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HomeMy WebLinkAbout05-29820 SHIPPENSBURG/ SOUTH HAMPTON MANOR, L.P. Plaintiff V. DORINDA T. CONWAY, KIERSTYN L. WALKER, individually and as attorney-in-fact for Dorinda T. Conway, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 2005- a ?JS CIVIL TERM NOTICE You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take action within twenty (20) days after this complaint and notice are served, by entering a written appearance personally or by an attorney and filing in writing with the court, your defenses or objections to the claims set forth against you. You are warned that if you fail to do so, the case may proceed without you and a judgment may be entered against you by the court without further notice for any money claimed in the complaint or for any other claim or relief requested by the plaintiff You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 32 South Bedford Street Carlisle, Pennsylvania 17013 (717) 249-3166 SHIPPENSBURG/ SOUTH HAMPTON MANOR, L.P. Plaintiff V. DORINDA T. CONWAY, KIERSTYN L. WALKER, individually and as attorney-in-fact for Dorinda T. Conway, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 2005- -;? 9 pa CIVIL TERM COMPLAINT NOW, comes Shippensburg/South Hampton Manor Limited Partnership ("Shippensburg Health"), by and through its attorneys, O'BRIEN, BARIC & SCHERER, and files the within Complaint and, in support thereof, sets forth the following: Shippensburg Health is a Maryland limited partnership duly authorized to conduct business in the Commonwealth of Pennsylvania with a business address of 121 Walnut Bottom Road, Shippensburg, Cumberland County, Pennsylvania 17257. 2. Defendant, Dorinda T. Conway, is an adult individual with a residence address of 121 Walnut Bottom Road, Shippensburg, Cumberland County, Pennsylvania 17257. Defendant, Kierstyn L. Walker is an adult individual with a residence address of 312 Harvest Lane, Shippensburg, Cumberland County, Pennsylvania 17257. 4. Defendant, Kierstyn L. Walker is the attorney-in-fact for Dorinda T. Conway by and through that certain Power of Attorney dated November 10, 2004 a true and correct copy of which is attached hereto as Exhibit "A" and is incorporated. Shippensburg Health operates a resident skilled care nursing facility located at 121 Walnut Bottom Road, Shippensburg, Cumberland County, Pennsylvania. 6. On or about December 6, 2004, Kierstyn L. Walker, sought to have Dorinda T. Conway admitted to the Shippensburg Health facility. On or about December 6, 2004, Kierstyn L. Walker executed an Admission Agreement on behalf of Dorinda T. Conway. A true and correct copy of the Admission Agreement is attached hereto as Exhibit "B" and is incorporated. Pursuant to the Admission Agreement, Dorinda T. Conway would be responsible to pay any costs of care which were not covered by a third party payer. 9. On or about December 6, 2004, Dorinda T. Conway became a resident of the Shippensburg Health facility and remains a resident to the date hereof. 10. In February, 2005, the Cumberland County Assistance Office determined that Dorinda T. Conway was eligible for Medical Assistance and Dorinda T. Conway would be responsible to pay Shippensburg Health a monthly private pay portion of $561.40. A true and correct copy of this calculation is attached hereto as Exhibit "C" and is incorporated. 11. As of June 1, 2005, Dorinda T. Conway owed Shippensburg Health the sum of $3,712.40 for the costs of care provided by Shippensburg Health to her. A true and correct copy of the Statement reflecting the balance due is attached hereto as Exhibit "D" and is incorporated. Moreover, the costs and resultant balance owed continue to accrue. 12. Demand has been made upon Dorinda T. Conway to pay the amount due. 13 Upon information and belief, since December 6, 2004, Kierstyn L. Walker has been the representative payee for Dorinda T. Conway and has been receiving social security benefits on behalf of Dorinda T. Conway. COUNT I-BREACH OF CONTRACT SHIPPENSBURG HEALTH v. KIERSTYN L. WALKER as the attorney-in fact for Dorinda T. Conway and Dorinda T. Conway 14. Plaintiff incorporates by reference paragraphs one through thirteen as though set forth at length. 15. Dorinda T. Conway and her agent, Kierstyn L. Walker, have breached their obligation to pay for the costs of care as provided by Shippensburg Health to Dorinda T. Conway. 16. As a consequence of that breach, Shippensburg Health is owed the sum of $3,712.40 to June 1, 2005 and the debt continues to accrue. 17. The accrued debt consists of the monthly private pay portion to be paid from the social security benefits of Dorinda T. Conway. Kierstyn L. Walker has failed to pay the private pay portion from the benefits she has received from Dorinda T. Conway. 18. The Admission Agreement provides in relevant part as follows: "if you or your representative do not pay the money you owe us and we hire a collection agency or attorney, you agree to be liable for their fees and court costs." WHEREFORE, Plaintiff requests judgment in its favor and against Dorinda T. Conway for the sum of $3,712.40 plus interest, costs and expenses and any additional amount coming due to the date of award and attorney fees and costs. COUNT II-MONEY HAD AND RECEIVED SHIPPENSBURG HEALTH v. KIERSTYN L. WALKER 19. Plaintiff incorporates by reference paragraphs one through eighteen as though set forth at length. 20. During the period of Dorinda T. Conway's residence at the facility, Kierstyn L. Walker has been receiving social security benefits of Dorinda T. Conway. 21. The proper use of those funds would have been to pay the costs of care accruing for the care of Dorinda T. Conway at Shippensburg Health. 22. At the time of receipt of those funds, Kierstyn L. Walker knew that these funds should be paid over to Shippensburg Health for the costs of Dorinda T. Conway's care. 23. Kierstyn L. Walker gave no consideration for the funds of Dorinda T. Conway she has received. 23. Demand has been made upon Kierstyn L. Walker to tender the funds of Dorinda T. Conway to Shippensburg Health and she has failed and refused to do so. WHEREFORE, Plaintiff requests judgment in its favor and against Kierstyn L. Walker requiring her to: a) return the subject matter in specie; b) pay over the value if Kierstyn L. Walker has consumed the money in beneficial use; c) pay its value if Kierstyn L. Walker has disposed of the funds received; and d) award costs, expenses and interest. COUNT II-QUANTUM MERUIT SHIPPENSBURG HEALTH v. DORINDA T. CONWAY 24. Plaintiff incorporates by reference paragraphs one through twenty-three as though set forth at length. 25. During the period of her residency at the facility, Dorinda T. Conway has enjoyed the benefit of care and services provided to her by Shippensburg Health. 26. Dorinda T. Conway has failed and refused to pay for the costs of her care and services provided by Shippensburg Health. 27. Dorinda T. Conway Reed has been unjustly enriched by her use and enjoyment of the services and care provided by Shippensburg Health without making payment therefor. WHEREFORE, Plaintiff requests judgment in its favor and against Dorinda T. Conway for the sum of $3,712.40 plus costs, interest and expenses. Respectfully submitted, EN, SARI SCHE David A. Baric, Esquire I.D. # 44853 19 West South Street Carlisle, Pennsylvania 17013 (717) 249-6873 Attorney for Plaintiff da b.dir/s hcc/con way/complaint. pld 7172495755 OBS PAGE 08 VERIFICATION The statements in the Foregoing Complaint are based upon information which has been assembled by my attorney in this litigation. The language of the statements is not my own. I have read the statements; and to the extent that they are based upon information which I have given to my counsel, they are true and correct to the best of my knowledge, information and belief. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unswom falsifications to authorities. [?- DATL; PENNSYLVANIA DURABLE POWER OF ATTORNEY Effective Immediately NOTICE TO PRINCIPAL / GRANTOR: THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON YOU DESIGNATE (YOUR "AGENT") BROAD POWERS TO HANDLE YOUR PROPERTY, WHICH MAY INCLUDE POWERS TO SELL OR OTHERWISE DISPOSE OF ANY REAL OR PERSONAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOU. THIS POWER OF ATTORNEY DOES NOT IMPOSE A DUTY ON YOUR AGENT TO EXERCISE GRANTED POWERS, BUT WHEN POWERS ARE EXERCISED, YOUR AGENT MUST USE DUE CARE TO ACT FOR YOUR BENEFIT AND IN ACCORDANCE WITH THIS POWER OF ATTORNEY. YOUR AGENT MAY EXERCISE THE POWERS GIVEN HERE THROUGHOUT YOUR LIFETIME, EVEN AFTER YOU BECOME INCAPACITATED, UNLESS YOU EXPRESSLY LIMIT THE DURATION OF THESE POWERS OR YOU REVOKE THESE POWERS OR A COURT ACTING ON YOUR BEHALF TERMINATES YOUR AGENT'S AUTHORITY. YOUR AGENT MUST KEEP YOUR FUNDS SEPARATE FROM YOUR AGENTS FUNDS. A COURT CAN TAKE AWAY THE POWERS OF YOUR AGENT IF IT FINDS YOUR AGENT IS NOT ACTING PROPERLY. THE POWERS AND DUTIES OF AN AGENT UNDER A POWER OF ATTORNEY ARE EXPLAINED MORE FULLY IN 20 PA.C.S. CH. 56. IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER OF YOUR OWN CHOOSING TO EXPLAIN IT TO YOU. I HAVE READ OR HAD EXPLAINED TO ME THIS NOTICE AND I UNDERSTAND ITS ONTENTS. 