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HomeMy WebLinkAbout02-0694 IN THE MA ITER OF THE PERSON AND ESTATE OF: : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSON ORPHANS' COURT DIVISION NO. PETITION FOR APPOINTMENT OF EMERGENCY PLENARY GUARDIAN OF THE PERSON AND ESTATE AND NOW COMES THE PETITIONER, the Area Agency on Aging in and for Cumberland County, Pennsylvania who represents and avers as follows: 1. The Petitioner is the Area Agency on Aging, in and for Cumberland County, with its office located at 16 West High Street, Carlisle, Cumberland County, Pennsylvania. 2. The alleged incapacitated person is Geraldine Reighard, single woman, age 80, who resides at 215 West Main Street, Mechanicsburg, Cumberland County, Pennsylvania and has resided there for approximately twenty (20) years. 3. There are no known relatives ofthe alleged incapacitated person. 4. Geraldine Reighard has, for at least three (3) months, been incapable of managing and caring for herself and her financial affairs. 5. Geraldine Reighard exhibits symptoms of mental incapacity, including but not limited to dementia. ~~`~~'~~ CUMBERLAND COUNTY ~ ~ ` ~ ` AGING & COMMUNITY SERVI ' CES ~ ~~ 16 WEST' HIGH S'IRF.F:T, SUl'r`I?.100 Ct\R1.ISLF, P~1 17013 ~`~•,\ ~ (717) 240-6110 oR 1-888-697-0371 r~:xT 6110 F;~x: (717) 240-6118 One Team ...One Mi.r.rion Gary Eichelberger Chairman Richard L. Rovegno ANNUAL GUARDIANSHIP REPORT ViceCh~an FOR GERALDINE REIGHARD ~ Barbara Bgpss n, ~. ~ Sec ~ ~. :-~_< < ~ cT~"~ L ~ey E - `~ 7 t"" D~recror November 29, 2010 ~' Report from Guardian of Person r~~f~a w ~' ~=' Cumberland County Office of Aging ~~ ~ -n , Priscilla Whitman, Aging Care Manager III ,-~~, ~; r On October 25, 2002, Permanent Guardianship of Person and Estate for Geraldine r Reighard was granted by Judge J. Wesley Oler to Cumberland County Office of Aging. Ms. Reighard at that time was residing at Forest Park Health Center where she continues to live. Her admission date to Forest Park was on September 28, 2002. At the time of her admission to Forest Park, Ms. Reighard was diagnosed with senile dementia, non organic psychosis and depressive disorder. Her present medical conditions also include ambulatory dysfunction, dysphasia and history of fractured left hip and left wrist. Ms. Reighard's medical condition appears to be stable but slowly declining. The only medications she is on is Tylenol as needed and a stool softener. Ms. Reighard continues to require maximum assistance with all her activities of daily living and transfers. Ms. Reighard is incontinent of bowel and bladder. She is checked every 2 hours for changing and although her skin is fragile, she has had no skin breakdown. She has a pressure relief mattress and a chair cushion for her wheelchair. She is non ambulatory and is unable to propel self in her wheelchair. She is non-verbal although sometimes she will mumble something that is non-coherent and occasionally giggle. She is on small portion diet of soft foods and eats 95-100%. She is a passive participate at activities and likes the Protestant worship service, music programs, bible study and social activities. She sits in her chair and listens and watches what is going on. Her appearance is good and she doe not seem to be in any discomfort. Ms. Reighard enjoys watching TV with her roommate and they continue to get along. Ms. Reighard is visited by the care manager who also attends the care plan meetings. In addition to visiting her, the care manager reviews the medical record and discusses Ms. Reighard's condition with the nursing staff. The nursing home staff updates the care manager whenever there are concerns or medical problems. It is the request of the Cumberland County Office of Aging that the Agency retains Guardianship of Person and Estate for Geraldine Reighard. Forest Park Health Center has demonstrated an adequate quality of care for client by managing her daily needs and continuously monitoring her medical conditions. Therefore, we believe that Ms. Reighard should continue to reside at Forest Park Health Center. l?MAfI. US A"C aging@ccpa.net OR VISIT OUR WHASI'1'F A"1' www.ccpa.net/aging a i o~ ~c~q~ D ;--~ -~~- ~~~, CUMBERLAND COUNTY ~ , ~ , ~ ' ~~ AGING & COMMUNITY SERVICES ; , I ~ 16 WEST HIGH STREET, SUITE 100 CAW.ISLE, P~1 17013 4 , (717) 240-6110 ox 1-888-697-0371 I~:xr 6110 - --~ I~:~X: (717) 240-6118 One Team ...One Mi~~.rion Gary Eichelberger chairman Richard L. Rovegno ANNUAL GUARDIANSHIP REPORT Vice('harrman FOR GERALDINE REIGHARD Bazbara B. Cross Secretary Terry L Barley November, 29, 210 Director Report from Guardian of Estate Cumberland County Office of Aging Priscilla Whitman, Aging Care Manager III On October 25, 2002 Judge J. Wesley Oler appointed the Cumberland County Office of Aging permanent Plenary Guardian of Estate for Geraldine Reighard. Subsequently, the Office of Aging became Ms. Reighard's Representative Payee for her social security. At the time of the guardianship, the Office of Aging closed Mrs. Reighard's personal checking account and opened a guardian checking account at M&T Bank. When the account was opened her balance was $1043.54. Her current balance is $3352.99. Her income during 2010 was $519.00 from Social Security. That is her only income. The payments made to the Forest Park Health Center have been $374.00. In addition, the Cumberland County Office of Aging began receiving $100.00 a month Guardianship Fee for services rendered having received the necessary court order from Judge Oler on May 22, 2008. Attached is a financial summary of Geraldine Reighard's income and expenses. Also attached is a spread sheet representing her checking account register. c~ ~~ _ ~7 C_'; I r , _? ~..... fT.l ~ .,. . ~~ r-- i c`7 ;~ t 1 `) -~ ~ ~ ,, , " C.17 ~ C,._3 - ~ j. I~:MAI1. 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SI S 0 0 0 0 0 0 0 0 0 0 0 0 - of ai ao vi ai of ai of of rn of ao r r M r r r r r r r r N t(') to O 11') ~ ~ ~!") ~ to l(') lf') ~ A L .~ d O O O O O O O O O O O O O ~ t O ~ O O O r r r r r r r r r ~ ~ i i i ~ i ~ ~ i ~ i ~ O p> ~ Z ~ ~ Il ~ Q ~ "~ Q ~ e0 ~ ~ H CHECKING ACCOUNT FOR GERALDINE REIGHARD Account # 9833000012 9/21/2009 204 100.00 3286.99 Aging & Comm Svcs 10/3/2009 519.00 3805.99 Soc Sec 10/27/2009 205 374.00 3431.99 Forest Park Health Center 10/27/2009 206 100.00 3331.99 Aging 8~ Comm Svcs 11/3/2009 519.00 3850.99 Soc Sec 11/19/2009 207 374.00 3476.99 Forest Park Health Center 11/19/2009 208 100.00 3376.99 Agin & Comm Svcs 12/3/2009 519.00 3895.99 Soc Sec 12/21 /2009 209 374.00 3521.99 Forest Park Health Center 12/21/2009 210 100.00 3421.99 Aging 8~ Comm Svcs 12/31 /2009 519.00 3940.99 Soc Sec 1 /20/2010 211 374.00 3566.99 Forest Park Health Center 1/20/2010 212 100.00 3466.99 Aging 8~ Comm Svcs 2/3/2010 519.00 3985.99 Soc Sec 2/24/2010 213 374.00 3611.99 Forest Park Health Center 2/26/2010 214 100.00 3511.99 Aging & Comm Svcs 3/3/2010 519.00 4030.99 Soc Sec 3/11/2010 215 374.00 3656.99 Forest Park Health Center 3/11/2010 216 100.00 3556.99 Aging & Comm Svcs 4/3/2010 519.00 4075.99 Soc Sec 4/8/2010 217 374.00 3701.99 Forest Park Health Center 4/8/2010 218 100.00 3601.99 A ing & Comm Svcs 5/3/2010 519.00 4120.99 Soc Sec 5/3/2010 219 100.00 4020.99 Aging & Comm Svcs 5/14/2010 220 374.00 3646.99 Forest Park Health Center 6/3/2010 519.00 4165.99 Soc Sec 6/18/2010 221 374.00 3791.99 Forest Park Health Center 6/18/2010 222 100.00 3691.99 Aging & Comm Svcs 7/2/2010 519.00 4210.99 Soc Sec 7/22/2010 223 374.00 3836.99 Forest Park Health Center 7/23/2010 224 100.00 3736.99 Aging 8~ Comm Svcs 8/2/2010 519.00 4255.99 Soc Sec 9/1/2010 225 374.00 3881.99 Forest Park Health Center 9/1/2010 226 200.00 3681.99 Aging & Comm Svcs-Aug & Sept 9/2/2010 519.00 4200.99 Soc Sec 9/9/2010 227 748.00 3452.99 Forest Park Health Center 9/9/2010 228 100.00 3352.99 A in & Comm Svcs Oct 6. Geraldine Reighard's mental incapacity prevents her from managing and caring for the affairs of her person and estate. 7. The residence at 215 West Main Street, Mechanicsburg, Pennsylvania was formerly Kraley's Boarding Home and the alleged incapacitated person was placed there after her parents' deaths because there were no other family members and she was unable to care for herself and needed supervision. 8. Mrs. Kraley, who was appointed as Attorney-in-Fact for Geraldine Reighard, is now 86 years of age and is in declining health causing her to be unable to continue as her Power of Attorney. 9. Mrs. Kraley's husband and daughter, Arlene Neumeyer are both involved in the care of Mrs. Kraley and are unable to care for Geraldine Reighard. 10. Arlene Neumeyer attempts to visit Geraldine Reighard on a weekly basis but is unable to provide her with the necessary assistance that she needs. 11. Mr. Kraley and Arlene Neumeyer have observed a marked decline in the physical and mental conditions of Geraldine Reighard. 12. A representative of the Petitioner has visited her residence on several occasions and has made the following observations: a. House was not clean and was in need of repairs; b. Her bedroom had a few clothing items in the closet, all of which were dirty; c. There were no personal items around and dresser drawers were essentially bare; d. Kitchen showed no evidence of being used even though dishes, pots etc were available; e. Part of the kitchen ceiling was in bad shape due to water damage; f. Refrigerator had little food and pantry had boxes of macaroni and cat food; spoiled food was thrown out on June 27, 2002; and g. Bathroom did not appear to be functional. 13. During the day, Geraldine Reighard attends the Mechanicsburg Senior Center on a regular basis but the Director and staff are very concerned because they have seen a decline in her cognitive abilities and her wandering has also become a great concern. 14. The Director of the Mechanicsburg Senior Center has also made the following observations: a. Her behavior is very child like; b. She is unable to make informed decisions, and requires verbal prompts in the ladies room of what to do; c. She has become very agitated and fixated on certain things; and d. She no longer appears to be appropriate to participate at the Senior Center because she accuses other people of stealing her purse, is not able to converse appropriately, only talks at people and has inappropriate responses. 15. The operator of the Mechanicsburg Senior Center van looks for her almost daily because she forgets the time and place where she is to be picked up by the van and transported to the Senior Center. 16. The Mechanicsburg Police Department are being contacted and the police as well as others are concerned because: a. She has been seen wandering all over Mechanicsburg; b. She has been observed crossing the street without looking; c. She has been found walking down the middle of a busy road in traffic and wandering a distance from her home; and d. She has been going into different businesses for no apparent reason and has been begging for food at the local restaurant. 17. On April 24, 2002, Geraldine Reighard was evaluated at HealthSouth Rehabilitation Center ofWormleysburg for a Geriatric Assessment and the team recommended that she should have twenty-four (24) hour supervision due to impaired problem solving, judgment and safety. A copy ofthe Assessment is attached hereto, marked as Exhibit "A", and incorporated herein by reference. 18. As part of the Geriatric Assessment, Geraldine Reighard was examined by Lawrence B. Zimmerman, M.D. who concluded that her impairment seems to be such that she would be unable to make decisions concerning her well-being, both financial as well as physical and that a Guardianship would be recommended. A copy of his report is attached hereto, marked as Exhibit "B", and incorporated herein by reference. 19. Amy Kucirka, Psy. D., Clinical Neuropsychologist, as part ofthe Geriatric Assessment recommended that she be placed in a supervised living situation where she has twenty-four (24) hour supervision and that she is not appropriate for independent living given her cognitive deficits. A copy of her report is attached hereto, marked as Exhibit "C", and incorporated herein by reference. 20. The Petitioner believes and, therefore, avers that allowing Geraldine Reighard to continue living in the house and wandering the streets of Mechanicsburg would place her in imminent danger of death or serious bodily harm. 21. Petitioner believes and, therefore, avers that Geraldine Reighard should be placed in a nursing home facility. 22. Less restrictive alternatives are not available because there is no one able to care for her. 23. The Area Agency on Aging, in and for Cumberland County, Pennsylvania, is willing to accept the appointment of Emergency Plenary Guardian of the Person and Estate of Geraldine Reighard. 24. No other Court has ever assumed jurisdiction in any proceeding to determine the incapacity of Geraldine Reighard. 25. The failure to appoint the Area Agency on Aging, in and for Cumberland County, Pennsylvania as Emergency Plenary Guardian of the Person and Estate of Geraldine Reighard will result in irreparable harm to the person and estate of Geraldine Reighard. WHEREFORE, Petitioner prays that this Honorable Court appoint the Area Agency on Aging, in and for Cumberland County, Pennsylvania as Emergency Plenary Guardian of the Person and Estate of Geraldine Reighard. Respectfully SUbmitted,uz ~jl O~..~ D(. ~ .:e~ Anthony L. DeLuca, Esquire 113 Front Street P.O. Box 358 Boiling Springs, PA 17007 (717) 258-6844 VERIFICATION I hereby verify that the facts and information set forth in the foregoing Petition for Appointment of Emergency Plenary Guardian of the Person and Estate of Geraldine Reighard are true and correct to the best of my knowledge, information, and belief. I understand that any false statements contained herein are subject to the penalties of 18 Pa. C.S. Section 4904, relating to unsworn falsification to authorities. Dated: rAJ.~ a, O:J. A~ Lu~~ Priscilla Whitman ~.. . 0.5U...4J 2002 12: 45 717-575-3573 HEALTHSOUTH WRMBURG . PAGE 02 . HEALTHSOUTH RegcnaI W:llk Penormenca & Hand C8n!Br . Apri125, 2002 Dr. George Branscum 850 Walnut Bottom Road Suite 101 Carlisle, PA 17013 RE: Geraldine Reighard Dear Dr. Branscum: Your patient, Geraldine Reighard, was evaluated at HealthSouth Rehabilitation Center of Wonnleysburg in the Geriatric Assessment Program on Apri124, 2001. The team has made the fullowing recommendations for Ms. Reighard with supporting documentation attached. 