HomeMy WebLinkAbout07-21-15 (2) RECORDED GFPICE OF
REG!S?F', ,7�� !'dILIS
?�l$ JUL 21 PI�I 1 10 `�NUAL REPORT OF
c�� :
GUARDIAN OF THE PERSON
ORPHi�R'�.' . � ---
CUM6f_�_;.�
� COURT OF COMMON PLEAS OF
Cumbcrland COUNTY,PENNSYLVANIA
ORPHANS' COURT DIVISION
Estate of Gcrda Drews , an Incapacita[ed Person
No. 21-12-492
I. IVTRODUCTIOV
Ncighborhood Services , was appointed
�Plenary❑Limi[ed Guardian of[he Person by Deccee of Placey J,
dated 6/12/l2
� A. This is Ihe Aunual Report foc the period from July 1 2014
to �'(arch 31 , 2015 ([he"Report Period"); or
❑ B. This is [he Final Report fo�the period from ,
m , (the"A�porl Period"), and is tiLed
fo�the following roason:
1. The death of the Incapacita[ed Person. Da[e of dea[h:
2. The Guardianship was tertni�ated by the Coutt by Decree of
J., dated
For a Final RepoH, omit Sections II thrw�gh 7V.
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Es[are of Gerda Drews , an [ncapacitated Pcrson
II. PERSONAL DATA
9ae of the I�capacitated Person: 95 Date of Birth: 6/20/1920
III. LIVINGARRAM1'CEMENTS
A. Curzent address of the Incapacitated Person:
46 Erford Rd
Camp Hill, PA 1701 I
B. The Incapaci[ated Person's cesidence is:
❑own home/apartmeut
m rmrsing home
❑boarding home/pecsonal care home
❑Guardiads home/apartmeni
❑hospitaL or medical facility
❑celative's home(namq rclationship and address)
Dother
C. The Incapaci[ated Person has been in the prosent cesidence since beCore guardianship
. If the Incapacitated Person has moved within tha
pastyear, state prior residence and reason(s) for move:
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Estate of Gcrda Drews , an Incapacitated Pcrson
D. Name aod addres5 of the Iucapacita[ed Persods primary caregiver.
Golden Living Center
46 Erford Rd
Camp Hill, PA 17011
N. MEDICALINFORMATION
A. The major medical or mcntal problems of[he Incapacitated Person are as follows:
dementia, auxic[y, hypeRensioq ambulatory dysfunction, depressioq osteoarthrosis,
hyperlipidcmia, UTI
B. SpeciCy what, if a�y, social, medical, psychologicnl and suppoR services the
Incapaeita[ed Person is receiviug:
24 hour nursine carc
Social work visits as needed
Dr visits as needed
V. GUARDIAN'S OPINION
!l It is the opiniou of the Guardian of the Person that the guardianship should:
0 cootinue
❑be modified
❑be terminated
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Esta[e of Gerda Drews , an I�capacitated Person
The reasons fo�[he foregoing opinion are:
No sienitican[changes in ward
B. Durina[he report period, [he Guardian of[he Person has visited the Inc Person
9 times wi[h the average visit las[ing hours,�5 minutes.
Zhe report of a social service orgnnication e�r�ployed by the G�mrdian ta aro�ersee mid
coordinnte the cnre of the Lncapacitated Persan for the period covered by this Report may he
ntmched!o supplement rhis Report.
I verify[hat[he foregoi�a in[ormation is corrcc[to the best of my knowled�e,
infonna[ion and belief; and that[his Verification is subject m the penalties of 18 Pa. CS.A. § 4904
�elative ro unswom falsitication to au[horities.
6'2v,-15 ���� IV� �Q��'����� � OVS
Oare 5l�namre IGimrzOan JrNePerron �
Neiehbo�hood Services
NamxoiLuarelmi JMeeenon�nPeor➢rhm
PO Box 1593
AAebess
Lnncas[cr, PA 17608
e,m s«.�e_v�
(717) 392-2175 �17
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