11-10-o Signature of Principal / Grantor Date of EXHIBIT "A" -I- KNOW ALL PERSONS BY THESE PRESENTS. 3 o- C-DVIa 1 ("Principal") maintaining an address at 1 do hereby make and appoint Agent") maintaining an address at-- D-dhi ? my true and lawful attorney-in-fact for me and m my name, in my behalf. My Agent shall have full power and authority to perform any act, power, duty, legal right or obligation whatsoever that I now have or may later acquire in connection with or relating to, any person, item, transaction, thing, business, property, real or personal, tangible or intangible, or matter whatsoever as I could do if personally present. I hereby ratify and confirm all acts that my Agent, or my Agent's substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights hereby granted. My Agent's powers and authority shall empower him (her) to do any or all of the following, each of which is defined in 20 Pa.C.S.A.5603 (relating to implementation of power of attorney): I. "To make limited gifts." 2. "To create a trust for my benefit" 3. "To make additions to an existing trust for my benefit" 4. "To claim an elective share of the estate of my deceased spouse." 5. "To disclaim any interest in property." 6. "To renounce fiduciary positions." 7. "To withdraw and receive the income or corpus o£a trust" 8. "To authorize my admission to a medical, nursing, residential or similar facility and to enter into agreements for my, care.,, 9. "To authorize medical and surgical procedures." 10. "To engage in real property transactions." 11. "To engage in tangible personal property transaction." 12. "To engage in stock, bond and other securities transactions." 13. "To engage in commodity and option transactions." 14. "To engage in banking and financial transactions." 15. "To borrow money." 16. "To enter safe deposit boxes." 17. "To engage in insurance transactions." 18. "To engage in retirement plan transactions." 19. "To handle interests in estates and trusts." 20 "To pursue claims and litigation." 21. "To receive government benefits." 22. "To pursue tax matters." 23. "To make an anatomical gift of all or part of my body." -2- This Durable Power of Attorney and the rights, powers, and authority of my Agent shall become effective immediately upon execution of this instrument. The rights, powers, and authority of this document shall be exercisable notwithstanding my subsequent disability or incapacity. This Power of Attorney shall not terminate on my subsequent disability, incapacity or lack of mental competence (except as provided by any applicable statute). As used herein, "disability" or "incapacity" shall mean a lack of capacity to receive and evaluate information effectively, to communicate decisions, and/or to manage my financial resources and affairs properly. This Durable Power of Attorney shall be valid notwithstanding the lapse of time since its execution. My Agent shall be entitled to reimbursement of all reasonable expenses incurred as a result of carrying out any provision of this Power of Attorney. If desired, my Agent shall also be entitled to reasonable compensation for any services provided as my Agent If so requested by myself or any authorized personal representative or fiduciary acting on my behalf; my Agent shall provide an accounting for all funds handled and all acts performed as my Agent. This Power of Attorney shall be construed as broadly as a General Power of Attorney. The listing of specific terms, rights, acts or powers are not intended to restrict or limit the definition or scope of powers granted herein in any manner. If any part of this document is held to be invalid, illegal or unenforceable under applicable law, then the remaining unaffected parts ofthe document shall still remain in full €orce and effect and not be affected by any partial invalidity. No person needs to inquire as to the reasons for the use or issuance of this power-o£- attorney or as to the disposition of any proceeds paid to my Agent based on this document The powers granted to my Agent by this power-of-attorney are limited to the extent necessary to prevent (a) my income to be taxable to my Agent; (b) my Agent to have any rights or ownership with respect to any life insurance policies I may own on the life of my Agent; and/or (c) my assets to be subject to a general power of appointment by my Agent. Any third party who receives a copy of this document may act under it. Revocation of the power of attorney is not effective as to a third party until the third party has actual knowledge of the revocation. I agree to indemnify the third party for any claims that arise against the third party because of reliance on this power of attorney. If this Durable Power of Attorney is terminated by operation of law, any person relying in good faith on the authority of this document, without notice of such termination, shall be held harmless. Agent shall not be liable for losses resulting from judgment errors made in good faith. However, Agent will be liable for breach of fiduciary duty, failure to act in good faith and/or willful misconduct, while acting under the authority of this Power of Attorney. -3- I may revoke this Power of Attorney at any time by providing written notice to my Agent. Signed on (date), at (city), Pennsylvania. Signature ofPrincipa( Witness Signature: Name: Cit; State: Witness Signature: Name: City State: State of PENNSYLVANIA ) County of &w I(,z r ss instrument was ackno (edged bet re this IQ day of 2- ? by f f (name of r is personally known to me or who has produced ?L#ka cPl(p(? as identification. COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL DEBORAH WARREN, Notary Pubic Stuppwdutg Up., Cumberland Co" My Commission Expires Nov. 8. 2005 Signature of person taking acknowledgment (Notary Public) Name typed, printed, or stamped -4- Acknowledgment by Agent I. l P r I n LCAI -p Y- have read the attached power of attorney and am the er identified as the Agent for the Principal. I hereby acknowledge that in the absence of a specific provision to the contrary in the power of attorney or in 20 Pa.C. S. when I act as agent: I shall exercise the powers for the benefit of the principal. I shall keep the assets of the principal separate from my assets, I shall exercise reasonable caution and prudence. I shall keep a full and accurate record of all actions, receipts and disbursements on behalf of the principal. Signature ofAgent fit- w) -/-)q Date -5- 20 Pa.C.SA. Section 5606 states that an affidavit executed by the agent under a power of attorney stating that he did not have at the time of exercise of the power actual knowledge of the termination of the power by revocation, death or, if applicable, disability or incapacity or the filing of an action in divorce and that, if applicable, the specified fmare time or contingency has occurred, is conclusive proof of the nauevoixt on or nonteimination of the power at that time and conclusive proofthat the specified time or contingency has occurred. -6- HEALTH CARE CENTER 121 Walnut Bottom Road (717) 530-8300 Shippensburg, Pennsylvania FAX (717) 530-8304 17257-9005 TTY 1-800-654-5984 ADMISSION AGREEMENT This Agreement is between Shippensburg Health Care Center (the "Facility" or "we" and) >p i„Iee T• G iWAy (the "Resident" or "you") and, if you or the court have designated an individual to qa?ct on your behalf, or there is another individual to act on your behalf, or operation of law, h 14 51?i W I - Won i a, ("your representative"). A checklist of the rights and responsibilities applicable-76-your' pplicable to your representative is listed in Exhibit I and is incorporated into this Agreement. Paving for Your Care If you are applying to this facility as a private-pay resident, you must provide all financial information requested by us. If we later find that the information you or your representative provided was incomplete or inaccurate; we-will consider that as a breach of this Agreement which gives us the right to pursue all legal remedies against you or your representative. Who Can Be Reauired to Pay for Your Care Only you and your insurer can be required to pay for your care. No other person, (i.e. a family member, friend, neighbor, legal representative or guardian) can be required to pay from their own funds for your care, although he or she may knowingly and voluntarily agree to guarantee payment for the cost of your care. We require the person responsible for making payments on your behalf to pay for your care under the terms of this contract in a timely manner. If you are a beneficiary of Medicare, Medicaid or any other third-party payment plan, your representative agrees to make all necessary payments from your funds. Your representative could face a civil