1. She should have 24 hour supervision due to impaired problem solving, judgment and safety. 2. She should have a podiatric consult. 3. A guardian should be appointed to handle finances and help with appropriate placement. Please do not hesitate to contact us if you have any questions. Sincerely, 840 N. Front St. . Worm/eysburg, PA 17043 . 717975-3337 . Fax 717975-3973 EXHIBIT "A" - ",,"f ,_. .~._.,,~ .._~~~;;: -:;...- .- ...,) '....J ~-:;,.:;; ,Ht;j!-k.. I H::;:JUU I M WI"'(IYIOUt'::\.J r-'1-'ll.Jt. tJ,j . INTERNI5~1-S of Central Po.. . LiP. Pel6i M. ihier. M.D. Mich.el L. Gluck, MD. JArnll6 A. Tyndall, M.D. Ira J. PilCKmilJl., M.D. Richard Schreibu, M.D., FAc.P. L. Lynne Britton, M.D. LaWT'eN:lI a. Zlmmrnnan. M.D. Mkhae-I A. DeMichele. M.D. Ca.rla J. Dent/f. M.D. Dominlc Mirarchi, D.O. w~y Scha.ene.r., M.D. P..bic:~ lLltn.asanlY, M.D. A.ndr~j R. W.illr:l'ir, M.D. V. Man>.a Kapoor, M.D. Dim L. t..elun=., P A-C Beth M. Rabedc;1\J, P Jv.(:. HAHRISV!):;W P\tOfE::5S1UNAI. Cr_NTl~j,; . IVH UJWTHER ST. . P_O. BOX 107 . l.-EMOYNE. fA 17043-{l107. (717) 774-1366 flA.X (717) 774-4232 April 24, 2002 George P. Branscum. Jr. M.D. Belvedere Med,col Corporation 850 Walnut Botlom [<0"" Carlisle. P A \ 70 13 RE: Geraldine RClghard Dear Dr. Brans,:um: I had the pleasUl" 0\' SCC'l1g your patient, Geraldine Reighard. as part of a geriatric assessment at the HEALTHSOUTll l<.ch"b Center. As you know, this is an elderly woman who apparently has been having decline li1 hl'l' cilSnilllHl. Shl' livc.s in a boarding home and because of her decline the Office of AglOg IS !ookin~ i'01 gl1d1'dIClnsI1111. I'ler power of attorney developed dementia. History was obtained from the patient. alrllOugh I think It IS probably fairly unrehable. She has no specific complaints. She actually thought she was here to bc fitled for lower denture and kept talking about that throughout the en[ire interVIew. P,bll'Y'cdll~1.11 hIstory according to her is unremarkable. She denies history of hypertension. diabetes, stroke, cJrdiovi.'\3cuJar disease. She is apparently on no medications. She had some sort of kidney 'illJ"gcry In the past. Review of systellls - Constitutional: no !'ever, chills or sweats. ENT: no nasal congestion or postnasal drip, MLlSCUJoskl.:kl:ll: dL:ll\~S bi.\ck, n~l.:k, hip or knee pain. Cardiopulmonary: denies ~xertional chest pain, dyspnea on exertion, orthopnea. PND, cough, peripheral edema. Of: good appetite; no nausea, vomiting, obdonl1na\ p;.lJn, cOJlsl-ipation or diarrhea. au; denies dysuria or incontinence. Endocrine: denies polyuria or polydipsia. 1'letmtoJogic: no bleeding disorders. Psychiatric; states she occasionally has depression hlllClclJles anxiety. No problems sleeping. Neura: denies headaches, syncope, dizziness, fnlls. Denies trl1I1Sit.;l1l foc;.I! neurolo!J;\c detlcits. SOCIHI history.. Ne~;ltiv..:: t~)l" 2llcohnl 01. tobacco use. Lives in a boarding home. pamily history, DClliL'S f:lllldy hiSlllry of coronary disease, diabetes or strokes. 011 exam (l1i~ i~ ~ll1 d~kl'ly WOJl1~ll1 who is somewhat unkempt. Blood pressure 172/80, pulse 68, l respirations 16, lcmp~ralLlrc 98,2. Hl.:ENT: pupils equal andrcactivc to light; extraocular muscles intac~' ( conjllnctiv~c pink; sckra~ whilt.:; edentulous, has upper plate in but absent lower plate; no ulcerations of tongue or muCOUS Il\emhruncs, Neck supple. Thyroid not palpable. Trachea midline. Chest was clear to auscultation and percussion. Card,,,c exam revealed nondisplaced PMI with normal SI and S2, no gallops, 116 systolic ejection murmtlr alleft sternal border. No carotid bruits. Aorta was not palpable. No peripheral edemo. 1 + postcnor tibial pulses. Abdomen soft, non-tender; bowel sounds active. Liver was not palpable. Sl<lI1: sebnrrheic keratosis; nails quite unkept, dystrophic, had 'not been cut in quite some time and acttlally hod some ,'oms' horns on both great toes. Musculoakeletal: normal range of motion of shoulders. wrists, hip', knees. No inflammation Or swelling of sny joints. Neuro; cranial nerveS intact. f\,.'1ntnj' lon~ norl11~tI. Strength symmetrical in all fOUT extremities. Gait was reasonably -' I~. EXHIBIT "B" T. ~ I 05/14/2002 12:4S 717-S75-3S73 ,';,;l:",;':,:.i'lt'l.(.".::'tl.',;Oi..[..!I"....~= HEA~THSOUTH WRMBURG PAGE 04 . . Page 2 April 24, 2002 RE: Geraldllll..: R...:\~h;\rd normal Negative RDmherg S..::nsatlon mtllct to pinprick Mental status: oriented to month and time of day but did not kno\.v lhe year; shorL tern"! memory was impaired ImpressIOn - [iderly l~ldy \vlth cognitIve decline. Given her negative exam, most likely has Alzheimer's. Rule out any n~(;;t<lbQlil...: abl10rmallty Of endocrine abnormality. 2. HIgh blood pressure, Recommendations - CHC', ohon1l5\ry profile, TSH, B 12, falate, RPR, chest x-ray and also prabably CT scan of brain or YlRI ,e<l11 ol'hnlln lieI' Impairment seems to be such that she wauld be unable ta make decisIOns conc,:mjng hl,;T \vel1-b<:1I1g, both f~nancia] as well as physical. Guardianship would be recommended, If you have any qUl.:s[ion,s. please do nO[ hesitate to contact me. SincerEly, Lawlkt0~~D Lllii"s"p cc: HEALltlSOIYlll Genal,.,c t\s;cssment InternIst:> Or(\:lllraJ PCllnsylvallla . . ( ( ,- 05/14/2002 12:49 J ,n 7-975-3973 ,,;~ ' ';)!: ::e:1Ri......'" HEALTHSOUTH WRMBURG PAGE 05 ..1) . CONFIDENTIAL For Professional Use Only The confidentiality of the information contained in this document is protected by state statute. Disclosure of this information without the proper written consent of the patient, the patient's authorized legal representative or the patient's legal guardian is prohibited. PSYCHOLOGICAL CONSULTATION HEAlTHSOUTH Rehabilitation Hospital for Special Services 4950 Wilson Lane Mechanicsburg, PA 17055 Patient Name: Geraldine Reichard Date of Birth: 03/14/22 Employment: Procedure Code: 90801 Referral Source: Geriatric Assessment Program Age: 80 Date of Eval: 04/24/02 Education: Service Location: IP - HSS REASON FOR REFERRAL: The patient was referred for assessment through the Geriatric Assessment Program because of concerns regarding cognitive impairment. BACKGROUND INFORMATION: The patient Is an BO-year-old white female who currently resides in Mechanicsburg in a boarding home that has now been closed. The patient attends a senior center in Mechanicsburg on a daily basis where evidently she is fed. The patient's case manager states that the patient resides alone in an older home without supervision at the current time. Evidently, the patient has no family in the area. The patient reports that she resided with her parents in Altoona until their deaths. The patient was a very poor historian and could not relate with reliability much of her history. During the interview, the patient was focused on the fact that she had broken her bottom dentures. She was very distractible, tangential, and showed loosening of associations. The patient reported that she was not used to "sitting around" and that she wanted to return home. EXHIBIT "e" ~ B51l~/2BB2 12: 49 717-975-3973 -,' '. ;,': ":<:iP:~._..~;<.",.r,ig;i.~~:' ,..;,;.-1 .~~",;L:r", , . HEALTHSOUTH WRMBURG PAGE B5 Psychological consultati' RE: Geraldine Reichard . 2 The patient denies any medical concerns at this time. She was wearing glasses and could not tell me the last time she saw the eye doctor. She currently takes no medications and reports that she fell on the Ice a few years ago and was at Holy Spirit Hospital. She could not tell me when this happened, but told me that she stayed there for a few days. The patient states that she takes care of her own money. She reports that she keeps it with her at home and takes it with her when she goes. The patient's case manager from the Office of Aging was unaware of her financial situation and who takes care of it. The patient apparently has a guardian who is also elderly, in her 80s, and has cognitive issues of her own. FINDINGS: The patient was seen at HealthSouth for evaluation. During the interview, the patient was alert and InteractIve. The patient was oriented only to person. She stated her age as 78 (her actual age is 80). The patient was unable to name the facility. She stated she was in Mechanicsburg. The HealthSouth facility is located in Wormleysburg. The patient's temporal orientation was also impaired. When asked the year, the patient repeated "March" and then "April". When questioned repeatedly regarding the year, she finally responded "1998" and then "1992", The patient was able to state the month as April. She was correct for the day of the week, Wednesday, and correct for time of day. The patient's auditory attention and short-term recall for number sequences was within the mild to moderate impaired range for her age. The patient was able only to repeat four digits immediately after presentation. She showed markedly impaired attention and concentration as evidenced by distractibility, attentiveness to extraneous activity outside of the office and noises. In the area of basic language processing, the patient showed variable abilities. Receptively, she showed moderate Impairments in her ability to follow commands of increasing complexity. The patient was able to only reliably follow one step commands. Expressively, the patient showed severe impairments in her repetition skills. The patient was able to repeat sentences of increasing iength and complexity. The patient's confrontation naming skills were mildly impaired on this cognitive screening measure. In the area of visual spacial functioning, the patient showed verbal memory deficits. She also showed severe Impairments in a visual constructional task that required her to copy a complex line drawing. The patient was able to only represent the overall shape of the design. She was unable to place any of the details accurately on the design and gave up very easily. When asked to draw a clock, the patient drew a circle and was unable to accurately number the clock. She randomly placed numbers on its face. The patient also showed deficits in praXiS (or ability to copy designs). .~B5/l4/2BB2 12:~J. '_"/;\1l,Jk~~75-3S73 HEALTHSOUTH WRMBURG PAGE B7 : , Psychological consultati' RE: Geraldine Reichard . 3 On a word list learning test, the patient showed moderate impairments in her ability to recall four words over a 10 minute delay. The patient was able to recall only one of four words using a free recall strategy. She was able to recognize only an additional word using recognition cues. The patient's remote recall of autobiographical information was also impaired. The patient was a very poor historian. The patient's abstract reasoning skills were also within the impaired range. She had a great amount of difficulty making abstract connections and thinking conceptually. The patient's judgment as assessed by her responses to common sense questions was also within the impaired range. The patient was unable to give a coherent response to a question involving common sense situations. The patient's ability to complete simple arithmetic problems was also severely impaired. The patient was unable to mentally solve a simple addition problem. In addition, she was not helped when provided with a paper and pencil. The patient's affect was constricted. She was physically anxious and restless. She reiterated throughout the interview that she was not used to sitting around and wanted to work and get going. The patient was focused on having her bottom dentures fixed. DIAGNOSTIC IMPRESSION: The test data, taken in consideration with the known history provided by the case manager at the Office of Aging, indicates that the patient has moderate to severe cognitive deficits in most areas of cognitive functioning. The patient shows moderate impairments in some areas of basic language processing, shows moderate to severe memory deficits, visual spacial deficits, and executive processing deficits. The patient's deficits are consistent with a primary dementia, and it Is likely there are premorbid issues involved. The patient is at risk unsupervised in the community and she is not aware of safety issues and shows very poor judgment and reasoning skills. RECOMMENDATIONS: It Is recommended the patient be in a supervised living situation where she has 24 hour supervision. The patient will need assistance in seeing that she adequately completes her ADLS, help with meals, and with doctor's appointments and medications. The patient is not appropriate for independent living given her cognitive deficits. 05/14/2002 12:49 717-975-3973 . . r"sychological ConsultatIon RE: GeraldIne Reichard ! Thank you for this referral. Amy Kuclrka, Psy. D. Clinical Neuropsychologist licensed Psychologist AKjwp 0: 04/24/02 T: 04/29/02 cc: PRISM Division of Psychological Services HEAlTHSOUTH WRMBURG . PAGE 08 . 4 -0: Z Ul -0: r.. -0: :> Z Z I'iI H 0 0 -O:1'iI H ~ Ul H8 <( P< Ul p:; Cl 8Cl-o: U Z Z I'iI I'iI ZP:;8 ::l "- Z Z 0 P< 8 I'iI-o:Ul 0 0 I'iI H -0: :>:PI'iI ...J 0 :>: P< Ul I'iI 8 8" w 3:>- ~ :>: H ~ - H Z Cl 0 <w 0 -:> 8 Cl U H~Z ....Jw((l<C f- II: ~ 0.. U ~ H p:; -0: Op:;-o: <>- (f) 8 Cl r.. -0: P< P<-o: ...J (f)x,-, r.. Z 0 ~ -0: P<ZZ >->-~ wz ~ 0 P 8 .. " U -O:I'iIO >- Z 0 . [ o p:; p:; r.. H Z p:;HUl a:a:OCl) 8U p I'iI 0 I'iI H Op<p:; Z Ou..o..: p:; 0 8 p:; 0 ~ '" '-' I'iI - z PClU 8 I'iI Cl r..~P< I <(.- :::::i OZ :iJ 8 I'iI I'iI U ill U -0: - -0: Z " ZZI'iI I- H Ul 8 H I'iI Ol'il~ Z I'iIP:;Z I'iI Ul Cl H Z H"8 ~I'iI-O: ~ I'iI H H 0 8p:; <( 8Pl~ 8 -0: -0: Ul Hl'ilr.. :>: P< . Cl p:; p:; 8:>:0 ZPP:; 0 Z Z I'iI .z I'iI I'iII'iI H U 0 Z H -0: " -0: P< P< AUf.;; < iOOZ ~ I . , / ~/ '" IN THE MA TIER OF THE PERSON AND ESTATE OF: : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSON ORPHANS' COURT DIVISION NO. :21'" 0 ~ - (c,q't PRELIMINARY DECREE AND NOW, this 'l->d day of Il".)