of the Incapacitated Person's primary caregiver: Thomas P. Pate 5034 Erbs Bridge Road Mechanicsburg,PA 17050 IV. MEDICAL INFORMATION r A. The major medical or mental problems of the Incapacitated Person are as follows: Progressive degenerative neurology disease-Frontotemporal Dementia(Pick's Disease) B. Specify what, if any, social,medical,psychological and support services the Incapacitated Person is receiving: 1. Support from Celtic Hospice-Doctor Visit every two months, Registered Nurse visit every week,Nursing Assistant visit twice per week for assistance with bathing and consumable supplies. Chaplin visit monthly, and social worker visit as required. 2. 61 Hours per week of supplemental caregivers from Home Instead Senior Care 3. Husband evenings and weekends. V. GUARDIAN'S OPINION A. It is the opinion of the Guardian of the Person that the guardianship should: 0 continue ©be modified M be terminated Form G-03 rev.10.13.06 Page 3 of 4 Estate of Diana L. Fenton-Pate an Incapacitated Person The reasons for the foregoing opinion are: Diana's condition continues to deteriorate slowly with seizures occurring roughly every six weeks. She is bed-bound, incontinent,incapable of communicating, incapable of walking and incapable of feeding herself. She requires full time care. B. During the past year,the Guardian of the Person has visited the Incapacitated Person 365 times with the average visit lasting 16 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. 6 April,2015 Date ignature of Guardian of the Pe son Thomas P. Pate Name of Guardian of the Person(type or print) 5034 Erbs Bridge Road Address Mechanicsburg,PA 17050 City,State,Zip (717) 730 9918 Telephone Form G-03 rev.10.13.06 Page 4 of 4