penalty for intentionally failing to pay required amounts from your funds and could face a criminal penalty for abusing your funds. Private Pay Residents The items and services included in our daily rate is basic room, board and general nursing care as required by your medical condition. Payment for items and services that are included in the daily rate and is payable one month in advance and due on the first of each month. Items and services included in your daily rate are listed in Exhibit 2.A. You will be charged separately for additional items and services not included in our daily rates such as special nursing care, special equipment, pharmacy charges, laboratory charges, medical transportation and additional services such as telephone expense, dry cleaning, beauty and barber services and newspapers. Items and services for which you will be charged are listed in Exhibit 2.B Payment for these additional items and services are due after you have requested them, and; you have received and have been billed for them. Within 30 days of receiving an item or service, EXHIBIT "B" If you or your representative do not pay the money you owe us and we hire a collection agency or attorney, you agree to be liable for their fees and court costs. Private Duty Nurses Geriatric Aides If you want a private duty nurse or a private duty geriatric aide, you are responsible for selecting a person licensed and/or certified according to Pennsylvania laws and regulations. You are also responsible for paying him or her and for letting us know that you have hired one. The person you hire is not an employee or agent of the facility, but he or she must meet our standards and follow our policies and procedures. Employees of the Facility may not serve as private duty nurses or private duty geriatric aides. Holdinti Your Bed if You Leave the Facility If you are hospitalized or on leave from the Facility, we will hold your bed for you as follows: A. If you are private-pay resident, or are receiving inpatient care reimbursed under Medicare Program (and you are not covered under Medicaid), unless you notify us otherwise, we will hold your bed for as long as you pay for it at the daily rate you are currently being charged. B. If Medicaid pays for part or all of your nursing home care and you need to be hospitalized, we will hold your bed for up to the maximum number of days required by this state, currently 15 days. If you leave for any other reason, we will hold your bed for up to the maximum number of days required by this state, currently 18 days. You have a right to be readmitted to the facility to the first available appropriate bed. While we are holding your bed, you are still required to pay the Facility any amount for which you are liable as determined by the Medicaid Program. C. If you have applied for Medicaid, your bed will be reserved in accordance with Paragraph B. However, if you are found to be ineligible for Medicaid, then you are required to pay for the bed as a private pay resident as described in Paragraph A. D. Other third-party payers may or may not have a bed hold policy. We will discuss this if it applies to you. Your Right to Make Complaints and Suggest Chanties in Policies and Services As a nursing home resident, you have many rights according to State and Federal law. These are described in detail in Exhibit 6, which is attached and is part of this Contract. You may make complaints about your care in the Facility and you may also suggest changes in the policies and services of the Facility. You will not be harassed or discriminated against for making a complaint or suggesting a change in a policy or service. You may present your complaints to facility, management company or to one of the following State agencies: Larry D. Cottle, LNHA Administrator Shippensburg Health Care Center 121 Walnut Bottom Road Shippensburg, PA 17257 717-530-8300 Ombudsman Office of Aging 16 West High Street Carlisle, PA 17013 717-240-6110 717-532-7286 Ext. 6110 Peter E. Perini, Sr. President Magnolia Management, Inc. 1710 Underpass Way Hagerstown, MD 21740 301-745-8700 Department of Health 100 North Cameron Street 2nd Floor Harrisburg, PA 17101 717-783-3790 Your Right to Make Decisions You have the right to make your own medical decisions and to manage your personal affairs. If you become disabled, it may be necessary for someone else to make decisions for you. For this reason, we recommend that you have a living will and/or advance directive for medical decisions and a financial Power of Attorney but you are not required to do so. See Exhibit 7 for a description of your legal rights to decide about your future medical treatment. Transfer, Relocation and Discharge You have the right to remain here, and you may not be transferred, relocated or discharged against your will, except for the following reasons: (1) A medical reason (i.e. the facility cannot provide the kind of care that you need, your condition has improved so that you no longer need -the care we provide, or a medical emergency arises; (2) Your welfare or the welfare of other residents or staff; (3) Nonpayment for a stay, or (4) the Facility ceases to operate. If we decide that you should be transferred or discharged, we will notify you, and an immediate family member or legal representative, by letter 30 days in advance. If you are transferred because of an emergency situation, we will provide the required notice as soon as practicable. The letter will contain the reasons for the transfer or discharge and its effective date. The letter will also tell you how you can appeal our decision to transfer or discharge you. If you are discharged involuntarily, we will attempt to make other appropriate arrangements for your care. However, if other arrangements are not available, your representative agrees to accept you into his or her custody if it is medically appropriate. Your Right to End This Contract If you decide to end this Contract and leave the Facility, you must pay your bill before you leave. You must give us five (5) days written notice to terminate this contract. If you leave before the end of that time, you must still pay for each day of the required notice. In the event you die while a resident of the facility, your representative is responsible for making the funeral arrangements. We will notify your representative immediately. If we are unable to reach your representative, we will contact the funeral home of your choice to facilitate arrangements. Additional Documents It is not possible to cover everything that is important to your stay in our Facility in the body of this Contract. Therefore, we have included additional important documents as Exhibits. These Exhibits are part of this Contract. Please verify that you received the Exhibits and that the contents of the Exhibits were explained to you by placing your initials on the line next to the description of each Exhibit. ?5.?_L Exhibit 1. Rights and Obligations of Representatives. L2) Exhibit 2. For Private Pay Residents: (a) Items and services covered by daily rate. (b) Items and services not covered by daily rate. 1Cjjj Exhibit 3. How to Apply For and Use Medicare and Medicaid Benefits. Exhibit 4. (a) Items and Services Covered by Medicaid. (c) Items and Services Not Covered by Medicaid. LCX?) Exhibit 5. Physicians Who Practice at the Facility. LLD Exhibit 6. Legal Rights of Pennsylvania to Decide Future Medical Treatment. Exhibit 7. Policies and Procedures Concerning Your Personal Funds and Your Personal Property. CLAD Exhibit 8. Services Provided by Outside Health Care Providers. Chanties in Law Any provision of this Contract that is found to be invalid or unenforceable as a result of a change in State or Federal law will not invalidate the remaining provisions of this Contract. If there are services we have agreed to provide that are later found to be impossible to render as a result of a change in State or Federal law, it is agreed that to the extent possible, the Resident and the Facility will continue to fulfill our respective obligations under this Contract consistent with the law. IN WITNESS WHEREOF, the parties have executed this Contract on this , day of Witness /Xarrv D. Cot1Y Administrator Shippensburg Health Care Center Witness Resident If the Resident has been adjudicated disabled or the Resident's doctor determines that the Resident is incapable of understanding or exercising his or her lights and responsibilities, the Facility may require the signature of another person on this contract. The other person may be: (1) Ana healthcare agent under an advance directive for medical care; (2) A guardian or kLWer of Attome the person; (3) A surrogate or family member. Responsible Party (Name) ?2-) Title: Indica het per you are (1), (2) or (3) EDITS TABLE OF CONTENTS Exhibit 1 - Rights and Obligations of Representatives. Exhibit 2 - For Private Pay Residents: A. Items and Services Covered by Daily Rate B. Items and Services Not Covered by Daily