~d-, 2002, upon consideration of the annexed Petition, it is hereby ORDERED AND DECREED that a Hearing on this matter is set for the If d day of(2uF' 2002, at jj.'tJ(; -LL.. M. O'clock in Courtroom No. I at the Cumberland County Courthouse, 1 Courthouse Square, Carlisle, Pennsylvania. . /J7/(/~ V b~r('~~Pp'ointed to represent the allegedly incapacitated person. BY THE COURT, ., IN THE MATTER OF THE PERSON AND ESTATE OF: : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYL V ANlA GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSON ORPHANS' COURT DIVISION NO. .21'" O~ - (c,q't PRELIMINARY DECREE AND NOW, this "2....,01 day of Ii U,),-,c,,+ ,2002, upon consideration of the annexed Petition, it is hereby ORDERED AND DECREED that a Hearing on this matter is set for the 1 ~ day of(luctUA-t, 2002, at //:tkJ -L. M. O'clock in I at the Cumberland County Courthouse, I Courthouse Square, Courtroom No. I Carlisle, Pennsylvania. , /fJ/L/'~ f b~I~~pp'ointed to represent the allegedly incapacitated person. BY THE COURT, J. ~ IN THE MATTER OF THE PERSON AND ESTATE OF: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSON ORPHANS' COURT DIVISION No. 21-02-694 ORDER OF COURT AND NOW, this 7th day of August, 2002, upon consideration of the Petition for Appointment of Emergency Plenary Guardian of the Person and Estate, and following an initial period of hearing, the record shall remain open, and counsel are requested to contact the Court's secretary to schedule a further period of hearing in this case. It is noted that, at the time of adjournment on today's date, the petitioner had commenced its case-in-chief but had not concluded the same, and that, at the time of adjournment, Petitioner was subjecting Priscilla M. Whitman to direct examination. It is further noted that no exhibits had been identified or admitted as of the time of adjournment all right. By the Court, Anthony DeLuca, Esquire ""~ For the Petitioner \-,\)...-o"l,. J (weSley j Mark F. Bayley, Esquire CI"'~ Court-Appointed Counsel ~_\,_O~ wcy c: -- IN THE MATTER OF THE PERSON AND ESTATE OF: GERALDINE REIGHARD, ALLEGED INCAPACITATED PERSON IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-02-694 IN RE: PETITION FOR APPOINTMENT OF EMERGENCY PLENARY GUARDIAN OF THE PERSON AND ESTATE ORDER OF COURT AND NOW, this 19th day of September, 2002, due to a cancellation in the Court's schedule, a further period of hearing in the above matter is scheduled for Wednesday, September 25,2002, at 9:30 a. m., in Courtroom No.1, Cumberland County Courthouse, Carlisle, Pennsylvania, and the previously scheduled hearing of November 14, 2002, is cancelled. BY THE COURT, Anthony DeLuca, Esq. Attorney for Petitioner Mark F. Bayley, Esq. Court-Appointed Counsel for Geraldine Reighard :rc CONFIDENTIAL For Professional Use Onlv The confidentiality of the information contained in this document is protected by the State Statute. Disclosure of this information without the proper written consent of the patient, the patient's authorized legal representative, or the patient's legal guardian is prohibited. PSYCHOLOGICAL CONSULTATION Patient Name: Geraldine Reighard Date of Eval: 9/20/02 Age: 80 Service Location: Outpatient DOB: 3/14/22 Procedure Code: 90801 Education: 5 years Employment: Referred by: Office of Aging REASON FOR REFERRAL Ms. Reighard was referred for assessment by the Office of Aging secondary to concerns regarding the patient's cognition, decline in her functioning, and concerns regarding her ability to live independently. BACKGROUND INFORMATION Ms. Reighard is an 80 year old white, single female, who currently resides in Mechanicsburg in a boarding home that has now been closed. The patient was seen in April of 2002 by the same clinician at the Geriatric Assessment Program at HealthSouth in W ormleysburg. At that time, the patient was attending a senior center in Mechanicsburg on a daily basis, where it was apparent she was being fed. Ms. Reighard's case manager, Priscilla Whitman, now reports that Ms. Reighard is not attending the senior center on a regular basis. They report that she misses the van and is not making her way to the senior center as she had been previously. Ms. Whitman also reported tljat Ms. Reighard's room in the closed boarding home has next to no food, clothing, or basic necessities such as soap. Evidently, Ms. Reighard 'had been bathing at the senior center when she was attending more regularly. Ms. Reighard reports that she has no family. She stated her parents died when she was young and she had two brothers, who are now deceased. She stated she had a niece and nephew but she is unaware of their location. Ms. Reighard was noted to be a very poor historian and was also noted to confabulate. She siated she resides with a number of women and staff who are there during the daytime and evenings. This is not accurate information. During the interview, Mr. Reighard continued to reiterate "I never complain. I'm in good health every day". She was noted to be extremely perseverative and also distractible, ~: P~1 Physicians oj Rehabilitation, Industrial Dr Spine Medicine, P.C Divi,ion oj PS}{h%gical SrrviU5 ClinicalPsY,chology Christopher Royer, PsyD Amy Kucirka, PsyD Michael Kinney, M.A. Phone 717 691-4847 Fax 717 691-4959 www.prismdrs.com ;; PETITIONER'S I EXHIBIT , c9--- i 9J0s-- /<:>:;l.. W'y Psychological Consultation Geraldine Reighard Page 2 tangential, and showed a loosening of associations. She became very annoyed that she was being asked questions and reacted defensively when things were difficult for her. The patient denies any medical concerns at this time. She reiterated a number of times that she was "healthy". She reports she was doing well until she "fell". She stated she did fall in the past and she spent some time at Holy Spirit Hospital, but could not tell me when it happened. She reports she gets a check from her "social worker every third month". According to Ms. Reighard's social worker, her power of attorney and guardian is also in her 80's and suffers from Alzheimer's, and is the party who receives the patient's checks. It is unclear how much money she is given, but her social worker estimated it is approximately 20 to 30 dollars per month. When questioned as to how she eats, she reports that she eats at "Col1ins". Evidently, this is a restaurant that occasionally feeds her out of concern and apparently without payment. FINDINGS The patient was in the PRISM offices for the evaluation. She was alerted to the purpose of the interview in order to see how well she is thinking. Orientation was impaired. Ms. Reighard was able to state her name, and stated her age as 78 (her actual age is 80). She was unable to name where she was. Temporal orientation was also noted to be impaired. When asked the year, she replied "1998" She reported the month as February and then corrected it to "April"; She was unaware of the day ofthe month and day of the week. She could not read her watch to tell me the time. The patient's orientation and short term recall for number sequences was within the Mildly Impaired range. She was able to repeat up to four digits immediately after presentation and up to five digits inconsistently. Auditory mental control was noted to be severely impaired as . she had difficulty repeating any numbers backward, and in fact, appeared to have difficulty understanding what was asked of her. She showed markedly impaired attention and concentration as evidenced by distractibility, and attentiveness to noises outside the office. In the area of basic language processing, the patient showed impairments as wel1. Receptively, she showed an inability to follow even one step commands reliably. Expressively, she had difficulty on a picture description task and was noted to telegraphically describe the picture without elaboration. She showed severe impairment in her sentence repetition skills as evidenced by her inability to repeat sentences that were read by the examiner. Her confrontation naming skills were noted to be Mildly to Moderately Impaired and she was noted to make literal and semantic errors in her attempts to name objects. The patient showed severe deficits in the areas of visual-spatial functioning, as evidenced by her inability to copy block designs from a template. She was unable to copy block designs that were concretely demonstrated by the examiner as well. She was eventually able to copy a two block design with encouragement, but was unable to accurately complete a third block design. She showed severe impairments in her ability to copy shapes, and was unable to copy Psychological Consultation Geraldine Reighard Page 3 a Roman cross. She was asked to draw a circle and to number its face like a clock. She was noted to place numbers on a clock in a somewhat random fashion, up until number 17. On a list learning task, her ability to learn and recall a list of four words over a lO-minute delay was Severely Impaired. Ms. Reighard needed the list repeated approximately six or seven times before she could repeat the list. After a lO-minute delay, she could not recall any of the four words using a free recall strategy. She identified one offour using a recognition cue. However, this is likely to be due to chance. The patient's verbal abstract reasoning skills were in the Severely Impaired range. She was unable to make abstract connections on verbal analogy items. When asked how a rose and a tulip are alike, she replied "some red and some green". She was unable to answer any more difficult abstract analogy questions. The patient's responses to questions to assess judgment were also noted to be in the Severely Impaired range. For example, when asked what she would do if she were at home and saw smoke and flames, she replied "I'd tell 'em I wouldn't let that go." When asked who she would tell, she replied "Tell the lady, or the policeman, or something". When pressed to tell me what number she would call, she was unable to answer. Ms. Reighard was also unable to mentally solve a simple addition problem and was not helped with the benefit of paper and pencil. The patient's affect was noted to be somewhat constricted. She was noted to be physically anxious and restless. She evidenced agitation and frequently complained about why she was being asked to do things. She was noted to be significantly perseverative in her objections. She was able to be redirected at times, but continued to voice the same complaints. DIAGNOSTIC IMPRESSION Data from this evaluation and neuropsychological screening, taking into consideration the known history provided by the case manager and Office of Aging, indicate rather severe cognitive difficulties for Ms. Reighard in most areas of cognitive functioning. She shows severe impairments in the areas of memory, orientation, visual-spatial skills, praxis skills, and executive processing skills. She shows significant impairment in her judgment and reasoning skills. She shows better preserved ability in the area of expressive language skills, however, she shows significant impairments in her ability to communicate effectively secondary to perseverative tendencies, loosening of associations, and disorganized thinking. She was also noted to confabulate information. Despite her deficits, Ms. Reighard gives the appearance of being fiercely independent and insistent in her ability to manage, however, much of what she relates is not corroborated by her case manager and she is an extremely unreliable informant. Ms. Reighard's deficits are consistent with a primary dementia. RECOMMENDATIONS I. It is recommended that Ms. Reighard be in a supervised living situation, nursing home is appropriate, where she would have 24 hour supervision. She will need assistance in seeing that she adequately completes her ADLs, is adequately nourished, and is compliant with doctors' appointments and medications. Ms. . . Psychological Consultation Geraldine Reighard Page 4 Reighard is at significant risk in the community given her cognitive deficits and impaired judgment. Thank you for this referral. LU\..;v~l\~ y cirka, Psy. D. Clinical Neuropsychologist Licensed Psychologist AK/kts tJ:J/1.4/ Lt:JtJL l.L:4~ {l.{-~(:J-~~(~ '1'il1.:w"e" i. n~HL'n~uu'n ~u~~ r-HI,JI;;. U,J - CONFIDENTIAL For Professional Use Only The confidentiality of the information contained in this document is protected by state statute. Disclosure of this Information without the proper written consent of the patient, the patient's authorized legal representative or the patient's legal guardian is prohibited. PSYCHOLOGICAL CONSULTATION HEALTHSOUTH Rehabilitation Hospital for Special Services 4950 Wilson Lane Mechanicsburg, PA 17055 Patient Name: Geraldine Reichard Date of Birth: 03/14/22 Employment: Procedure Code: 90801 Education: Age: 80 Date of Eval: 04/24/02 Referral Source: Geriatric Assessment Program Service Location: IP - HSS REASON FOR REFERRAL: The patient was referred for assessment through the Geriatric Assessment Program because of concerns regarding cognitive impairment. BACKGROUND INFORMATION: The patient Is an 80-year-old white female who currently resides in Mechanicsburg in a boarding home that has now been closed. The patient attends a senior center in Mechanicsburg on a daily basis where evidentiy she is fed. The patient's case manager states that the patient resides alone in an older home without supervision at the current time. Evidently, the patient has no family in the area, The patient reports that she resided with her parents in Altoona until their deaths. The patient was a very poor historian and could not relate with reliability much of her history. During the interview, the patient was focused on the fact that she had broken her bottom dentures. She was very distractible, tangential, and showed loosening of associations. The patient reported that she was not used to "sitting around" and that she wanted to return home. ?%t~:~&\~';!J:~~~: 71 7-9.75-3973 . 