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ANNUAL REPORT OF `✓ '
GUARDIAN OF THE PERSON =3
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COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
02PHAN5' COURT DIVISION
F.state of G�ry Gcaham , an Incapacitated Person
No. 21-56-717
L INTRODUCTION
KenCrest Serviccs by its CEO , was appointed
m Plenary❑Liinited Guardian of the Person by Decree of Christylec L. Pcck , )„
dated June 27 2012 _
❑ A. 'I'his is[he Auuual Report for the period from June 27 , 2014
�o J��y p7 , 2015 (Ihe`Report Period"); or
❑ H. This is'lhe Final Report for�he period (rom ,
�� (the`Rcport Pcriod"), and is filed
for[he Collowing reason:
I. The death of[he Incapaci[aled Person. Da[e of deaLh:
2. The Guardianship was terminated by the Court by Decree of
J., dated
For a Fittal Report, amit Sections[I through IV.
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��
Es[ate of Gary Graham , an Incapacitated Person
II. PERSONAL DATA
Age ofthe Incupacitated Person: 50 Date of Birth: z�3/1965
Ili. LIVING ARRANGEMENTS
A. Current address of the Incapacitated Pe�son:
1001 'Ihousand Acre Road, Sellcrsvillc, PA 18960
B. The Incapacirated Pe�sods residence is:
❑own home/apartmenl
❑nursing home
❑boarding home /personal care homc
�Guardian's home /apartment
❑hospital or medical facili[y
❑relative's home (name, relxtionship and address)
Dother.
Commuoity Liviug Home operated by KenCrest Services
C. The Incapacitated Person has been in the present residence since 10/1/2003
. If[he Incapacitated Pecson has moved wilhin the
past year, state prioc cesidenec and reason(s) for move:
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Es[a[e of Gary Gcaham , an Incapacita[ed Pc�son
D. Name and address of[he Incapacitated Person's primary carcgiver:
KcnCrest Services
502 West Germantown Pike, Suite 200
Plymouth Mccting, PA 19642
1V. MEDICAL INFORMATION
A. The major medical or mental pmblcros of the Inwpacitated Person arc as follows:
Curtent diagnosis include profound mental retarda[ion, aoRic valvc disorder,
bilate�al inguinal hemia, umbilieal hemia, cardiac dysrhythmias, dysphagia,mitral
valve diso�dcc, ostcoporosis, scoliosis
B. Specify what, if any, social, medical, psyehologicxil and support services[he
Incapacitated Person is �eeciving:
Mr. Graham residcs in a KenCrest comm�nity Homc. He requires 24 houc
supervision and support. Gary utilizes a wheelchair. S[aff provide total hands on
assistance lo Mr. Graham to meet all of his daily nccds such as eating, dressing,
bathing, etc... Mc. Graham is non-verbal and communicates by smiling crying and
using moans or laughs.
V. GUARDIAN'S OPINION
A. It is the opinion of lhe Guardian of thc Person Iha[the guardianship should:
m continue
❑be modified
❑be terminated
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Estatc of Gary Graham , an Incapaci[a[ed Person
The reasons for the forcgoing opinion are:
Gary Graham continues to require 24 hour supports of KenCrest Scrvices to meet
his nccds.
B. During the past year,the Guardian of the Person has visited the Incapacitated Person
365 times with [hc average visi[ lasting x hours, minu[es.
The report of a social service organization emplayed by the Guardian(o oversee and
coordinate �he care ojthe Incapacitated Person for the period covered by this Report may be
nttnched lo supplemen� lhis ReCrort.
I verify[hat the foregoing info�mation is correct to tlie best of my knowledge,
informa[ion and belief; and [hat this Verification is subject to the penalties oF I S Pa. C.S.A. § 4904
relative to unsworn falsification to authori[ies.
G'//)I/� �I/ �� �
Do�e / 5'ISr�n GunrAlnnol�l�ePeccori
W. James McFalls, KenCrest Services
rvame Ic,�,��dra,�Id�rrr.�o,�(ry�o.vr�rru
502 West Gcrmantowq Pike, Suite 200
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Plymouth Meeling PA 79462
Ciry.Smee.Gp
610-825-9360
Telephone
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