Rate. Exhibit 3 - How to Apply For and Use Medicare and Medicaid Benefits. Exhibit 4 - A. Items and Services Covered by Medicaid. C. Items and Services Not Covered by Medicaid. Exhibit 5 - Physicians Who Practice at the Facility. Exhibit 6 - Legal Rights of Pennsylvanian's to Decide About Future Medical Treatment. Exhibit 7 - Policies and Procedures Concerning Your Personal Funds and Your Personal Property. Exhibit 8 - Services Provided by Outside Health Care Providers. EI'BIT 1 RIGHTS AND OBLIGATIONS OF REPRESENTATIVE The Representative shall have the right to be notified by the Facility of any event or, occurrence .. involving the Resident; which directly affects any obligation, of the Representative under this 'Agreement -Representative agrees to, assume-independently, ,under- this, Agreement, the following,,. obligations and: is entitled to the following. rights,!.as indicated- by-Representative's initials accompanying any of the following provisions: • Representative agrees to be responsible for ensuring, that. anyrpayment-from th-Wxesident to which the Facility is, entitled, pursuant to this Agreement shall•.he,paid: to,the-Eaeility in. a timely manner. In the event the Resident is a beneficiary of Medicare, Medicaid or any other third-party payment plan, Representative agrees to ensure that all co-payments, co-insurance or charges and fees for non-covered items and services, together with any late fees as described: under this Agreement, shall be paid from the Resident's funds.. Representative is subject to 'a civilpenaltyfor willful violation of the agreement-to '°distribute•the•Resident's - funds to the facility. • (Unless the Representative voluntarily agrees to act as guarantor), Representative shall be responsible for: any payments required under this Agreement only to the extent of the Resident's funds. ., Resident, is applying. for admission on private pay. basis, and .Representative agrees to, assist the Resident in providing all financial information required by the Facility to determine the extent. of the Resident's. resources. If it is ever determined the Representative participated in the disclosure of incomplete or inaccurate information, the incomplete or inaccurate disclosure shall be deemed a material breach of this Agreement and the Facility reserves the right to pursue all available legal remedies against the Representative, including but not limited to an action for breach of contract. • Representative is signing this Agreement as a duly authorized agent such as an appointed healthcare agent under an advance directive or guardian appointed by a court. A copy of all supporting documentation for this representation is attached to this Agreement. • Representative is signing this. Agreement on Resident's behalf, based upon a physician's certificate, a copy of which is attached to this Agreement, certifying that Resident does not possess the capability to understand his or her rights and responsibilities. • Representative agrees that in the event of the Resident's death, Representative shall take responsibility of all burial arrangements for the Resident and for removal of all personal property from the Facility. (Exhibit 1, Continued) If it is the desire of the Resident or Representative to obtain the supplemental services of private duty nurses in accordance with the requirements described under this Agreement, Representative agrees to be responsible for- arranging independently for those services, including ensuring any payment. • Representative agrees, that in the event the Resident's private funds are.exhausted •during the Resident's-stay and, the Resident is -eligible to apply for benefits.under.the :Medicaid'Progran , . the Representative shall assist the Resident and the Facility with : any application for Medicaid benefits. Representative. further•_agrees to, act; ,on:behalf -,of°the',Resident,., to . " facilitate any Medicare; Veterans Administratiomor other third-party,benefits.,which may be available to cover the cost of. Resident's care at the Facility. • In the event the resident seeks to terminate this Agreement, the Representative agrees to ensure that all notices required under this Agreement are provided to Facility. • In the event of an involuntary -termination of this Agreement.. if other arrangements acceptable to the Resident cannot be made, the Representative agrees to accept the.Resident into the Representative's custody, if medically appropriate. • Representative has..the right to copies of the following documents and any amendment to them: Representative further, acknowledges receipt of the following documents, which may be amended from time-to-time. 1. A copy of this Admission Agreement. 2. A list of the Facility's rates, subject to amendment on thirty-(30) days notice, and a description of charges for services not included. 3. A list of health care providers offering services at the facility. • Representative acknowledges the Facility's right to any legal remedies available under law for Representative's breach of this Agreement. EXIMTT 2.A Private Pay Residents A. Items and Services Included in the Daily Rate The items and services included in the daily rate, and their related charges, are listed below: Description of Items and Services Included in the Daily Rate 1. Room 2. Board 3. Social Services 4. Nursing Care, including: a. The administration of prescribed medications, treatments and diets. b. The provision of care to prevent skin breakdown, bedsores and deformities. C. The provision of care necessary to encourage the resident from accident, injury and infection. d. The provision of care necessary to encourage, assist and train theresident in self-care and group activities. 5. Other: Activities Total Daily Room Rates (effective July 1, 2003) Special Care Program Private Rooms $179.00 $189.00 Semi-Private Rooms $164.00 $184.00 Triple/QuadRooms $152.00 $174.00 Medicare co-pay: $105.00 EIT 2.B ITEMS AND SERVICES NOT COVERED BY TIRE DAILY RATE The following items and services are not covered by the Facility's basic daily rate: Item or Service Physician Services Medications Prescribed Dietary Supplements Personal Dry Cleaning, Personal Linens Telephone Television Service Beauty/Barber Shop Services Clothing Sundry Pharmaceutical Ambulance Service, Medical Transportation IV Therapy X-Ray Services Medical-Nursing Supplies Dental, Podiatrist and Opthamology Services Physical, Speech and Occupational Therapy Services Oxygen Newspaper, Periodicals Lab Services Specialized and/or specially ordered medical services/equipment Guest meals (Exhibit 23, Continued) ITEMS AND SERVICES NOT COVERED BY THE DAILY RATE (refer to the Ancillary Charge List for additional costs) Item Telephone Television/Cable per month Beauty/Barber Shop Services: Permanent Haircuts and Blow-dry Hair Sets Cut Only Color Personal Laundry Personal Dry Cleaning Physical Therapy Service Occupational/Speech Therapy IV Therapy Aerosol Therapy Charge Direct bill from telephone company $7.00 per month $35.00 $10.25 $8.25 $8.25 $30.00 $45.00 per month Same as billed by cleaner Determined by level of care required Determined by level of care required Charge list will be provided by contract pharmacy prior to delivery of services Determined by level of care required Shippensburg Health Care Center cordially invites family members, guests and friends to join our Resident's at meat times. The prices for guest trays, effective July 1, 2001 are as follows: Breakfast A $4.00 Breakfast B $4.00 Lunch A $4.00 Lunch B $4.00 Dinner A $4.00 Dinner B $4.00 Will be served at 7:00 AM ($3.77 +.23 state tax) served at 7:30 AM Will be served at 12:00 PM ($3.77 + 23 state tax) served at 12:30 PM Will be served at 5:00 PM ($3.77 +.23 state tax) served at 5:30 PM *The Resident's will be assigned their meal times upon admission. Meals can be paid for at the Receptionists' desk. In order to prepare sufficient quantities we require a 2-hour notice to prepare guest tray. EDIT 3 The following summarizes the Medicare and Medicaid programs. It also tells you who to call for more detailed information. If you have questions, our staff will also help you. What's Covered - Medicare 1. Care in a hospital 2. 