'PSYChOIOgiCal consultati' RE: Geraldine Reichard HcALIH~UUIH ~U~~ rHI.:lc. tJo 2 The patient denies any medIcal concerns at this time. She was wearing glasses and could not tell me the last time she saw the eye doctor. She currently takes no medications and reports that she fell on the Ice a few years ago and was at Holy Spirit Hospital. She could not tell me when this happened, but told me that she stayed there for a few days. The patient states that she takes care of her own money. She reports that she keeps it with her at home and takes it with her when she goes. The patient's case manager from the Office of Aging was unaware of her financial situation and who takes care of it. The patient apparently has a guardian who is also elderly, in her 80s, and has cognitive issues of her own. FINDINGS: The patient was seen at HealthSouth for evaluation. During the interview, the patient was alert and Interactive. The patient was oriented only to person. She stated her age as 78 (her actual age is 80). The patient was unable to name the facility. She stated she was in Mechanicsburg. The HealthSouth facility is located in Wormleysburg. The patient's temporal orientation was also impaired. When asked the year, the patient repeated "March" and then "April". When questioned repeatedly regarding the year, she finally responded "1998" and then "1992". The patient was able to state the month as April. She was correct for the day of the week, Wednesday, and correct for time of day. The patient's auditory attention and short-term recall for number sequences was within the mild to moderate impaired range for her age. The patient was able only to repeat four digits immediately after presentation. She showed markedly impaired attention and concentration as evidenced by distractibility, attentiveness to extraneous activity outside of the office and noises. In the area of basic language processing, the patient showed variable abilities. Receptively, she showed moderate Impairments in her ability to follow commands of increasing complexity. The patient was able to only reliably follow one step commands. Expressively, the patient showed severe impairments in her repetition skills. The patient was able to repeat sentences of increasing length and complexity. The patient's confrontation naming skills were mildly impaired on this cognitive screening measure. In the area of visual spacial functioning, the patient showed verbal memory deficits. She also showed severe Impairments in a visual constructional task that required her to copy a complex line drawing. The patient was able to only represent the overall shape of the design. She was unable to piace any of the details accurately on the design and gave up very easily. When asked to draw a clock, the patient drew a circle and was unable to accurateiy number the clock. She randomly placed numbers on Its face. The patient aiso showed deficits In praxis (or ability to copy designs). . B5/14/2BB2 12:49 717-~15-3~13 ~-, ".:':'::':::';;:~'.~:::-~1JJ-~ 'PSYChOIOgiCal consultati' RE: Geraldine Reichard HeAL I HOiUU I H j'!.Y"'" t-'Al..::It. tJl 3 On a word list learning test, the patient showed moderate impairments in her ability to recall four words over a 10 minute delay. The patient was able to recall only one of four words using a free recall strategy. She was able to recognize only an addltional word using recognition cues. The patient's remote recall of autobiographical information was also impaired. The patient was a very poor historian. The patient's abstract reasoning skills were also within the impaired range. She had a great amount of difficulty making abstract connections and thinking conceptually. The patient's judgment as assessed by her responses to common sense questions was also within the impaired range. The patient was unable to give a coherent response to a question involving common sense sItuations. The patient's ability to complete simple arithmetic problems was also severely impaired. The patient was unable to mentally solve a simple addition problem. In addition, she was not helped when provided with a paper and pencil. The patient's affect was constricted. She was physically anxious and restless. She reiterated throughout the interview that she was not used to sitting around and wanted to work and get going. The patient was focused on having her bottom dentures fixed. DIAGNOSTIC IMPRESSION: The test data, taken in consideration with the known history provided by the case manager at the Office of Aging, indicates that the patient has moderate to severe cognitive deficits in most areas of cognitive functioning. The patient shows moderate impairments in some areas of basic language processing, shows moderate to severe memory deficits, visual spacial deficits, and executive processing deficits. The patient's deficits are consistent with a primary dementia, and it Is likely there are premorbid issues involved. The patient is at risk unsupervised in the community and she is not aware of safety issues and shows very poor judgment and reasoning skills. RECOMMENDATIONS: It is recommended the patient be in a supervised living situation where she has 24 hour supervision. The patient will need assistance in seeing that she adequately completes her ADLs, help with meals, and with doctor's appointments and medications. The patient is not appropriate for independent living given her cognitive deficits. . 0~/14!L~~L lL:4~ Il(-~(~-~~{~ i'sychological consulta' RE: Geraldine Reichard nCHL I n-,uu' r, W,"".LJo....J''-'-'' t. 4 Thank you for this referral. Amy Kuclrka, Psy. D. Clinical Neuropsychologist Licensed Psychologist AKjwp D: 04/24/02 T: 04/29/02 cc: PRISM Division of Psychological Services ?'hone - lo'il- l{gln B ~ . . THORNWALD HOME 442 Walnut Bottom Road, Carlisle, PA 17013 (717) 249-4118 (717) 249-8906 Fax 0"",,"'''510N<C'''''0''' ~ ~ o 0 _ z :." ;; t- ,..0 ?& .",,6 "1l.lyYOIS'\ Octcbcr 4, 2002 To: Priscilla Whitman Cumberland County Office of Aging From: Ann Moser O)~ Director, Social Services Thormvald Home does not have a secure Assisted Living Unit to accommodate residents who are at risk t~)l elopement. c.) l...'J - 0~ , 0- 0 , , - ) CJ ,~) r~ c-.:! c..:> ) ,~ ~ UCCH UNITED CHURCH OF CHRIST HOMES ;; PETITIONER'S EXHIBIT Ifl ftl> Home . Of THE DIOCESE Of CENTR.AL PENNSYLVANIA . 206 Ea.t Burd Street, Shlppen.burs. PA I72S7 (717) 532-4612 October 23, 2OQ2 Ms. Priscilla Whitman Cwnberland County Office of Ag;1lIl 16 W. High St Cub.le, PA 17013 D_ Ms. Whitman: As per WI telephone co~lion pertaining to Geraldine Rcingbard, there are no 55l bed. 'VI.Hablc at the Epi..,oplll Home at this time. Currently, We arc op,,",lilll! with 845,000.00 deficit 115 ofthefint~quAIter.oftheyear and welind 50% of the fl1t'lUlg are Tl()u-Iu,1J-pay. Reg!'el.lu:l1y~ al Ulil1litne. we can tU,)t. lt1.k(:8J1)' addil.lona1 individuals who arc 1101 private pay, In light of tit.. cullC<lpl ofclopeqtent, we do not tllk. individUlll. privorte or non- private pay that p"l$Mt with this issue. Sin~ Mary ~ Sbearer, MSW .". _. ."._---" ...."', Pres.tc\ent STEVEN FRANKE Trea5urer MISS MARY GRACE SHEARER AdmInistrator " " 1 PETITIONER'S EXHIBIT 1/;}.. JU, d3 .Qj P. . Continuing Care Retirement Services-Founded 1896 October 22, 2002 To Whom It May Concern: Messiah Village Adult Day Services is designed to meet the special needs of older adults with disabilities while offering respite and support for the family and other caregivers. We consider our role as a partnership in caregiving and seek to provide support, education, rehabilitation services, and referrals when needed. It is our policy that when a client is medically determined to need twenty- four supervision that we ensure the client is receiving that supervision during the hours outside of the time the spend in our day facility. If we determine that they are unsupervised at any time, we would report it to the client's county Area Agency on Aging. ~. , - , . r"-~J -. i', Sincerely r'<i N ,r uJol:lcn U : l"'~) (: Julia Walter 1.....) - Adult Day Services Manager 100 Mt. Allen Drive. Box 2015 . Mechanicsburg, PA 17055-2015 (717) 697-4666. Fax (717) 790-8200. www.messiahvillage.com Enhancing Life - PETITIONER'S .. i EXHIBIT I 113 ~ IQ';'3o? ~ . . ;l I '-:,i~ 3401 Hartzdale Drive. Camp Hill, PA 17011Q~ iP'h;ne (717) 97t-g762 60 "K" Street. Carlisle, PA 17013 . Phone (t~\Pcit1~ lIP \: Mrs. Priscilla Whitman Cumberland County Office of Aging Human Services Building 16 W. High Street Carlisle, PA 17013 October 18, 2002 Dear Mrs. Whitman: Here are a few answers in reference to your inquiry about a cognitively impaired person's admission to the Adult Day Care program. There are rights and obligations for both the service provider and the client. Impaired clients need to have a responsible caregiver center staff may have easy access to. This responsible party attends to the client's physical and medical needs, arranges and fulfills the attendance schedule, participates in care planning, and communicates any changes or concerns with the center's staff. This person also assures the client's safe transportation to and from the center as well as getting safely in and out of the center and the home. If your client has been determined by various professionals to require twenty-four hour supervision, supports need to be in place continually. The center cannot serve a person who is not fully supported in the community. I hope this answers some of your questions. Sincerely, I ) 'J.f" , .., /./ . / . . '. . . y. d<~ ...::L----" I.[P--:t" bt.. tL { J Elizabeth Hays J Director a division ot . ... PETITIONER'S .. 01 EXHIBIT J lill /6.J34#. 1((; \vww.cparc.org ~ IN THE MATTER OF THE PERSON AND ESTATE OF: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSON ORPHANS' COURT DIVISION NO. 21-02-694 IN RE: PETITION FOR APPOINTMENT OF EMERGENCY GUARDIAN OF THE PERSON AND ESTATE BEFORE OLER, J. ~RDER OF COURT thisl~ aay of September, 2002, upon consideration of AND NOW, Petitioner's Petition for Appointment of Emergency Plenary Guardian of the Person and Estate, and following a hearing, it is ordered, adjudged and decreed as follows: 1. Geraldine Reighard is adjudicated an incapacitated person on an emergency basis. 2. The Area Agency on Aging III and for Cumberland County, Pennsylvania, is appointed emergency plenary guardian of Ms. Reighard's person and estate. 3. The guardianship of the person shall extend for a period of 72 hours, subject to the guardian's right to apply for an extension of 20 additional days; the guardianship of the estate shall extend for a period of30 days. 4. The guardian is directed to exhaust all possibilities ot residency other than a nursing home prior to considering .. placement of Ms. Reighard to a nursing home, and to preserve and protect her cat from harm. s. Any existing power of attorney executed by Ms. Reighard is suspended. BY THE COURT, Jt Anthony DeLuca, Esq. Attorney for Petitioners Mark F. Bayley, Esq. Court-Appointed Attorney for Geraldine Reighard IN THE MATTER OF THE PERSON AND ESTATE OF: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSON ORPHANS' COURT DIVISION NO. 21-02-694 IN RE: PETITION FOR APPOINTMENT OF EMERGENCY GUARDIAN OF THE PERSON AND ESTATE BEFORE OLER, J. OPINION and ORDER OF COURT OLER, J., September 27,2002. At issue in the present case is whether Geraldine Reighard should be adjudicated an incapacitated person on an emergency basis and, if so, whether Petitioner, the Area Agency on Aging in and for Cumberland County, Pennsylvania, should be appointed emergency plenary guardian of her person and her estate. A hearing was held in this matter on August 7, 2002, and September 25, 2002. The allegedly incapacitated person was present and represented by her court-appointed counsel, Mark F. Bayley, Esq. Based upon the evidence presented at the hearing, the following Findings of Fact, Discussion and Order of Court are made and entered: FINDINGS OF FACT I. The allegedly incapacitated person is Geraldine Reighard, a domiciliary of Cumberland County, Pennsylvania, born March 14, 1922, and residing at 215 West Main Street, Mechanicsburg, Cumberland County, Pennsylvania. 2. Petitioner is the Area Agency on Aging in and for Cumberland County, Pennsylvania, with offices located at 16 West High Street, Carlisle, Cumberland County, Pennsylvania. 3. Ms. Reighard suffers from pnmary dementia, probably due to Alzheimer's Disease. , 4. This condition has existed for several years and has recently become significantly symptomatic. 5. As a consequence of the illness, Ms. Reighard's ability to receive and evaluate information effectively and communicate decisions in any way is impaired to such a significant extent that she is totally unable to manage her financial resources and totally unable to meet essential requirements for her physical health and safety. 6. There is no indication at the present time that Ms. Reighard's condition will improve. 7. Ms. Reighard's income is about $500.00 per month and she does not appear to have resources in the form of assets, family or friends available to meet her needs. 8. Ms. Reighard's symptoms have advanced to the point that she misplaces her belongings and suspects others of stealing them, can not keep appointments, often becomes lost after leaving her residence, is in danger of being hit by traffic as a pedestrian, and has become the subject of the attention and assistance of strangers and Mechanicsburg Borough police on a frequent basis. 9. Ms. Reighard's symptoms have unfortunately reached the point that, given the absence of supportive resources, (a) she is in need of a plenary guardian of her person and estate and (b) a failure to appoint such a guardian will result in irreparable harm to her person and estate. 10. The durations of the necessary guardianships of the person and estate shall be as long as permitted by law, but, because the guardianships have been requested on an emergency basis, by statute the emergency guardianship of the person may not extend beyond 72 hours in the absence of further order of court (and in no event may continue for more than 20 days thereafter), and the emergency guardianship of the estate may not extend beyond 30 days.' \ See Act of June 30, J 972, P.L. 508, 92, as amended, 20 Pa. C.S. 95513 (Supp. 2002). 2 , 11. The foregoing findings of fact are made on the basis of clear and convincing evidence. DISCUSSION Under Pennsylvania law, an emergency guardian of the person and/or estate may be appointed in the case of a person alleged to be incapacitated "when it appears that the person lacks capacity, [the person] is in need ofa guardian[,] and a failure to make such appointment will result in irreparable harm to the person or estate of the alleged incapacitated person." Act ofJune 30, 1972, P.L. 508, 92, as amended, 20 Pa. C.S. 95513 (Supp. 2002). An "incapacitated person" means an adult whose ability to receive and evaluate information effectively and communicate decisions in any way is impaired to such a significant extent that he is partially or totally unable to manage his financial resources or to meet essential requirements for his physical health and safety. Id. 95501. Proof in such a case must be by clear and convincing evidence. Jd. 995511(a),5513. In the present case, Petitioner has demonstrated by clear and convincing evidence that an emergency adjudication of incapacity and appointment of a plenary guardian of the person and estate are appropriate. For this reason, the following order will be entered: ORDER OF COURT AND NOW, this 27th day of September, 2002, upon consideration of Petitioner's Petition for Appointment of Emergency Plenary Guardian of the Person and Estate, and following a hearing, it is ordered, adjudged and decreed as follows: 1. Geraldine Reighard is adjudicated an incapacitated person on an emergency basis. 