100 days of skilled care in a nursing home. Medicare provides full-coverage for the first 20 days. You must make a co-payment after that. The following services are. examples of skilled care: a. Injections & feedings given through an IV b. Tube feedings c. Application of a dressing that involved prescription medication d. Treatment of stage 3 or 4 bedsores Medically necessary doctor's services. What's Covered - Medicaid Medicaid is a comprehensive program that will cover most of the costs -of a nursing home stay. See Exhibit 4 for information about covered and non-covered items. Your Contribution - Medicare Medicare does not pgy 100% of the cost of covered services., You will be required to pay part of the charges. Your payment may be called a "co-payment", "deductible" or ."premium", depending on the type of care provided. If you receive Medicaid, Medicaid will pay for any payment that you are responsible for under Medicare. Your Contribution - Medicaid Depending on your income and assets, you may be required to make a contribution toward the cost of your care. The amount of any contribution will be decided by the local Board of Assistance. Who's Eligible - Medicare People 65'years old or olderwho are eligible to collect old-age benefits under Social Security are eligible. Persons. who receive. Social Security disability benefits for at least 24 months, or have been found eligible for Medicare--by the Social Security Administration because they have end stage renal disease requiring regular dialysis or kidney transplant are also eligible. Who's Eligible -Medicaid Eligibility depends on whether your income and assets are below certain levels: 1. Income: You should consult the local Board of Assistance to find out whether your income makes you eligible. That phone number is listed on the next page. If you qualify, $30 per month of your income is protected for your personal use while in the Facility. (Exhibit 3, Continued) 2. Assets: The Cumberland County Board of Assistance will also be able to evaluate your assets and tell you whether you qualify. The following are examples of things not counted as assets. a. Your house if your spouse lives there. b. Household goods. C. A certain amount of cash. d. Personal Property in your possession in the Nursing home. C. A certain amount of money for burial arrangements. How to Aaaly - Medicare Contact the local Social Security Office at the following address: Social Security Office 401 E. Louther Street Carlisle, PA 17013 (800) 772-1213 (717) 243-0085 How to Apply - Medicaid Contact the local County Board of Assistance at the following address: Board of Assistance 33 Westminister Drive Carlisle, PA 17013 (800) 269-0173 (717) 249-2929 Whom to Contact if you have a Ouestion or Problem - Medicare If Medicare denies a claim, you have the right to appeal the denial. You may appeal by writing to: Aetna Medicare Claim Administration 501 Office Center Building Fort Washington, PA 19034 (215) 643-7200 Whom to Contact if you have a Ouestion or Problem - Medicaid If your application for Medicaid is denied, your coverage is terminated, or a service is not covered, you may appeal in writing to: County Board of Assistance Office 33 Westminister Drive P.O. Box 599 Carlisle, PA 17013 (717) 249-2929 (800) 269-0173 (Exhibit 3, Continued) - Not applicable whom to Contact if vow, have Incurred Medical Expenses prior to your -MA Effecflve:Date - Medicaid Medical bills that you received in the 3 months prior to'receiving.:Medicaid+may be covered by Medicaid. Contact: County Board of Assistance Office 33 Westminister Drive P.O. Box 599 Carlisle, PA 17013 (717) 249-2929 (800) 269-0173 E}IEE3IT 4.A A. Items and Services Covered by the Medicaid Per Diem Rate ?. Regular room; -dietary services, social services and other: services required°to meet certification standards, medical and surgical supplies; and the use of equipment and facilities. •.=;. General nursing services; including but not•l Fnited to ^ administration of oxygen ..'and related: medications; hand feeding, incontinency,. care x,trayiservice. and enemas. • ...Basic Beauty/]Barber Services. The facility must provide' shampooing and hair care which is considered necessary for hygiene. The facility must inform the resident of the types and frequency of the services provided. • Items funished routinely and relatively uniformly ?to._aWresidents, such as water pitchers, basins, and bedpans. • Items furnished, distributed, or used individually in:.=all quantities such as alcohol, applicators, cotton balls, band-aids, antacids; aspirin (and other nonlegend drugs ordinarily kept on hand), suppositories; and tongue depressors.. • Items used by individual residents but which are reusable and- expected to be available such as ice bags, bed rails, canes, crutches, walkers, wheelchairs, traction equipment, and other durable medical equipment. • Special dietary supplements used for tube feeding or oral feeding, such as elemental high nitrogen diets, even if written as a prescription item by a physician. • Laundry services for other than personal clothing. • Non-emergencymedical transportation services. • Other special medical services of a rehabilitative, restorative, or maintenance nature, designed to restore or sustain the resident's physical and social capacities. • Personal care items including a patient gown, shampoo, skin lotion, comb, brush, toothpaste, toothbrush, and denture cream. EXMIT 4.B B. Items and Services Not Covered b the Medicaid Per Diem Rate • Medical expenses such as, but not limited to: • Health insurance premiums. Visits by a non-participating, physician other than : approved -by. they nursing care facility. • Emergency. ambulance services, if the ambulance company does-not accept'MA. • Over-the-counter medications, which are a particular brand not supplied by the nursing, facility. For example, the nursing facility must provide aspirin, but the patient :may request and buy a specific brand of pain reliever.; such as: Excedrin PM, or Tylenol. • Hearing aids and batteries. • Specialized Beauty/Barber Shop services. Diapers, if the resident wants a style or brand whiehy is: t not= provided, by the nursing care facility. • Personal care items of the resident's choice if he prefers them instead of the items provided by the nursing care facility. This includes items such as brushes, combs, toothbrushes, cosmetics, etc. EX BTT 5 PHYSICIANS WHO PRACTICE AT THE FACII PTI' Dr. Yogindra S. Balhara, M.D. 761 Fifth Avenue Chambersburg, PA 17201 (717) 261-2583 Dr. William Kramer, M.D. 144 South Eighth Street Chambersburg; PA 17201 (717) 264-6511 Dr.: Paul Orange, M.D. 4225 Lincoln Way East Fayetteville, PA 17222 (717) 352-3616 Dr: Baxter Drew Wellmon, II, D.O.; P.C. 12 Walnusbu Bottom PA 1R S d PP g (717) 532-3211 Dr. Hong S. Park, M.D. 120 North Seventh Street Chambersburg, PA 17201 (717) 267-7735 EXHIBTT 6 LEGAL RIGHTS OF PENNSYLVANIANS TO DECIDE ABOUT HEALTH CARE You Have the Right to Decide About Your Health Care Adults. generally-. have the- right- to. decide if, they want medical. treatment;:unless- they are. not.... competent °Thisright includes decisions about treatments that. extend life;afe-support machines,• or feeding tubes. Sometimes; an accident or, illness.takesaway- a person'sabiJ ty.to make•healthaeare.choic6&, But -, - the-decisionrstill must be made; . If you are unable -to make then ;=others will Their wilk.decide based on your wishes, or your best interests if your wishes are unknown. Pennsylvania law gives you the right to make many healthcare decisions, in advance. One way to do this is by using a written advance directive to name an agent to make your health care decisions if you cannot. A written advance directive can also state your treatment preferences, especially about life sustaining procedures. Naming a Health Care Agent You; can. name: anyone to be your health care agent. The only:-exception is that, in=general, someone who works where you are receiving your care cannot be your agent. Your agent can be a family member or a friend. You choose !when, your agent: can decide for you - right away; if,you-want; or, only after two doctors agree .thatyou are notableto decide for. yourself. Youralso:choosethelands of decisions your agent can-make for you.-' For example,. if you.want, you can. give your agent very broad power to decide about life-sustaining treatment. Pick your health care agent very carefully. Make sure your agent knows what you want. Your agent will then follow your wishes, even if your friends or family disagree. Using Advance Directives There are many ways to use an advance directive. A living will is a type of written advance directive that states your wishes on life-sustaining treatments. It usually comes into affect when a person will die very soon from an incurable condition. It can also be used when a person is permanently unconscious (in a vegetative state). You can make a broader written advance directive for other health care issues too. For example, you can decide whether you want life-sustaining treatment if you are in an end-stage condition: An end-stage condition is an advanced, progressive, and incurable condition resulting in complete dependency. No one can deny you health care because you do not have an advance directive. But you should know what happens legally if you do not. (Exhibit 6, Continued) Pennsylvania law allows a surrogate to make medical decisions for you if you have not named a health care agent and are no longer able to decide treatment issues yourself. Then, your closest -x. relative: would be asked-to, make health. care- decisions for.. you..:Your.spouse;. adult. children;,,,: parents; or• adult brothers. and sisters; in that order, are considered your. closest relatives. r If these :relatives.-are not available, another relative or close friend: can; make, decisions for you.. A Surrogate, .thouAh might :have.less- authority to- decide .:agamst.life-sustammgprocedtues:than a,. healthcare agent. If:there is no one. to be. a:surrogate, a court. might have. to, appoint I w guardian twmake your medical decisions: The guardian-might-be somebody who does=not know-.youipersonafly:,;4•, . How Do You Get More Information? This summary . does not cover every issue. If you have legal questions about your rights, please speak to a lawyer.. Also talk to your. health. care provider about .the°,medical:issues involved in _.,t :your. care..; T61L°those•caring for you about your decisions and; give them.•a;copyzof aml.:advance directive. For a free copy of a Living Will or Advance Directive form contact: State Representative Jeff. Coy 39 West King Street Shippensburg; PA 17257 (717) 532-1707 or Cumberland County Office of Aging Human Service Building 16 West High Street Carlisle, PA 17013 (717) 532-7286 Ext. 6110 (717) 240-6110 EXHMrr 7 POLICIES AND PROCEDURES CONCERNING YOUR PERSONAL FUNDS AND YOUR PERSONAL PROPERTY A. Your Rights: I .You have. the right to. keep and use your. personaLproperty,::including some furnishings and clothing, so' long as there is enough ?.space:andother residents are not. inconvenienced. You also have the' right" to security. for. your, personal possessions. 2. You have>the,right°to-manage your financiaLaffairsunless=x:eouR•detem ines.that you are?•. incapacitated:., or, the Social Secsurt?u yaAdrnuristratom:rseleets a representative to receive Social Security funds for your use and benefit. 3. We cannot require you to deposit your personal funds with.us. You may, . however, choose any person to manage your funds, including the Facility. 4. If you. decide to have us manage your personal: funds, you, may -withdraw -your money: that .we keep in the Facility. during.. the+Facility's:,business?.hours:.., If we have deposited any of your funds in a bank, you. may obtain, those -funds within three banking days, provided the funds have cleared. 5. If you -.need - help to ! perform your banking. transaetionsyc you,) may :give the administrator, of.our..Facility legal .authority • to'.access• your- account This authority' is called "representative payee." To give : the administrator this authority, you will need to complete a special form. 6. You and your personal representative have the right, during normal business hours, to inspect our written records that concern your personal funds. 7. You and your personal representative have a right to file a complaint if either of you believes that your funds, valuables or other assets have been stolen or damaged. The agencies to contact in order to make a complaint are listed below: a. The Cumberland County Office of Aging Attn: Ombudsman Human Services Building 16 West High Street Carlisle, PA 17013 (717) 532-7286 Ext. 6110 (717) 240-6110 (Exhibit 7, Continued) b. Cumberland County Board of Assistance 33 Westminster Drive P.O. Box 599 Carlisle, PA 17013 (717) 249-2929 (800) 269-0173 c. The Department of Health - Division of Nursing Care Facilities 100 North Cameron Street 2°d Floor Harrisburg, PA 17101 (717) 783-3790 B. Our Responsibilities: 1:. ., .We will, provide -a reasonable amount of, secure: spacea•-£or,?yau to--,.keep,: your `clothing and other personal property.: We must investigate any damage fo:+or loss of your personal property. ..2.,• . Jf you want us to: manage $50.004or,.less:ofyour,personal-fluids;=we.will deposit r this money in-a non-interest bearing account or•a petty cash ;fimd. 3:.; If:you, want us Ao• manage morel than. $50.0.0cof. your personal-Ifunds;. we will: . deposit this money.in an interest bearing account that% is! insured. by.the:. federal. government. This account will be separate from the accounts we use to operate the facility. In addition, we will credit you with all interest earned on your . money. 4. We will maintain a full, complete and separate accounting of your personal funds. We will also provide you with a quarterly statement of the activity of your account. 5. If you receive Medicaid benefits, we will notify you if your account balance becomes too high: If you are to remain eligible for Medicaid, your account balance must be under a certain dollar limit that is established by the Federal government and changes periodically. 6. We may not use your personal funds to pay for an item or service that Medicare or Medicaid covers. 7. We will maintain adequate fire and theft coverage to protect your funds and personal property that are kept at the Facility. We shall also obtain a surety bond or otherwise assure the security of your personal funds that are deposited with the Facility. (Exhibit 7, Continued) 8. If you are discharged, there are several things we must do: a. We will ensure the return of your personal funds in our. possession. .If we have deposited. your. personal funds in a bank account,. we: will, ensure, that this money is made available to your of your. authorized representative within 30 days. b: If we are. your representative payee:!for:Social=SecudWL-benefits,,,we.will promptly ask the Social Security Administration : to:: name a : new representative payee and we will transfer-your•moneyto- that persona - 9. In the event of your death, there are several things we must do: a. We will convey your personal funds and a final accounting of those funds to the person in charge of administering:your.estatewithin.30 days. We will: immediately notify. any governrnentsagencythat- paidcfor. ail, or:part of your care. in our Facility. That agency: shallhave the right to assist us in determining what to do with your property. b. If a government agency did not pay for your care;.we.will.immediately notify.:your.representative or next of kin to+determine.what toAo with.your property. C. If we. have your funds, valuables or other assets, in our possession, we will hold them until the appointed personal representative of your estate presents a copy of the certified Letters of Administration to us. All conveyance of personal funds will be by check made payable "To the Estate of ..". d. We will make reasonable attempts to locate your personal representative and your heirs. If no claim is made on your funds, valuables or other assets in our possession within six weeks of your death, we will write the State Office of the Comptroller for direction. 10. If we are in possession of your funds, valuables or other assets for more than one year from the date of your transfer or discharge, we will transfer your funds, any interest on your funds, and your valuables or other assets to the State Office of the Comptroller's Office of any account(s) in your name of which we have knowledge. EXIUBIT 8 SERVICES PROVIDED BY OUTSIDE HEALTH CARE PROVIDERS Some. of the. services available.in. the Facility; such, as pharmacy., services, are. provided by.outside health care providers:? These services; and information.about:the providers; appear below. You are free to pick your own provider or to use one of those listed below: Whether we have Provider's Name, a ,financial Address and =Interest in Type of Service Telephone Number the Provider Physician Dr. Yogindra Balhara 761 Fifth Avenue No Chambersburg, PA 17201 (717) 264-6185 X-Ray Services Mobil X-Ray Services The Chambersburg Hospital No 112 N. Seventh Street Chambersburg, PA 17201 (717) 267-6356 Lab Services The Chambersburg Hospital 112 N. Seventh Street No Chambersburg, PA 17201 (717) 267-7153 Pharmaceutical Pharmacare Route 3, Box 3-A No Cumberland, MD 21502 (301) 777-1773 Podiatrist Dr. Peter Holdaway 1936 Scotland Avenue No Chambersburg, PA 17201 (717) 264-5211 Podiatrist Dr. Kirk Davis, D.P.M. 601 Wayne Avenue No Chambersburg, PA 17201 (717) 267-2255 (Exhibit 8, Continued) Type of Service Provider's Name, Address and TelMhone Number Whether we have a financial Interestin the Provider Dentist Health Drive No 928 Jaymor Road Suite C-190 Southampton, PA 18966 (215) 942-9950 FAX (215) 942-9954 Hospital Inpatient or Carlisle Hospital No Emergency Chambersburg Hospital No Room Fulton Co. Medical Center No Hershey Medical Center No Waynesboro Hospital No ... rve.. r ..... . r.vran t I-WO-289.0173 717.2104700 DEPARTMENT OF PUBLIC WELFARE • • I , I • CUMBERLAND COUNTY ASSISTANCE OFFICE I I • • • • 33 WESTMINSTER DRIVE R O. BOX 589 BENEFIT EUG19LE ELIG 9? PENDING CARLISLE, PA 17013-NN ? ASSISTANCE After Me first rludr which may be a special amount you will receive S CHECK ? Twice a Month ? Once a Month ? In the Mail ? At the Bank MEDICAL ? You have a patient pay liability of $ ASSISTANCE g for Me notl pe bagiviing and entlirg ? Eftecave Data v ?.FOOD You will receive It for thl month(s) of Men you will receive food stamps in Me amount of $ STAMPS a month from to ? In the Mail ? At the Bank NURSING HOME CARE )( Level of care authatzetl you are eapectetl to pay It a month bw•rtl