3 2. The Area Agency on Aging in and for Cumberland County, Pennsylvania, is appointed emergency plenary guardian of Ms. Reighard's person and estate. 3. The guardianship of the person shall extend for a period of 72 hours, subject to the guardian's right to apply for an extension of 20 additional days; the guardianship of the estate shall extend for a period of30 days. 4. The guardian is directed to exhaust all possibilities of residency other than a nursing home prior to considering placement of Ms. Reighard to a nursing home, and to preserve and protect her cat from harm. 5. Any existing power of attorney executed by Ms. Reighard is suspended. BY THE COURT, s/ J. Wesley Oler. Jr. J. Wesley Oler, Jr., J. Anthony DeLuca, Esq. Attorney for Petitioners Mark F. Bayley, Esq. Court-Appointed Attorney for Geraldine Reighard 4 r IN THE MATTER OF THE PERSON AND ESTATE OF: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSON ORPHANS' COURT DIVISION NO. 21-02-694 IN RE: PETITION FOR APPOINTMENT OF EMERGENCY GUARDIAN OF THE PERSON AND ESTATE BEFORE OLER, J. ,PRDER OF COURT thisl~ %ay of September, 2002, upon consideration of AND NOW, Petitioner's Petition for Appointment of Emergency Plenary Guardian of the Person and Estate, and following a hearing, it is ordered, adjudged and decreed as follows: 1. Geraldine Reighard is adjudicated an incapacitated person on an emergency basis. 2. The Area Agency on Aging III and for Cumberland County, Pennsylvania, is appointed emergency plenary guardian of Ms. Reighard's person and estate. 3. The guardianship of the person shall extend for a period of 72 hours, subject to the guardian's right to apply for an extension of 20 additional days; the guardianship of the estate shall extend for a period of30 days. 4. The guardian is directed to exhaust all possibilities of residency other than a nursing home prior to considering , placement of Ms. Reighard to a nursing home, and to preserve and protect her cat from harm. 5. Any existing power of attorney executed by Ms. Reighard is suspended. BY THE COURT, ? /. ilL. esley Oler, " J. Anthony DeLuca, Esq. Attorney for Petitioners Mark F. Bayley, Esq. Court-Appointed Attorney for Geraldine Reighard I IN THE MATTER OF THE PERSON AND ESTATE OF: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSON ORPHANS' COURT DIVISION NO. 21-02-694 IN RE: PETITION FOR APPOINTMENT OF EMERGENCY GUARDIAN OF THE PERSON AND ESTATE BEFORE OLER, J. OPINION and ORDER OF COURT OLER, J., September 27,2002. At issue in the present case is whether Geraldine Reighard should be adjudicated an incapacitated person on an emergency basis and, if so, whether Petitioner, the Area Agency on Aging in and for Cumberland County, Pennsylvania, should be appointed emergency plenary guardian of her person and her estate. A hearing was held in this matter on August 7, 2002, and September 25, 2002. The allegedly incapacitated person was present and represented by her court-appointed counsel, Mark F. Bayley, Esq. Based upon the evidence presented at the hearing, the following Findings of Fact, Discussion and Order of Court are made and entered: FINDINGS OF FACT 1. The allegedly incapacitated person is Geraldine Reighard, a domiciliary of Cumberland County, Pennsylvania, born March 14, 1922, and residing at 215 West Main Street, Mechanicsburg, Cumberland County, Pennsylvania. 2. Petitioner is the Area Agency on Aging in and for Cumberland County, Pennsylvania, with offices located at 16 West High Street, Carlisle, Cumberland County, Pennsylvania. 3. Ms. Reighard suffers from primary dementia, probably due to Alzheimer's Disease. I 4. This condition has existed for several years and has recently become significantly symptomatic. 5. As a consequence of the illness, Ms. Reighard's ability to receive and evaluate information effectively and communicate decisions in any way is impaired to such a significant extent that she is totally unable to manage her financial resources and totally unable to meet essential requirements for her physical health and safety. 6. There is no indication at the present time that Ms. Reighard's condition will improve. 7. Ms. Reighard's income is about $500.00 per month and she does not appear to have resources in the form of assets, family or friends available to meet her needs. 8. Ms. Reighard's symptoms have advanced to the point that she misplaces her belongings and suspects others of stealing them, can not keep appointments, often becomes lost after leaving her residence, is in danger of being hit by traffic as a pedestrian, and has become the subject of the attention and assistance of strangers and Mechanicsburg Borough police on a frequent basis. 9. Ms. Reighard's symptoms have unfortunately reached the point that, given the absence of supportive resources, (a) she is in need of a plenary guardian of her person and estate and (b) a failure to appoint such a guardian will result in irreparable harm to her person and estate. 10. The durations of the necessary guardianships of the person and estate shall be as long as permitted by law, but, because the guardianships have been requested on an emergency basis, by statute the emergency guardianship of the person may not extend beyond 72 hours in the absence of further order of court (and in no event may continue for more than 20 days thereafter), and the emergency guardianship of the estate may not extend beyond 30 days.l I See Act ofJune 30,1972, P.L. 508, ~2, as amended, 20 Pa. C.S. ~5513 (Supp. 2002). 2 , 11. The foregoing findings of fact are made on the basis of clear and convincing evidence. DISCUSSION Under Pennsylvania law, an emergency guardian of the person and/or estate may be appointed in the case of a person alleged to be incapacitated "when it appears that the person lacks capacity , [the person] is in need of a guardian[,] and a failure to make such appointment will result in irreparable harm to the person or estate of the alleged incapacitated person." Act of June 30, 1972, P.L. 508, 92, as amended, 20 Pa. C.S. 95513 (Supp. 2002). An "incapacitated person" means an adult whose ability to receive and evaluate information effectively and communicate decisions in any way is impaired to such a significant extent that he is partially or totally unable to manage his financial resources or to meet essential requirements for his physical health and safety. Id. 95501. Proof in such a case must be by clear and convincing evidence. Id. 99551l(a),5513. In the present case, Petitioner has demonstrated by clear and convincing evidence that an emergency adjudication of incapacity and appointment of a plenary guardian of the person and estate are appropriate. For this reason, the following order will be entered: ORDER OF COURT AND NOW, this 27th day of September, 2002, upon consideration of Petitioner's Petition for Appointment of Emergency Plenary Guardian of the Person and Estate, and following a hearing, it is ordered, adjudged and decreed as follows: 1. Geraldine Reighard is adjudicated an incapacitated person on an emergency basis. 3 ~ 2. The Area Agency on Aging in and for Cumberland County, Pennsylvania, is appointed emergency plenary guardian of Ms. Reighard's person and estate. 3. The guardianship of the person shall extend for a period of 72 hours, subject to the gUardian's right to apply for an extension of 20 additional days; the guardianship of the estate shall extend for a period of30 days. 4. The guardian is directed to exhaust all possibilities of residency other than a nursing home prior to considering placement of Ms. Reighard to a nursing home, and to preserve and protect her cat from harm. 5. Any existing power of attorney executed by Ms. Reighard is suspended. BY THE COURT, sf J. Wesley Oler, Jr. J. Wesley Oler, Jr., J. Anthony DeLuca, Esq. Attorney for Petitioners Mark F. Bayley, Esq. Court-Appointed Attorney for Geraldine Reighard 4 . . IN THE MATTER OF THE PERSON AND : IN THE COURT OF COMMON PLEAS OF ESTATE OF: : CUMBERLAND COUNTY, PENNSYL V ANlA GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSON: ORPHANS' COURT DIVISION NO. 21-02-694 PETITION TO EXTEND EMERGENCY GUARDIANSHIP AND NOW COMES THE PETITIONER, the Area Agency on Aging in and for Cumberland County, Pennsylvania, who represents and avers as fo\1ows: 1. The Petitioner is the Area Agency on Aging, in and for Cumberland County, with its office located at 16 West High Street, Carlisle, Cumberland County, Pennsylvania. 2. The a\1eged incapacitated person is Geraldine Reighard, age 80, single woman, who resides at 215 West Main Street, Mechanicsburg, Cumberland County, Pennsylvania and has resided there for a period exceeding one (1) year prior to the filing ofthis Petition. 3. On or about August 2, 2002, Petitioner filed a Petition for Appointment of Emergency Plenary Guardians of the Person and Estate of Geraldine Reighard, an a\1eged incapacitated person. 4. Testimony was presented at Hearings on August 7, 2002 and again on September 25,2002 on the Petition resulting in an Order being entered on September 27,2002 wherein Geraldine Reighard was adjudicated an incapacitated person on an Emergency basis and the Area Agency on Aging, in and for Cumberland County, Pennsylvania was appointed Emergency Plenary Guardians of the Person and Estate of Geraldine Reighard, which Order was in effect for seventy-two (72) hours. 5. The seventy-two (72) hour period has elapsed. 6. Petitioner believes and, therefore, avers that the emergency continues because her condition remains the same. 7. Petitioner believes and, therefore, avers that the Emergency Order dated September 27, 2002, a copy of which is attached hereto, marked as Exhibit "A", and incorporated herein by reference, should be extended for twenty (20) days from the expiration of the initial Emergency Order. 8. Mark F. Bayley, Esquire, counsel for Geraldine Reighard, the alleged incapacitated person, does not object to the requested extension. WHEREFORE, Petitioner prays that this Honorable Court: 1. Extend the appointment of the Area Agency on Aging, in and for Cumberland County, Pennsylvania, as Emergency Plenary Guardians of the Person and Estate of Geraldine Reighard, an alleged incapacitated person, for twenty (20) days from the expiration of the initial Emergency Order, at which time a full Guardianship Hearing will be held; and 2. Issue a rule upon Geraldine Reighard, the alleged incapacitated person, with notice thereofto be given to her next-of-kin, and to such other persons as this Court may direct, to show cause why she should not be adjudged an incapacitated person and the Area Agency on Aging, in and for Cumberland County, Pennsylvania be appointed Permanent Plenary Guardians of her Person and Estate. Respectfully Submitted, C2t~~ .fi d.t ~--C,^--- Anthon; L. D~ca, Esquire 113 Front Street P.O. Box 358 Boiling Springs, P A 17007 (717) 258-6844 VERIFICATION I hereby verify that the facts and information set forth in the foregoing Petition to Extend Emergency Guardianship of Geraldine Reighard are true and correct to the best of my knowledge, information, and belief. I understand that any false statements contained herein are subject to the penalties of 18 Pa. C.S. Section 4904, relating to unsworn falsification to authorities. Dated: ~o nt. .in ~OO;1 I I () /1,);)1'1 (},7 0 IA)).d;YY\.O/Y\.-, Priscilla Whitman IN THE MATTER OF THE PERSON AND ESTATE OF: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSON IN RE: PETITION FOR APPOINTMENT OF EMERGENCY GUARDIAN OF THE PERSON AND ESTATE BEFORE OLER, J. ~RDER OF COURT AND NOW, thiBZi day of September, 2002, upon consideration of Petitioner's Petition for Appointment of Emergency Plenary Guardian of the Person and Estate, and toJlowing a hearing. it is ordered, adjudged and decreed as ORPHANS' COURT DIV1SION NO. 21-02-694 follows: 1. Geraldine Reighard is adjudicated an incapaCItated person on an emergency basis. 2. The Area Agency on Aging m and for Cumberland County, Pennsylvania, is appoinTed emergency plenary guardian of Ms. Reighard's person and estate. 3. The guardianship of the person shall c:I.'tend for a period of 72 hours, subject to the guardian's right to apply for an extension of 20 additional days: the guardianship of the estate shall extend for a period oBO days. 4. The guardian is directed to exhaust all possibilities of residency other than II nursing borne prior to considering EXHIBIT "A" ~u02(F~Il LS,2S COUR~S ...- . . placement of Ms. Reighard to a nursing home, and to preserve and protect her cat ti'om harm. 5. Any existing power of attorney executed by Ms. Reighard is suspended. BY TIIE COURT. Anrhony DeLuca, Esq. Attorney for Petitioners Mark F. Bayley, Esq. Court-Appointed Attorney for Gemldine Reighard IN THE MATTER OF THE PERSON AND : IN THE COURT OF COMMON PLEAS OF ESTATE OF: : CUMBERLAND COUNTY, PENNSYLVANIA GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSON: ORPHANS' COURT DIVISION NO. 21-02-694 ORDER AND NOW, this 3,t) It day of ~"f+ , 2002, upon consideration ofthe Petitioner's Petition to Extend Emergency Guardianship, it is Ordered and Decreed that: 1. The appointment of the Area Agency on Aging, in and for Cumberland County, Pennsylvania, as Emergency Plenary Guardians of the Person and Estate of Geraldine Reighard be extended for twenty (20) days from the expiration of the initial Emergency Order; 2. A Hearing be held on thed3J1J'day of {':H!.t:!!u/v , 2002 in Courtroom No. ---L-, Cumberland County Courthouse, Carlisle, Pennsylvania at , ? :'3 0 e .M. to determine whether Permanent Plenary Guardians ofthe Person and Estate of Geraldine Reighard should be appointed; and 3. Issue a rule upon Geraldine Reighard, the alleged incapacitated person, with notice thereof to be given to her next-of-kin, and to such other persons as this Court may direct, to show cause why she should not be adjudged an incapacitated person and the Area Agency on Aging, in and for Cumberland County, Pennsylvania be appointed Permanent Plenary Guardians of her Person and Estate. BY THE COURT, .' / , / " . .' L { . i l..-:::> j'Wesley Oler, IF. ../'-ffll"~~ YJrtCF to/t/~? A..& . . \S - ,.-. -- IN THE MATTER OF THE PERSON AND ESTATE OF: GERALDINE REIGHARD, ALLEGED INCAPACITATED PERSON IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA ORPHANS' COURT DIVISION NO. 21-02-694 IN RE: PETITION TO EXTEND EMERGENCY GUARDIANSHIP ORDER OF COURT AND NOW, this 1st day of October, 2002, the appointment of Mark F. Bayley, Esq., as counsel for Geraldine Reighard, is continued to include the hearing scheduled in the above matter for October 23, 2002. BY THE COURT, I , I )(/1 / ,I < 'l/L-;::> / J Wesley Oler, Jr,-, J. Anthony DeLuca, Esq. Attorney for Petitioner Mark F. Bayley, Esq. Court-Appointed Counsel for Geraldine Reighard :rc IN THE MATTER OF THE PERSON AND EST ATE OF: : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA GERALDINE REIGHARD, AN ALLEGED INCAP ACIT A TED PERSON ORPHANS' COURT DIVISION NO.2 f- ".7 - cr"'! PETITION FOR APPOINTMENT OF PERMANENT PLENARY GUARDIANS OF THE PERSON AND ESTATE AND NOW COMES THE PETITIONER, the Area Agency on Aging in and for Cumberland County, Pennsylvania who represents and avers as follows: 1. The Petitioner is the Area Agency on Aging, in and for Cumberland County, with its office located at 16 West High Street, Carlisle, Cumberland County, Pennsylvania. 2. The alleged incapacitated person is Geraldine Reighard, single woman, age 80, who currently resides at Forest Park Health Center 700 Walnut Bottom Road, Carlisle, Cumberland County, Pennsylvania. 3. On or about August 2, 2002, the Petitioner filed a Petition for Appointment of Emergency Plenary Guardian of the Person and Estate of Geraldine Reighard to No. 21- 02-694 of the Orphans' Court Division ofthe Court of Common Pleas, in and for Cumberland County, Pennsylvania. 4. The contents of the Petition for Appointment of Emergency Plenary Guardian of the Person and Estate of Geraldine Reighard are incorporated herein by reference as though set forth in full. 5. Testimony was presented at Hearings on August 7, 2002 and again on September 25,2002 on the Petition resulting in an Order being entered on September 27,2002 wherein Geraldine Reighard was adjudicated an incapacitated person on an Emergency basis and the Area Agency on Aging, in and for Cumberland County, Pennsylvania was appointed Emergency Plenary Guardians of the Person and Estate of Geraldine Reighard, which Order was in effect for seventy-two (72) hours. 6. On or about September 30, 2002, Petitioner filed a Petition to Extend Emergency Guardianship and, by Order dated September 30, 2002, the appointment of the Area Agency on Aging, in and for Cumberland County, Pennsylvania, as Emergency Plenary Guardians of the Person and Estate of Geraldine Reighard was extended for twenty (20) days from the expiration of the initial Emergency Order and a Hearing is scheduled for October 23,2002 to determine whether Permanent Plenary Guardians of the Person and Estate of Geraldine Reighard should be appointed. 7. There are no known relatives of the alleged incapacitated person. 8. The Petitioner believes and, therefore, avers that allowing Geraldine Reighard to continue living in the house and wandering the streets of Mechanicsburg would place her in imminent danger of death or serious bodily harm. 9. Petitioner believes and, therefore, avers that Geraldine Reighard should be placed in a nursing home facility. 10. Less restrictive alternatives are not available because there is no one able to care for her. II. The Area Agency on Aging, in and for Cumberland County, Pennsylvania, is willing to accept the appointment of Permanent Plenary Guardians ofthe Person and Estate of Geraldine Reighard. 12. No other Court has ever assumed jurisdiction in any proceeding to determine the incapacity of Geraldine Reighard. 13. The failure to appoint the Area Agency on Aging, in and for Cumberland County, Pennsylvania as Permanent Plenary Guardians of the Person and Estate of Geraldine Reighard will result in irreparable harm to the person and estate of Geraldine Reighard. WHEREFORE, Petitioner prays that this Honorable Court appoint the Area Agency on Aging, in and for Cumberland County, Pennsylvania as Permanent Plenary Guardians of the Person and Estate of Geraldine Reighard. Respectfully Submitted, ~., l// {'/ ti .. U.:\ /". (!..r;' 1\ ,. Anthony L. ~a, Esquire 113 Front Street P.O. Box 358 Boiling Springs, P A 17007 (717) 258-6844 / , ({ (' 0<. VERIFICATION I hereby verify that the facts and information set forth in the foregoing Petition for Appointment of Permanent Plenary Guardians of the Person and Estate of Geraldine Reighard are true and correct to the best of my knowledge, information, and belief. I understand that any false statements contained herein are subject to the penalties of 18 Pa. C.S. Section 4904, relating to unsworn falsification to authorities. Dated: /013 loa. ~J)M1'~ O{)a 11 Vl1t-maf'lL Priscilla Whitman IN THE MATTER OF THE PERSON AND ESTATE OF: : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA GERALDINE REIGHARD, AN ALLEGED INCAP ACIT A TED PERSON ORPHANS' COURT DIVISION NO.,~o (- c,{_ ere; PRELIMINARY DECREE AND NOW, this "3 r J day of October, 2002, upon consideration of the annexed Petition, it is hereby ORDERED AND DECREED that a Hearing on this matter is set for the 23'd day of October, 2002, at 3:30 P. M. O'clock in Courtroom No. I at the Cumberland County Courthouse, I Courthouse Square, Carlisle, Pennsylvania. Mark F. Bayley, Esquire is appointed to represent the allegedly incapacitated person. BY THE COURT, CI of the rt Cumberland County IN THE MATTER OF THE PERSON AND ESTATE OF: : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSON ORPHANS' COURT DNISION NO. 21-02-694 CITATION TO THE ALLEGED INCAPACITATED PERSON To: Geraldine Reighard: We command you to appear at a hearing in the Orphans' Court of Cumberland County, to be held in Courtroom No.1 of the Cumberland County Courthouse, on October 23,2002, at 3:30 o'clock P.M., to show cause why you should not be adjudged an incapacitated person and a Guardian appointed for your person and estate. BY THE COURT, J. RECORD j'.:..\:t 'C. :$1 'f'" A : "'~r "'l~ll .l.\....:t1,.......... .')i'...': n,'~'(\ 1~ ,I :i.' f, ","J." .,.,1: .." IN RE: GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSON IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION NO. 21-02-0694 IMPORTANT NOTICE CITATION WITH NOTICE A petition has been filed with the Court to have you declared an Incapacitated Person. If the Court finds you to be an Incapacitated Person, your rights will be affected, including our right to manage money and property and to make decisions. A copy of the petition which has been filed by ANTHONY L. DeLUCA ESOUIRE is attached. You are hereby ordered to appear at a hearing to be held in Court Room No.1, Cumberland County Courthouse, Carlisle, Pennsylvania, on OCTOBER 23 , 2002, at;t. 30 PM. to tell the Court why is should not find you to be an incapacitated Person and appoint a Guardian to act on your behalf. To be an incapacitated Person means that you are not able to receive and effectively evaluate information and communicate decisions and that you are unable to manage your money and/or other property, or to make necessary decisions about where you will live, what medical care you will get, or how your money will be spent. At the hearing, you have the right to appear, to be represented by an attorney, and to request a jury trial. If you do not have an attorney, you have the right to request the Court to appoint an attorney to represent you and to have the attorney's fees paid for you if you cannot afford to pay them yourself. You also have the right to request that the Court order that an independent evaluation as to your alleged incapacity. If the Court decides that you are an Incapacitated person, the Court may appoint a Guardian for you, based on the nature of any condition or disability and your capacity to . , make and communicate decisions. The Guardian will be of your person and/or your money and other property and will have either limited of full powers to act for you. If the court finds you are totally incapacitated, your legal rights will be affected and you will not be able to make a contract or gift of your money to other property. If the court finds that you are partially incapacitated, your legal rights will also be limited as directed by the Court. If you do not appear at the hearing (either in person or by an attorney representing you) the court will still hold the hearing in your absence and may appoint the Guardian requested. By{)t.WIIJ iI!lJ~I~rlJJf'/i~~f1JfJ Clerk, Orphans' Court 'ivision Cumberland County, Carlisle, P A My Commission Expires 1 st Monday, January, 2006 ... 'C- - IN THE MATTER OF THE PERSON AND ESTATE OF: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSONAL ORPHANS' COURT DIVISION NO. 21-02-694 IN RE: PETITION FOR APPOINTMENT OF PLENARY GUARDIANS OF THE PERSON AND ESTATE BEFORE OLER, J. DECREE NISI AND NOW, this 25th day of October, 2002, upon consideration of Petitioner's Petition for Appointment of Permanent Plenary Guardians of the Person and Estate, following a hearing held on October 23, 2002, and for the reasons stated in the accompanying opinion, it is ordered, adjudged and decreed as follows: I. Geraldine Reighard is adjudicated a totally incapacitated person for purposes of her person and estate. 2. The Area Agency on Aging in and for Cumberland County, Pennsylvania, is appointed permanent plenary guardian of her person and estate. 3. The guardian is directed to make such arrangements as are necessary to preserve and protect Ms. Reighard's cat from harm. 4. Any existing power of attorney executed by Ms. Reighard is revoked. IF NO PARTY in interest files a timely post-trial motion under Pennsylvania Rule of Civil Procedure 227.1, this Decree Nisi shall automatically become a Final Decree without further order of court. . BY THE COURT, Anthony DeLuca, Esq. Attorney for Petitioner Mark F. Bayley, Esq. Court-Appointed Attorney for Geraldine Reighard s :;--- IN THE MATTER OF THE PERSON AND ESTATE OF: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA GERALDINE REIGHARD, AN ALLEGED INCAP ACIT A TED PERSONAL ORPHANS' COURT DIVISION NO. 21-02-694 IN RE: PETITION FOR APPOINTMENT OF PLENARY GUARDIANS OF THE PERSON AND ESTATE BEFORE OLER, J. OPINION and DECREE NISI OLER, J., October 25 , 2002. At issue in the present case is whether Geraldine Reighard should be adjudicated an incapacitated person and, if so, whether Petitioner, the Area Agency on Aging in and for Cumberland County, Pennsylvania, should be appointed plenary guardian of her person and her estate. A hearing was held in this matter on October 23, 2002.' The allegedly incapacitated person was present and represented by her court-appointed counsel, Mark F. Bayley, Esq. FINDINGS OF FACT I. The allegedly incapacitated person is Geraldine Reighard, a domiciliary of Cumberland County, Pennsylvania, born March 14, 1922. 2. Until very recently, Ms. Reighard resided at 215 West Main Street, Mechanicsburg, Cumberland County, Pennsylvania. 3. Since September 28,2002, Ms. Reighard has resided at the Forest Park Nursing Home, 700 Walnut Bottom Road, Carlisle, Cumberland County, Pennsylvania. I Pursuant to an agreement of counsel, the record from a hearing held on August 7, 2002, and September 25, 2002, was incorporated into the record of the hearing on October 23,2002. 4. Petitioner is the Area Agency on Aging in and for Cumberland County, Pennsylvania, with offices located at 16 West High Street, Carlisle, Cumberland County, Pennsylvania. 5. Following a hearing on August 7, 2002, and September 25, 2002, Ms. Reighard was adjudicated an incapacitated person on an emergency basis by this court, by order dated September 27, 2002, and Petitioner was appointed emergency plenary guardian of her person and estate. 6. By order of court dated September 30, 2002, the emergency guardianship of the person and estate was extended for 20 days. 7. Ms. Reighard suffers from primary dementia, probably due to Alzheimer's Disease. 8. This condition has existed for several years and has become significantly symptomatic. 9. As a consequence of the illness, Ms. Reighard's ability to receive and evaluate information effectively and communicate decisions in any way is impaired to such a significant extent that she is totally unable to manage her financial resources and totally unable to meet essential requirements for her physical health and safety. 10. There is no indication at the present time that Ms. Reighard's condition will significantly improve. 11. Ms. Reighard's income is about $500.00 per month, and she does not appear to have resources in the form of assets, family or friends available to meet her needs. 12. Manifestations of Ms. Reighard's condition include the misplacement of her belongings and suspicion that others have stolen them, inability to keep appointments, loss of bearings outside her residences, endangerment from traffic as a pedestrian, and need for frequent assistance from local police and strangers. 2 13. Ms. Reighard's symptoms have unfortunately reached the point that, given the absence of supportive resources, she is in need of a plenary guardian of her person and estate. 14. The duration of the necessary guardianship of the person and estate must be considered indefinite at this point, because of the absence of a more favorable prognosis. IS. Petitioner, m its capacity as emergency guardian of Ms. Reighard's person and estate, has explored possibilities of residency other than a nursing home in accordance with the order of September 27, 2002, without success, and has secured a residence for her at a nursing home where she seems to be happy and is physically well cared for. 16. The foregoing findings are made on the basis of clear and convincing evidence. DISCUSSION The provisions respecting an adjudication of incapacity are contained in 20 Pa. C.S. 995501-5537. Petitioner has complied with these provisions, and based upon the foregoing Findings of Fact the following Decree Nisi will be entered: DECREE NISI AND NOW, this 25th day of October, 2002, upon consideration of Petitioner's Petition for Appointment of Permanent Plenary Guardians of the Person and Estate, following a hearing held on October 23, 2002, and for the reasons stated in the accompanying opinion, it is ordered, adjudged and decreed as follows: I. Geraldine Reighard is adjudicated a totally incapacitated person for purposes of her person and estate. 