SOCIAL OTHER Your cars. ? SERVICES ? ' THE FOLLOWING PERSONS 'AREINCLUDED .;i x i _r > :,1? > - _.iti ^wa LINE ASSTx . FOODoc MEsccr D. SOC. LINE NO NAME euF p T, . r areu eeo,nre un NAME ,? „•....._ ._- CODE You are eligible for Nursing Home Care Medical Assistance effective 1!21G O Report all changes within 10 days to your ongoing caseworker who is MIrs F SEE ATTACHED. Name Name TOTAL GROSS MONTHLY INCOME $ GROSS MONTHLY DEPENDENT CARE COSTS $ GROSS MEDICAL COSTS $ Telephone ter/Sewage Electric kGarbagerrrash Gas ty Installation Oil er GROSS UTILITY COSTSIUTILITY STANDARD' $ RENT/MORTGAGE $ TAXES $ INSURANCE COST ON HOME TOTAL SHELTER COST $ $ CO RECORD NUMBER CAT CTR DIG DIST I 21 je 3 27 PTiJ S Name TOTAL GROSS MONTHLY INCOME GROSS MONTHLY DEPENDENT CARE Name Name t$$$ Is _V7 TOTAL GROSS MONTHLY INCOME $ NET MONTHLY INCOMENET SEMI-ANNUAL INCOME $ INCOME LIMIT Is Ls, QAL, z t'10 - 27oy Workers Signature Data Telephone Number r ? DoRiiI cotowHy 2 / c d94)lU7 Q07TbM SNIPPF-PSIQUkr) RN 1725 L J you do not understand dur decision oihIai4 any questions, contact your worker. ^I ICLI'1' ^f%DV '-` , • :, `. -LEGALHELP IS AVAILASLEAT oR1?INHL TD PO A LEGAL SERVICES, INC. 8 IRVINE ROW CARLISLE, PA 17013-3019 717-243-9400 717-766-8475 CC TO /JAJ/Z.C/A)G NoME CC- T'o DFFtCL` a.F AGIAJ5 EXHIBIT "C" NAME --NrlnnA NnLzA.1-4 RECORD NUMBER q O ?p1? INITIAL h MO/YR'I MO/YR MO/YR GROSS SSA 59 •4:0 -30•Db DD TOTAL GROSS UNEARNED J 9I• yD D . Db ?D 9 ,D p ESTIMATED INTEREST TOTAL INCOME USED - PERSONAL CARE 0 ALLOWANCE D 1-4 0 - COMMUNITY SPOUSE/ HOME MAINTENANCE GROSS PATIENT PAY (53) 1 . D_ l ?D 7 . co - MEDICAL EXPENSES LESS MEDICAL EXPENSES PAID MONTHLY (See below) NET PATIENT PAY (57) MEDICAL EXPENSES LISTED t[Q'jE: Future changes in medical expenses should be reported to the Nursing Facility. MO/YR MO/YR DRUGS (54) MEDICARE (55) BC/BS/OTHER MEDICAL INS (55) OTHER MEDICAL (56) MONTHLY TOTAL SIGNATURE DATE REMINDER: The resource limit is $2,000/$2400. See attached Addendum with $6000 disregard STATEMENT SHIPPENSBURG HEALTH CARE CTR 121 WALNUT BOTTOM RD SHIPPENSBURG, PA 17257 Resident: DORINDA CONWAY Facility Phone: 717-530-8300 Statement Date: 05119/05 Kierstyn Walker 312 HARVEST LANE Shippensburg, PA 17257 Date Service Through Qty Description Amount Sub Total as of 04/30/05 Charges 05/06/05 05/01/05 05/06/05 6 Patient Liability Sub Total 769.00 Balance 3,504.55 'ash Recei pts/Adjustments 05/01/05 02/01/05 02/04/05 4 ADJ. Patient Liability -576.40 Sub Total -576.40 Balance 2,928.15 Ancillary/Other Charges 05/01/05 04/18/05 04/18/05 1 Barber & Beauty 8.25 05/19/05 05/19105 05/19/05 1 CABLE 7.00 Sub Total 15.25 Balance as of: 05119105 2,943.40 Projected Prebill Charges 06/01/05 06/01/05 06/06/05 6 Prebill Patient Liability Sub Total Total Amount Due 2,735.55 769.00 P A S T D U E PLEASE REMIT EXHIBIT ^D11 769.OC 769.00 3,712.40 Paqe \J cw --i 7 G.n W SHIPPENSBURG/ SOUTH HAMPTON MANOR, L.P. Plaintiff V. DORINDA T. CONWAY, KIERSTYN L. WALKER, individually and as attorney-in-fact for Dorinda T. Conway, Defendants IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 2005- 2982 CIVIL TERM PRAECIPE TO ENTER DEFAULT JUDGMENT PURSUANT TO Pa.R.C.P. 1037 TO THE PROTHONOTARY: Please enter judgment in favor of the Plaintiff, Shippensburg/South Hampton Manor, L.P. and against the Defendants, Dorinda T. Conway and Kierstyn L. Walker, for failure to file an answer to the Complaint of Plaintiff. A true and correct copies of the Notices of Default are appended hereto as Exhibit "A." A true and correct copies of the Certificates of Mailing for the Notices of Default are appended hereto as Exhibit "B." I certify that the Notice of Default was given in accordance with Pa.R.C.P. 237.1. Plaintiff requests judgment in the amount of $3,712.40 as set forth in the Complaint. Respectfully submitted, O'BRIEN, RIC & S R 1 " David A. Baric, Esquire I.D. # 44853 19 West South Street Carlisle, Pennsylvania 17013 (717) 249-6873 SHIPPENSBURG/ SOUTH HAMPTON MANOR, L.P. Plaintiff V. DORINDA T. CONWAY, KIERSTYN L. WALKER, individually and as attorney-in-fact for Dorinda T. Conway, Defendants TO: Dorinda T. Conway 121 Walnut Bottom Road Shippensburg, Pennsylvania 17257 Date of Notice: July 20, 2005 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 2005- 2982 CIVIL TERM IMPORTANT NOTICE YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITING WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST YOU. UNLESS YOU ACT WITHIN TEN DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE THIS NOTICE TO A LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE FOLLOWING OFFICE TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 32 South Bedford Street Carlisle, Pennsylvania 17013 Telephone: (717) 249-3166 nOEN, BARK ND SCH R i David A. Baric, Esquire 19 West South Street Carlisle, PA 17013 (717) 249-6873 EXHIBIT "A" SHIPPENSBURG/ IN THE COURT OF COMMON PLEAS OF SOUTH HAMPTON MANOR, L.P.: CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff V. NO. 2005- 2982 CIVIL TERM DORINDA T. CONWAY, KIERSTYN L. WALKER, individually and as attorney-in-fact for Dorinda T. Conway, Defendants TO: Kierstyn L. Walker 312 Harvest Lane Shippensburg, Pennsylvania 17257 Date of Notice: July 20, 2005 IMPORTANT NOTICE YOU ARE IN DEFAULT BECAUSE YOU HAVE FAILED TO ENTER A WRITTEN APPEARANCE PERSONALLY OR BY ATTORNEY AND FILE IN WRITING WITH THE COURT YOUR DEFENSES OR OBJECTIONS TO THE CLAIMS SET FORTH AGAINST YOU. UNLESS YOU ACT WITHIN TEN DAYS FROM THE DATE OF THIS NOTICE, A JUDGMENT MAY BE ENTERED AGAINST YOU WITHOUT A HEARING AND YOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOU SHOULD TAKE THIS NOTICE TO A LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE FOLLOWING OFFICE TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 32 South Bedford Street Carlisle, Pennsylvania 17013 Telephone: (717) 249-3166 nz:C ?D Lf David A. Baric, Esquire 19 West South Street Carlisle, PA 17013 (717) 249-6873 "I PS Form 3817, January 2001 MAIL, DOES NOT U.S. POSTAL SERVICE CERTIFIC WY aE USEO FOR DOMESTIC AND INTERNATIONP ROVIDE FOR IN SURANCE-POSTMASTER Received From l : QQ ??CIf.YI, L7QYIfi°l' SCSI '(,pr?isl4i, PKt 11413 I niece of ordinary mad addressed to f-rs-Nn Uo Walftr 312, `j NnrMqgA- 1 nnf PS Form 3817, January 2001 MAIL, DOES NOT n I, O D Iz . IV ^ Noya? Zm cn ?j N b a b M M EXHIBIT "B" 19 Wt;sF S0 0h 6-lne Carlisle , PA 1"1 bl3 CERTIFICATE OF SERVICE I hereby certify that on August 9, 2005, I, David A. Baric, Esquire, of O'Brien, Baric & Scherer did serve a copy of the Praecipe To Enter Default Judgment Pursuant To Pa.R.C.P. 1037, by first class U.S. mail, postage prepaid, to the parties listed below, as follows: Dorinda T. Conway 121 Walnut Bottom Road Shippensburg, Pennsylvania 17257 Kierstyn L. Walker 312 Harvest Lane Shippensburg, Pennsylvania 17257 David A. Baric, Esquire C O C cNa O y cn a ? ? rat - cn r -w r .. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION PRAECIPE FOR WRIT OF EXECUTION Caption: ( ) Confessed Judgment SHIPPENSBURG/ (' ) Other SOUTHAMPTON MANOR, L.P., File No. 2005-2982 Civil Term Plaintiff vs. Amount Due $3,712.40 DORINDA T. CONWAY, Interest KIERSTYN L. WALKER, individually and as Atty's Comm attorney-in-fact for Costs Dorinda T. Conway, Defendant TO THE PROTHONOTARY OF THE SAID COURT: The undersigned hereby certifies that the below does not arise out of a retail installment sale, contract, or account based on a confession of judgment, but if it does, it is based on the appropriate original proceeding filed pursuant to Act 7 of 1966 as amended; and for real property pursuant to Act 6 of 1974 as amended. Issue writ of execution in the above matter to the Sheriff of Cumberland County, for debt, interest and costs, upon the following described property of the defendant(s) personalty of Kierstyn L. Walker 312 A;wve-.?T LANi; 5Mj'&& Nseu?? , ? 170SY PRAECIPE FOR ATTACHMENT EXECUTION Issue writ of attachment to the Sheriff of County, for debt, interest and costs, as above, directing attachment against the above-named garnishee(s) for the following property (if real estate, supply six copies of the description; supply four copies of lengthy personalty list) and all other property of the defendant(s) in the possession, custody or control of the said garnishee(s). (Indicate) Index this writ against the garnishee(s) as a lis penderyS against real tale oft defendant(s) described in the attached exhibit. September 8, 2005/'2/ Date Signature: Print Name: David A. Baric, Esquire Address: 19 West South Street Carlisle, PA 17013 Attorney for: Plaintiff Telephone: (717) 249-6873 Supreme Court ID No.: 44853 (over) Notes: If real property, supply six copies of description including improvements and an original and copy of affidavit of ownership (PaR.C.P. No. 3129). If lengthy personalty list, supply four copies of list. To index writ, file separate praecipe with writ. o a ? ? A? ti c: WRIT OF EXECUTION and/or ATTACHMENT COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND) N005-2982 Civil CIVIL ACTION - LAW TO THE SHERIFF OF CUMBERLAND COUNTY: To satisfy the debt, interest and costs due Shippensburg/Southampto Manor, L.P. Plaintiff (s) From Dorinda T. Conway, Merstyn L. Walker, Individually and as attorney-in-fact for Dorinda T. Conway (1) You are directed to levy upon the property of the defendant (s)and to sell Personalty of Kiersty L. Walker at 312 Harvest Lane, Shippensburg, PA 17257 (2) You are also directed to attach the property of the defendant(s) not levied upon in the possession of GARNISHEE(S) as follows: and to notify the gamishee(s) that: (a) an attachment has been issued; (b) the garnishee(s) is enjoined from paying any debt to or for the account of the defendant (s) and from delivering any property of the defendant (s) or otherwise disposing thereof; (3) If property of the defendant(s) not levied upon an subject to attachment is found in the possession of anyone other than a named garnishee, you are directed to notify him/her that he/she has been added as a garnishee and is enjoined as above stated. Amount Due$3,712.40 Interest Atty's Comm % Atty Paid $36,75 Plaintiff Paid Date: September 8, 2005 (Seal) L.L.$.50 Due Prothy $1.00 Other Costs Prothono By: Deputy REQUESTING PARTY: Name David A. Baric, Esq. Address: 19 West South Street Carlisle PA 17013 Attorney for: Plaintiff Telephone: 717-249-6873 Supreme Court ID No. 44853 r c%+? caw st ?'?' FROM ,.,a q f?rr t';tr ra r*; t ? v1 w1 ii ?.5l", R. Thomas Kline, Sheriff, who being duly sworn according to law, states this Writ is returned ABANDONED, no action taken in six months. Sheriff's Costs: Advance Costs: 150.00 Sheriff's Costs 87.97 Docketing 18.00 62.03 Poundage 1.73 Advertising Law Library .50 Prothonotary 1.00 Refunded to Atty on 5/16/06 Mileage c,- 16.00 M{sc: ` Sukharge- 30.00 Levy n 20.00 Post Ponecfiale Certified Mail Postage .74 Garnisheq, TOTAL ti 87.97 Jo 4/6 Sworn and Subscribed to before me lef So Answers; this day of R. Thomas Kline, Sheriff 't 20 D. t _ By CLu.- i,.,?Z(U Prothon 'c `` a S ? .Z d b - ?3S SOOt a?. l??0 ck S- (4 e 1,7 ?? WRIT OF EXECUTION and/or ATTACHMENT COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND) N005-2982 Civil CIVIL ACTION - LAW TO THE SHERIFF OF CUMBERLAND COUNTY: To satisfy the debt, interest and costs due Shippensburg/Southampto Manor, L.P. Plaintiff (s) From Dorinda T. Conway, Kierstyn L. Walker, Individually and as attorney-in-fact for Dorinda T. Conway (1) You are directed to levy upon the property of the defendant (s)and to sell Personalty of Kiersty L. Walker at 312 Harvest Lane, Shippensburg, PA 17257 (2) You are also directed to attach the property of the defendant(s) not levied upon in the possession of GARNISHEE(S) as follows: and to notify the garnishee(s) that: (a) an attachment has been issued; (b) the garnishee(s) is enjoined from paying any debt to or for the account of the defendant (s) and from delivering any property of the defendant (s) or otherwise disposing thereof; (3) If property of the defendant(s) not levied upon an subject to attachment is found in the possession of anyone other than a named garnishee, you are directed to notify him/her that he/she has been added as a garnishee and is enjoined as above stated. Amount Due$3,712.40 Interest Atty's Comm % Atty Paid $36,75 Plaintiff Paid Date: September 8, 2005 (Seal) L.L.$.50 Due Prothy $1.00 Other Costs rothon By: Deputy REQUESTING PARTY: Name David A. Baric, Esq. Address: 19 West South Street Carlisle PA 17013 Attorney for: Plaintiff Telephone: 717-249-6873 Supreme Court ID No. 44853 r • .A IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL DIVISION PRAECIPE FOR WRIT OF EXECUTION . ? Other . File No. V . : Amount Due $3,712.40 Caption: SHIPPENSBURG/ SOUTHAMPTON MANOR, L.P., Plaintiff [] Confessed Judgment 2005 - 2982 Civil Term DORINDA T. CONWAY, Interest 325.22 ,l KIERSTYN L. WALKER, , ?.? individually and as Atty s Comm 500.00 9 4. 'T " attorney-in-fact for Costs 1-6rr.-90 O Dorinda T. Conway Defendant TO THE PROTHONOTARY O? THE SAID COURT: The undersigned hereby certifies that the below does not arise out of a retail installment sale, contract, or account based on a confession of judgment, but if it does, it is based on the appropriate original proceeding filed pursuant to act 7 of 1966 as amended; and for real property pursuant to Act 6 of 1974 as amended. Issue writ of execution in the above matter to the Sheriff of Cumberland County, for debt, interest and costs, upon the following described property of the defendant (s) personalty of Kierstyn L Walker, 312 Harvest Lane. Shippensburct, Pennsylvania,-17257. PRAECIPE FOR ATTACHMENT EXECUTION Issue writ of attachment to the Sheriff of Cumberland County, for debt, interest and costs, as above, directing attachment against the above-named garnishee(s) for the following property (if real estate, supply six copies of the description; supply four copies of lengthy personalty list) and all other property of the defendant(s) in the possession, custody or control of the said garnishee(s). (Indicate) Index this writ against the garnishee (s) as a lis pen against real o defendant(s) described in the attached exhibit. Date January 26 , 2007 Signature: Print Name Address: Attorney for: David A. Baric, Esquire 19 West South Street Carlisle, PA, 17013 Plaintiff Telephone: (717) 249-6873 Supreme Court ID No: 4 4 8 5 3 a S 14 C y WRIT OF EXECUTION and/or ATTACHMENT COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND) N005-2982 Civil CIVIL ACTION - LAW TO THE SHERIFF OF CUMBERLAND COUNTY: To satisfy the debt, interest and costs due Shippensburg/Southampton Manor, L. P. Plaintiff (s) From Dorinda T. Conway, Kierstyn L. Walker, individually and as attorney-in-fact for Dorinda T. Conway (1) You are directed to levy upon the property of the defendant (s)and to sell Personalty of Kierstyn L. Walker, 312 Harvest Lane, Shippensburg, Pennsylvania 17257. (2) You are also directed to attach the property of the defendant(s) not levied upon in the possession of GARNISHEE(S) as follows: and to notify the garnishee(s) that: (a) an attachment has been issued; (b) the garnishee(s) is enjoined from paying any debt to or for the account of the defendant (s) and from delivering any property of the defendant (s) or otherwise disposing thereof; (3) If property of the defendant(s) not levied upon an subject to attachment is found in the possession of anyone other than a named garnishee, you are directed to notify him/her that he/she has been added as a garnishee and is enjoined as above stated. Amount Due $ 3,712.40 Interest $325.22 Atty's Comm %$500.00 Atty Paid $253.11 Plaintiff Paid Date: January 26, 2007 (Seal) L.L. Due Prothy $1.00 Other Costs - ?IaQ 44 C tis R. Lon r thonotary By: Deputy REQUESTING PARTY: Name David A. Baric, Esquire Address: 19 WEst South Street Carlisle, Pa. 17013 Attorney for: Plaintiff Telephone: (717) 249-6873 Supreme Court ID No. 44853 R. Thomas Kline, Sheriff, who being duly sworn according to law, states this Writ is returned ABANDONED, no action taken in six months. Sheriff's Costs: Docketing Poundage Advertising Law Library Prothonotary Mileage Misc. Surcharge Levy Post Pone Sale Certified Mail Postage Garnishee TOTAL 18.00 1.77 1.00 17.60 30.00 20.00 1.56 n 89.93 ? ` q???T'? t ? Advance Costs: 150.00 Sheriff's Costs 89.93 60.07 Refunded to Atty on 09/11/07 So Answers, R. Thomas Kline, Sheriff By ?C Y J q€ _? d o€ Ntlc ?aot ? 31?34iS ?H Wi? "q 0 C U WRIT OF EXECUTION and/or ATTACHMENT COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND) N005-2982 Civil CIVIL ACTION - LAW TO THE SHERIFF OF CUMBERLAND COUNTY: To satisfy the debt, interest and costs due Shippensburg/Southampton Manor, L. P. Plaintiff (s) From Dorinda T. Conway, Kierstyn L. Walker, individually and as attorney-in-fact for Dorinda T. Conway (1) You are directed to levy upon the property of the defendant (s)and to sell Personalty of Kierstyn L. Walker, 312 Harvest Lane, Shippensburg, Pennsylvania 17257. (2) You are also directed to attach the property of the defendant(s) not levied upon in the possession of GARNISHEE(S) as follows: and to notify the garnishee(s) that: (a) an attachment has been issued; (b) the garnishee(s) is enjoined from paying any debt to or for the account of the defendant (s) and from delivering any property of the-defendant (s) or otherwise disposing thereof; (3) If property of the defendant(s) not levied upon an subject to attachment is found in the possession of anyone other than a named garnishee, you are directed to notify him/her that he/she has been added as a garnishee and is enjoined as above stated. Amount Due S 3,712.40 Interest $325.22 Atty's Comm %$500.00 Atty Paid $253.11 Plaintiff Paid Date: January 26, 2007 (Seal) L.L. Due Prothy $1.00 Other Costs 2Aza Ao:?-2kl - - RCurtig'R. Long, By: Deputy REQUESTING PARTY: Nan"avid A. Baric, Esquire Address: 19 WEst South Street Carlisle, Pa. 17013 Attorney for: Plaintiff Telephone: (717) 249-6873 Supreme Court ID No. 44853