2. The Area Agency on Aging in and for Cumberland County, Pennsylvania, IS appointed permanent plenary guardian of her person and estate. 3 , 3. The guardian is directed to make such arrangements as are necessary to preserve and protect Ms. Reighard's cat from harm. 4. Any existing power of attorney executed by Ms. Reighard is revoked. IF NO PARTY in interest files a timely post-trial motion under Pennsylvania Rule of Civil Procedure 227.1, this Decree Nisi shall automatically become a Final Decree without further order of court. BY THE COURT, . '[ Co J (/l! J. esley Ole~ r., J. Anthony DeLuca, Esq. Attorney for Petitioner Mark F. Bayley, Esq. Court-Appointed Attorney for Geraldine Reighard 4 ~ IN THE MATTER OF THE PERSON AND ESTATE OF: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSON NO. 21-02-0694 ORDER OF COURT AND NOW, this 23rd day of October, 2002, upon stipulation of counsel in the above-captioned case, the notes of testimony and exhibits from the previously held hearing in this case are incorporated herein for purposes of disposition of the Petitioner's Petition for Appointment of Plenary Guardians of the Person and Estate which is the subject of the present hearing. By the Court, Mark F. Bayley, Esquire Court-Appointed Counsel for the Allegedly Incapacitated Person Anthony L. DeLuca, Esquire Attorney for the Petitioner :pcb r- :::::- - IN THE MATTER OF THE PERSON AND ESTATE OF: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSON NO. 21-02-0694 ORDER OF COURT AND NOW, this 23rd day of October, 2002, upon consideration of Petitioner's Petition for Appointment of Plenary Guardians of the Person and Estate, and following a hearing, the record is declared closed and the matter is taken under advisement. By the Court, Mark F. Bayley, Esquire Court-Appointed Counsel for the Allegedly Incapacitated Person J. Anthony L. DeLuca, Esquire Attorney for the Petitioner :pcb ... i'lOV \\1 ZI OURT APPOINTED COUNSEL AUTHORITY TO PAY C 2 VOUC~~ - 1, COURT ~ Common Pleas o District Justice 0 Appellate o Other 5 !j,urv,n CODf 3. fOR (O.J.e.. APPELLATE) (!T,~~';VI~ATE) ~A /i/.J3&-&J 0: \: '~, 8, 0 PEtTY OFFE 6 iN THE CASEj)F \C::\.;'N2.. f2..~:~L.. J'C,\ 7, CHARGE/OFFENSE (pURDON CITATION) o FELONY 0 Mise XV'. Re: (:;>ercA .. ,Q. t 2:€l\fIL DOCKET 9. PROCEEDINGS (Describe briefly) 1 t, PERSON REPRESENTED JI~~(\.OA~ t a Defendant. Adult 'Z.i-O'i:.- (, '-'e...-6~ c"v\.S~;p 2 o Defemdanl' Juvenile 3 a Appellant 13, CRIMINAL DO 4 0 Appellee . o Habeas Pelitioner ~ . o Mall!fial Wl1f\f1U 7 o Parole", Charged With Violation t 4, APPEALS DOC 10_ PERSON REPRESENTED (Full Name) 8 0 Probationer CharQed With Violation Gei;'~t J1vLe [? (,? : q L.. Otf c1 9')t\ 0,"" Al\<?~ :vtc.a.i'a.o.:.kW -- '6-(,,-02. 16, NAME OF ATTORNEYIPAYEE AND A9Pl Dale MAILING ADDRESS ,J LVes le ,1 O\e r J\~ Mosk 1='. lS''Z'(\e'(\ GS'(u; l.s5 S. H'c'-'lo~,rs f--. NAME OF COMMON PtlEAS JUDGE ASS(GNED TO CASE CCl'l;s!e . t:'A 17013 Y.: TEL~)?87E No 18. SOCIAL SECURITY N 117 I - (,070 i?0 -60'1 CLAIM FOR SERVICES OR EXPENSES 19, SERVICE HOURS OATES AMOUNTS C a. Arraignment andlor Plea Multiply rate ~( ho' hours 10 oblain nln b_ Preliminary Hearing pensatlon. Enter lot c. Motions and A~u.ata .. d. Bail Hearings 0: :0 I!. Sentence Hearings 0 U l. Trial ; g. Revocation Hearlnos h. Juvenile HfJsrinQIII l. Appeals Court '9A TOTAL IN COI ~ Other {Specify on additional aheets~:r 1-. .J . \ <."( '?,-7-6d 9-<,S'-rz/J.'IJ~ TOTAL HOURS ::a 5.S-- X ~-'kR HOUR =sb-l'1 20, a InteNiews and conferences Multiply rate pElr he b. Obtaining and reviewing recorda hours. Enter tOlal ", "-.. compensation belo' 00: c. Legal research and brief writing ..:0 :00 d. Investigative and other wark (Specify on additional sheets) 20A TOTAL OUT OU 'Z./J See M<k<:'Lo.oA '" I.,",.yf- COMPo TOTAL HOURS .. 17..t.1 X~~RHOUR =$ 5,t 2t. ITEMIZATION OF REIMBURSABLE EXpENSES AMI. PER ITEM Mile......e $.25.......' mile x '- 'Z- .5.50 a: w :z: 2'A. TOT .. 0 -$ 22. CERTIFICATION OF ATTORNEY/PAYEE 23, GP Has compensalion and/or reimbureement fO( work in this cue previously been applied fof? o YES !ll(NO - If yes, were you paid? DYES a NO If yes, bywhom were you paid? How much? I-- Has the person represented paid any money to you. or to your knowledge anyone else, In connection with the matter for 24. r which you w8ra 8poointed 10 provide represent,tlR,"7 A O~~NO It yes, glWJ details on 8~1iOn.1 ~eet~ >- I swear or affirm the truth orcol"Tect~ss j -c.. -0<::' 2' of fhe abo...e statements Stg'halure~AttOmey/P'Y&. I' Date 26 ,,"PlKN( tll ~. /i v// /2- nI?l . ~orl Signature of .08t.:;70\,./ " I, 2 ~ 02 "'AVM(NI JudQe v l./,f , ... j < v u Copy 1 . Mail to C~ at completion of service 8-19-02 8-27-02 8-27-02 8- 30-02 9-5.02 9-18.02 9- I 9-02 9-25-02 9-25-02 9-27-02 9-30-02 9-30-02 9.30-02 9-30-02 10-1-02 10-3.02 10-10-02 10-23.02 ~ --0'-" ,~ -....... -~.... ."'.."..",.""/ Phone wi Persilla Phone wi Deluca, Esq. Phone wi 1. Oler's Ruth Phone wi Percilla Scheduling Phone wi Deluca, Esq. Phone wi Deluca, Esq. Hearing prep. Hearing Review Order & Miscel. Phone wi Deluca, Esq. Phone wi Deluca, Esq. & J. Oler Review Petition Review Opinion Phone wi Ruth Review Petition & Order Phone wi Deluca, Esq. Review materials & hearing prep. .2 .2 .2 .3 .1 .2 .2 1.6 3.0 .3 .2 .2 .2 .2 .2 .3 .2 .3 r --- IN THE MATTER OF THE PERSON AND ESTATE OF: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSON NO. 21-02-0694 ORDER OF COURT AND NOW, this 23rd day of October, 2002, upon stipulation of counsel in the above-captioned case, the notes of testimony and exhibits from the previously held hearing in this case are incorporated herein for purposes of disposition of the Petitioner's petition for Appointment of Plenary Guardians of the Person and Estate which is the subject of the present hearing. By the Court, Mark F. Bayley, Esquire Court-Appointed Counsel for the Allegedly Incapacitated Person Anthony L. DeLuca, Esquire Attorney for the Petitioner :pcb -- !..- - - IN THE MATTER OF THE PERSON AND ESTATE OF: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSON NO. 21-02-0694 ORDER OF COURT AND NOW, this 23rd day of October, 2002, upon consideration of Petitioner's Petition for Appointment of Plenary Guardians of the Person and Estate, and following a hearing, the record is declared closed and the matter is taken under advisement. By the Court, Mark F. Bayley, Esquire Court-Appointed Counsel for the Allegedly Incapacitated Person J. Anthony L. DeLuca, Esquire Attorney for the Petitioner :pcb AUTHORITY TO PAY COURT APPOINTED COUNSEL v ;~ NOV 0 1 ZOOt '"j 1. COURT 2 VOUC~~ - o District Justice J('Common Pleas 0 Appellate o Other 6934 3. FOR IDJ&.. APPELLATE) ~T(CITY/STATE) ~A So()F'"iFT. CODE 0..\'-( ~le I . -~3&.-.&40-05b 6. IN THE CASE OF \ d ''f'.Q... f<.e.: 51,o.J'~ 7. CHARGE/OFFENSE (PURDON CITATION) 8. 0 PETTY OFFENSE . T .::r", Re: 0erc.. ... \ o FELONY 0 MISDEMEANOR 9. PROCEEDINGS (DeScribe briefly) 11. PERSON REPRESENTED ~r-et\flL DOCKET NO. Gue...&c...,^-S~;p \ 0 Delendlnt - Adult rf>i""~~ 2 0 Defendanl- Juvenile -z.i-Oc:.-b9'-( 3 0 Appellant 13. CRIMINAL DOCKET NO 4 0 Appeflee 5 " Habeas Pelitio,,!!r ~ . 0 MaleflalW,lness 7 0 Parolee Charged With Violation 10. PERSON REPRESENTED (Full Name) 8 0 Probe.lioner Charged With Violation 14. APPEALS DOCKET NO GeE'c,,\ d.il/LQ. [? (l: q~o,r c:1 · 'Xl 0,"" A\l€~ :V\=f>",,,,kW "-- "<f-(.,-02..- 16. NAME OF ATTOANEY/PAYEE AND Appt Date MAILING ADDRESS ~, kJeS\Q,l O~e\ J,~ Mo.,\(, r, ls"'<.'-(\<2'f\ Gs.'t<.J::--e IS'S S. l-k..vw.er-St-. NAME OF COMMON PilEAS JUDGE ASS(GNED TO CASE Cc..t'l:sle , \:'A 17013 y~ TEL~i;f/iE No. 18. SOCIAlSECURITYNQ OREIN~O~ 717 1-(,070 c0 -60'-/ 3~b CLAIM FOR SERVICES OR EXPENSES 19. SERVICE HOURS DATES AMOUNTS CLAIMED 8. Arraignment andior Plea Multiply rate per hour limes lalal b. Preliminary Hearing hours 10 oblain HJn Court" com- pensation. Enter lolal below. c. Motions and Requests ... d. Bail Hearings 0: ::> 8. Sentence Hearings 0 U t. Trial :;; g. Revocation Hearings h. Juvenile Hearings 1. Appeals Court 19A. TOTAL IN COURT COMPo j. Other (Specify on addillonaJ sheets) ((~(Je..t-J > .d...^) .<.,$ '?,-7-0'd 9-2'S-lR./'..ZS-i:i. . 5,S-- X~~RHOUR =$Z41. SO TOTAL HOURS "" 20. a Interviews and conferences Multiply rate per hour times lotal b. Obtaining and reviewing r8Cords hours. Enler tolal "Out of Court" u..... compensation below. 00: c. Legal research and brief writing ...::> ::>0 d. Investigative and other work (Specify on additional sheets) 20A. TOTAL OUT OF COURT Ou See A-\...I<:.d. ~ " I. .,.--1- COMPo IZ,Lj TOTAL HOURS = \"l.,t..1 X~~RHOUR ~$ S :)T). 06 21. ITEMIZATION OF REIMBURSABLE EXpENSES AMT. PER ITEM Mileage $.25 oer mire x <- "Z- $,50 0: W r 21A. TOTAL ITEMIZED EXP. ... 0 -$ S~ 5'{) 22. CERTIFICATION OF ATTORNEV/PAYEE 23. GRANO TOTAL CLAIMED Has compensation andlor reimbursement for wortt In this caa. previously been applied fO(1 DYES /lI(NO =$ 8\\.OD If yes. were you paid? DYES o NO If yes, by whom were you paid? How much? Has the person represented paid any money to you, or to your knOWledge anyone else, in connectton with tne matter 'or 24. DEDUCT, PRIOR PYMTS. which you were appointed to provide representa,t1fZn7 are? ~ NO If yes, give details on Bd~tional ~eetl\ -$~ I swear or affirm the truth or correctness./1 J - z.. -uc 25. NET AMOUNT CLAIMED of lhe above statements Slg~tur~...!"omey/payee I Oate -$ 'B:\\.O() 261\1'P110\llD' ~. ) t//:~ (!, 0i! I, 27. AMT. APiROVED . ~Oll Signature 01 .0at.:(7ov r ',2002- -$9, ,DC) PAYMENT Judge v ./ Copy 1 . Mail 10 C~ al completion of service I 20( d) 8-6-02 8-6-02 8-6-02 8-7-02 8-7-02 8-7-02 8- 7-02 8-9-02 8-12-02 8-13-02 8-13-02 8-14-02 8-14-02 8-14-02 8-14-02 8-15-02 8-15-02 8-15-02 8-16-02 8-19-02 8-19-02 8-19-02 8-27-02 8-27-02 8-30-02 9-5-02 9-18-02 9-19-02 9-25-02 9-25-02 9-27-02 9-30-02 9-30-02 9-30-02 9-30-02 10-1-02 10-3-02 10-10-02 10-23 -02 , Initial scheduling .2 Phone wI Deluca, Esq. .2 Phone wI Deluca, Esq. .2 Review Petition .4 Hearing 1.3 Research .5 Phone wI Deluca, Esq. & J. Oler's Ruth .2 Phone wI Deluca, Esq. .2 Phone wI Deluca, Esq. .2 Review Order .1 Conference call with Judge & Deluca, Esq. .25 Phone wI Judge Chambers .2 Meeting with Judge, Deluca & Marie .75 Discussion wI Deluca, Esq. .25 Phone wI Marie .2 Phone wI Percilla (Dep. of Aging) .2 Phone wI Marie .2 Meet Client wI Persilla & Marie 1.75 Review order .1 Phone wI Persilla .3 Phone wI Tim Yeager (Pers. care home) .3 Phone wI Persilla .2 Phone wI Deluca, Esq. .2 Phone wI J. Oler's Ruth .2 Phone wI Percilla .3 Scheduling .1 Phone wI Deluca, Esq. .2 Phone wI Deluca, Esq. .2 Hearing prep. 1.6 Hearing 3.0 Review Order & Miscel. .3 Phone wI Deluca, Esq. .2 Phone wI Deluca, Esq. & J. Oler .2 Review Petition .2 Review Opinion .2 Phone wI Ruth .2 Review Petition & Order .3 Phone wI Deluca, Esq. .2 Review materials & hearing prep. .3 " 10-23-02 10-28-02 10-28-02 Total: ... Hearing Review Order & Opinion Filing & Miscel. 1.2 .2 .3 17.8 <ltumbtrlanb <ltnunty (@ffict nf Aging dJ -O,J _ 01 0'1 ~ & <ltnmmunity ~trUiCtll HUMAN SERVICES BUILDING 16 West High Street, Carlisle, PA 17013 [717] 240-6110 or 697-0371, Ext. 6110 532-7286, Ext. 6110 Fax: 240-611 website: www.cca.net/in e-mail: a in cc a.ne ANNUAL GUARDIANSHIP REPORT FOR GERALDINE REIGHARD Bruce BJrclay ChaTrman Gal)' EicheJ~erger Vice Chajrman Richard L. Rotegno Secne/ary TerryL. Sarley Dlllec/or September 22, 2005 li-.) 'I' -) ~ I ; I ~... I: I' r' Report from Guardian of Person and Estate Cumberland County Office of Aging Priscilla Whitman, Aging Care Manager III ," f' el, , ---t ---, ! - . On October 25,2002, Permanent Guardianship of Person and Estate for 1',)1 Geraldine Reighard was granted by Judge J. Wesley Oler to Cumberland County Office of Aging. Ms. Reighard at that time was residing at Forest Park Health Center where she continues to live. Her admission date to Forest Park was on September 28,2002. At the time of her admission to Forest Park, Ms. Reighard was diagnosed with senile dementia, non organic psychosis and depressive disorder. Her present medical conditions also include gastro esophageal reflux disorder, ambulatory dysfunction, dysphasia and history of fractured left hip and left I wrist. Her present medications are; Trazadone, Risperdal, Depakote, Prilosec,i Lexapro, Miralax powder, Xenaderm ointment and Tylenol. Her nutrition is good, her weight is stable and she eats 75% or more of her meals. Ms. Reighard continues to require maximum assistance with all her activities of daily living and transfers. The majority of the time Ms. Reighard is very , cooperative with her care. Although since her fall which resulted in fractured: hip and wrist she yells out at times while care is being done. She requires I supervision while eating and is on a pureed diet of small portions. Nursing staff provide weekly skin and pain assessment. Ms. Reighard is prone to skin: breakdown and experiences pain in her shoulders. She has a pressure relief I mattress and a chair cushion for her wheelchair. She receives hot packs to \r her shoulders three times a day. Ms. Reighard has limited range of motion in her neck, right arm and both her feet. Staff provides passive range of motion to both upper and lower extremities daily. She is non ambulatory and is unable to propel self in her wheelchair. She is incontinent of bowel and bladder. Cognitively, she is alert and oriented to self. Her short and long term memory is severely impaired and she is unable to make decisions. Ms. Reighard displays much confusion and her verbalization is not coherent , the majority of the time. She is pleasant with other residents and the staff. Geraldine continues to attend different activities as one who observes rather ' than participates. She usually has a smile, has her silly moods and likes to laugh. Ms. Reighard enjoys watching TV with her room mate. She has become more lethargic and at times it is difficult to wake her. Ms. Reighard is visited every 30 -60 days by the care manager. In addition to visiting her, the care manager reviews the medical record and discusses Ms. Reighard's condition with the nursing staff. The nursing home staff updates the care manager whenever there are concerns or medical problems. It is the request of the Cumberland County Office of Aging that the Agency retains Guardianship of Person and Estate for Geraldine Reighard. Forest Park Health Center has demonstrated an adequate quality of care for client b~ managing her daily needs and continuously monitoring her medical conditions. Therefore, we believe that Ms. Reighard should continue to reside at Forest Park Health Center. CHECKING ACCOUNT FOR GERALDINE REIGHARD Account # 9833000012 CHECK DEPOSIT DATE CHECK # AMOUNT AMOUNT BALANCE Description 12/27/02 1043.54 1043.54 opened account 01/03/03 426.00 1469.54 social security check 01/08/03 420.00 1889.54 social security check 6.46 1883.08 01/14/03 101 1170.69 712.39 Forest Park Health Center 02/03/03 426.00 1138.39 social security check 02/10/03 102 396.00 742.39 Forest Park Health Center 03/04/03 426.00 1168.39 03/11/03 103 396.00 772.39 Forest Park Health Center 03/24/03 104 20.00 752.39 Paul Creeden (foot care) 04/03/03 426.00 1178.39 Sac See for Mar 04/28/03 105 396.00 782.39 Forest Park Health Center 05/02/03 426.00 1208.39 Sac See for Apr 05/09/03 106 396.00 812.39 Forest Park Health Center 06/02/03 107 45.94 766.45 Clothes 06/05/03 426.00 1192.45 Sac See for May 06/16/03 108 396.00 796.45 Forest Park Health Center 07/07/03 426.00 1222.45 sac see jun 07/10/03 109 396.00 826.45 Forest Park Health Center 08/04/03 426.00 1252.45 Sac See Jul 08/12/03 110 396.00 856.45 Forest Park Health Center 09/04/03 426.00 1282.45 Sac See August 09/10/03 111 396.00 886.45 Forest Park Health Center 10/07/03 426.00 1312.45 Sac See for Sep 1 0/09/03 112 396.00 916.45 Forest Park Health Center 11/03/03 426.00 1342.45 Sac See Oct 11/07/03 113 396.00 946.45 Forest Park Health Center 12/3/2003 426.00 1372.45 Sac See N ov 12/9/2003 114 396.00 976.45 Forest Park Health Center 1/5/2004 435.00 1411.45 Sac See for Dee 1/12/2004 115 396.00 1015.45 Forest Park Health Center 2/4/2004 435.00 1450.45 Sac See Jan 2/10/2004 116 396.00 1054.45 Forest Park Health Center 3/5/2004 435.00 1489.45 Sac See Feb 3/8/2004 117 414.00 1075.45 Forest Park Health Center 3/19/2004 118 36.74 1038.71 Cumb Co Office of Aging (Bras purchased) 4/7/2004 435.00 1473.71 Sac See Mar 4/8/2004 119 405.00 1068.71 Forest Park Health Center 5/4/2004 435.00 1503.71 Sac See 5/10/2004 120 405.00 1098.71 Forest Park Health Center 6/4/2004 435.00 1533.71 Soc See for May 6/14/2004 121 405.00 1128.71 Forest Park Health Center 7/6/2004 435.00 1563.71 Sac See for June 7/9/2004 122 405.00 1158.71 Forest Park Health Center 8/5/2004 435.00 1593.71 Sac See July 8/10/2004 123 419.99 1173.72 Forest Park Health Center 8/7/2004 435.00 1608.72 Sac See August 9/9/2004 124 405.00 1203.72 Forest Park Health Center 10/8/2004 435.00 1638.72 Sac See September 11/5/2204 435.00 2073.72 Sac See Oct CHECKING ACCOUNT FOR GERALDINE REIGHARD Account # 9833000012 11/16/2004 125 405.00 1668.72 Forest Park Health Center 12/6/2004 435.00 2103.72 Soe See Nov 12/13/2004 126 405.00 1698.72 Forest Park Health Center 12/20/2004 127 100.00 1598.72 Christmas shopping 1/6/2005 446.00 2044.72 Soe See Dee 1/6/2005 43.85 2088.57 Balance from Christmas Shopping 1/14/2005 128 405.00 1683.57 Forest Park Health Center 12/8/2005 446.00 2129.57 Soe See Jan 2/10/2005 129 405.00 1724.57 Forest Park Health Center 3/4/2005 446.00 2170.57 Soe See Feb 3/10/2005 130 405.00 1765.57 Forest Park Health Center 4/6/2005 446.00 2211.57 Soe See Mar 4/11/2005 131 405.00 1806.57 Forest Park Health Center 5/9/2005 446.00 2252.57 Soe See April 5/20/2005 132 405.00 1847.57 Forest Park Health Center 6/15/2005 133 405.00 1442.57 Forest Park Health Center 6/3/2005 446.00 1888.57 Social See May 7/14/2005 134 409.00 1479.57 Forest Park Health Center 7/1/2005 446.00 1925.57 Soe See June 8/3/2005 446.00 2371.57 Soe See July 8/11/2005 135 406.00 1965.57 Forest Park Health Center 6~- OLo~/'1 OTumberlanb OTnuntl1 OOffice nf Aging & OTnmmunitl1 ~eruict1i ,../' .. HUMAN SERVICES BUILDING 16 West High Street, Carlisle, P A 17013 I717] 240-6110 or 697-0371, Ext. 6110 532-7286, Ext. 6110 Fax: 240-6118 website: www.ccoa.netlae:in2: e-mail: ae:ine:@ccpa.net ANNUAL GUARDIANSHIP REPORT FOR GERALDINE REIGHARD Bruce Barclay Chairman Gary Eichelberger Vice Chairman Richard L. Rovegno Secretary T elT)' L. Barley Director October 12, 2006 Report from Guardian of Person and Estate Cumberland County Office of Aging Priscilla Whitman, Aging Care Manager III On October 25, 2002, Permanent Guardianship of Person and Estate for Geraldine Reighard was granted by Judge J. Wesley Oler to Cumberland County Office of Aging. Ms. Reighard at that time was residing at Forest Park Health Center where she continues to live. Her admission date to Forest Park was on September 28,2002. At the time of her admission to Forest Park, Ms. Reighard was diagnosed with senile dementia, non organic psychosis and depressive disorder. Her present medical conditions also include ambulatory dysfunction, dysphasia and history of fractured left hip and left wrist. Her present medications are; Trazadone, Risperdal, Depakote, Celexa, Miralax powder, Xenaderm ointment and Tylenol. She had been treated for GERD until recently but the doctor discharged her from Prilosec for a period of time and it appears she no longer has that condition. Staff has been monitoring for any reoccurrence and Ms. Reighard seems to be doing fine. This past year she was treated for an eye infection and fungal infection between her toes. She is scheduled to receive her flu shot by the end of the month. Her nutrition is good, her weight is stable at 115 pounds and she eats 80% of her meals. Ms. Reighard no longer receives extra ice cream with lunch and supper ~s she has maint~ined "q ,I ) her weight for the past 6 months. .11'J ; I Ms. ~eig~~rd continues to require m~x~mum assi~t~he'!JYHu ~hl her!~ct~vities of dally hvmg and transfers. The maJonty of the tlme'MS. '~elgHatd~~~~ry ... cooperative with her care. She requires assistance with eating and is on a pureed diet of small portions. Nursing staff provide weekly skin and pain assessment. Ms. Reighard is prone to skin breakdown and experiences pain in her shoulders. She has a pressure relief mattress and a chair cushion for her wheelchair. She receives hot packs to her shoulders three times a day. Ms. Reighard has limited range of motion in her neck, right arm and both her feet. Staff provides passive range of motion to both upper and lower extremities three times daily. She is non ambulatory and is unable to propel self in her wheelchair. She is incontinent of bowel and bladder. Cognitively, she is alert and oriented to self. Her short and long term memory is severely impaired and she is unable to make decisions. Ms. Reighard displays much confusion and her verbalization is not coherent and very limited with no complete thought. Ms. Reighard may mumble a few words that have no meaning to others. She is pleasant with other residents and the staff. Geraldine continues to attend different activities as one who observes rather than participates. She attends bowling, sing along, movies, bingo and church. She usually has a smile, has her silly moods and likes to laugh. Ms. Reighard enjoys watching TV with her room mate and they continue to get along. Ms. Reighard does not like to be alone and is usually with someone. She has become more lethargic and at times it is difficult to wake her. Ms. Reighard is visited every 30 -60 days by the care manager. In addition to visiting her, the care manager reviews the medical record and discusses Ms. Reighard's condition with the nursing staff. The nursing home staff updates the care manager whenever there are concerns or medical problems. It is the request of the Cumberland County Office of Aging that the Agency retains Guardianship of Person and Estate for Geraldine Reighard. Forest Park Health Center has demonstrated an adequate quality of care for client by managing her daily needs and continuously monitoring her medical conditions. Therefore, we believe that Ms. Reighard should continue to reside at Forest Park Health Center. INRE: : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA GERALDINE REIGHARD, : ORPHANS' COURT DIVISION An Incapacitated Person cJ ':~~~ :to , ~~.')' ~~B U?,: C')C-'") (,) -rl c . :0 'D-1 )> : NO, 21-02-694 PETITION FOR ALLOWANCE OF GUARDIAN FEE AND NOW COMES THE PETITIONER, the Area Agency on Aging, in and for Cumberland County, Pennsylvania, by its solicitor, Anthony L. DeLuca, Esquire, who represents and avers as follows: 1. The Petitioner is the Area Agency on Aging, in and for Cumberland County, with its office located at 16 West High Street, Carlisle, Cumberland County, Pennsylvania. 2. On August 2, 2002, Petitioner filed a Petition for the Appointment of Emergency Plenary Guardian of the Person and Estate of Geraldine Reighard. 3. On September 27, 2002, after a Hearing, Petitioner was appointed Emergency Plenary Guardian of the Person and Estate of Geraldine Reighard. 4. On October 2, 2002, Petitioner filed a Petition for Permanent Plenary Guardians of the Person and Estate of Geraldine Reighard. r--..:> = C::) = :x ::0.- -< ~ -0 :x - .. w co 5. On October 25,2002, after a Hearing, Geraldine Reighard was adjudicated an incapacitated person and Petitioner was appointed Permanent Plenary Guardian of the Person and Estate of the said Geraldine Reighard. A copy of the appointment of the Petitioner is attached hereto, marked as Exhibit "A" and incorporated herein by reference. 6. Medical Assistance regulations as set forth in Nursing Care Handbook instructions allow for the payment of Guardian fees as a deduction when determining contribution toward cost of care. 7. The amount of the Guardian's fee that is allowable as a deduction is the actual fee paid subject to a maximum of 10% of the person's gross monthly income or $100.00 per month, whichever is less. 8. The said Geraldine Reighard receives monthly social security benefits of$491.00. 9. Petitioner believes and, therefore, avers that it is entitled to receive payment of a Guardianship fee as allowed by Medical Assistance regulations and that said fee be a deduction toward the cost of the care of Geraldine Reighard. WHEREFORE, Petitioner respectfully requests that this Honorable Court enter an Order granting payment of a Guardian fee to Petitioner subject to a maximum of 10% of Geraldine Reighard's gross monthly income or $100.00 per month, whichever is less. Respectfully submitted, Date:/(a.f ~ '/6Jof , Anthony L. uca, Esquire 113 Front Street P.O. Box 358 Boiling Springs, P A. 17007 (717) 258-6844 ill No. 18067 VERIFICA nON I hereby verify that the facts and information set forth in the foregoing Petition for Allowance Of Guardian Fee are true and correct to the best of my know ledge, information, and belief. I understand that any false statements contained herein are subject to the penalties of 18 Pa. C.S. Section 4904, relating to unsworn falsification to authorities. Dated: ~""' \ ~~ ~() 0 <& d~7~ Janet Paull .:1 IN THE MA TIER OF THE PERSON AND ESTATE OF: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA GERALDINE REIGHARD, AN ALLEGED INCAPACITATED PERSONAL ORPHANS' COURT DIVISION NO. 21-02-694 IN RE: PETITION FOR APPOINTMENT OF PLENARY GUARDIANS OF THE PERSON AND ESTATE BEFORE OLER, J. DECREE NISI AND NOW, this 25th day of October, 2002, upon consideration of Petitioner's Petition for Appointment of Permanent Plenary Guardians of the Person and Estate, following a hearing held on October 23, 2002, and for the reasons stated in the accompanying opinion, it is ordered, adjudged and decreed as follows: 1. Geraldine Reighard is adjudicated a totally incapacitated person for purposes of her person and estate. 2. The Area Agency on Aging in and for Cumberland County, Pennsylvania, is appointed permanent plenary guardian of her person and estate. 3. The guardian is directed to make such arrangements as are necessary to preserve and protect Ms. Reighard's cat from harm. 4. Any existing power of attorney executed by Ms. Reighard is revoked. IF NO PARTY in interest files a timely post-trial motion under Pennsylvania Rule of Civil Procedure 227.1, this Decree Nisi shall automatically become a Final Decree without further order of court. EXHIBIT "A" ~ BY THE COURT, Anthony DeLuca, Esq. Attorney for Petitioner Mark F. Bayley, Esq. Court-Appointed Attorney for Geraldine Reighard ~'---..=,::-_"'~ c~!VmY 1 5 Z008r INRE: IN THE COURT OF COMMON PLEAS OF OF CUMBERLAND COUNTY, PENNSYLVANIA GERALDINE REIGHARD, An Incapacitated Person : ORPHANS' COURT DIVISION : NO. 21-02-694 ORDER OF COURT AND NOW, this 2.2.,J day of May, 2008, upon review of the petition for Allowance of Guardian Fee, it is hereby Ordered and Decreed that the Petitioner is entitled to receive payment of a fee for services rendered, as Permanent Plenary Guardian of the Person and Estate of Geraldine Reighard, subject to a maximum of 10% of Geraldine Reighard's gross monthly income or $100.00 per month, whichever is less. CC: Anthony L. DeLuca, Esquire Attorney for the Area Agency on Aging Area Agency on Aging " C) ':: 7 :-3 ~~ -n=~ ~. ...~ t'...., <',.,;\ , I --, .-'........... ::.:"" -< N 1',) ""'T) ) -,'~" _.-~ , , ,-""j .,-' .~ .~, ,-' . .,._ i-r~ : -. ') N en In Re: GERALDINE REIGHARD ORPHANS' COURT DIVISION COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA NO. 21-02-0694 CERTIFICATE OF SERVICE OF ORDER ORDER DATE: 5/22/08 JUDGE'S INITIALS: JWO TIME STAMP DATE: 5/22/08 IN RE: ORDER OF COURT """""'\""""""""""""""""""""'"""""""""""""""""""""""""""""""""""" ANTHONY DELUCA AREA AGENCY ON AGING SERVICE TO: METHOD OF MAILING: ENVELOPES PROVIDED BY: ~ USPS DRRR D HAND DELIVERED D OTHER_ ~ PETITIONER D JUDGE D CLERK OF ORPHANS COURT MAILED: 5/23/2008 """""""""""""""""""""""""""""""""""""""""""""""""""""""""""""" SERVICE TO: METHOD OF MAILING: ENVELOPES PROVIDED BY: D USPS DRRR D HAND DELIVERED D OTHER_ D PETITIONER D JUDGE D CLERK OF ORPHANS COURT MAILED: rJu~(/I~'!Jfuit. r; CPZfUVII./ Clerk of Orphans' Court oa- c~~~ j~~`°° CUMBERLAND COUNTY ti, ~ AGING & COMMUNITY SERVICES a~ -~ Zp ~ O ~ 16 WEST F1iGH 6T1tEET, SUITE 100 CARLISLE, P n 77013 ~ $ ~~ (717) 240-6710 OR 1 -888-697-0371 ExT 6710 _ "mMUN~ 1:AX: (717) 240-6118 ~J12 TE11111 ... Q11C L~ZddZOfl Gary Eichelberger Chairman ANNUAL GUARDIANSHIP REPORT Richard L. Rovegno Vice Chairman FOR GERALDINE REIGHARD HarnaraH.Q°sa Surerary December 11, 2008 Terry L Harley Direa~ar Report from Guardian of Estate Cumberland County Office of Aging Priscilla Whitman, Aging Care Manager III On October 25, 2002 Judge J. Wesley Oler appointed the Cumberland County Office of Aging permanent Plenary Guardian of Estate for Geraldine Reighard. Subsequently, the Office of Aging became Ms. Reighard's Representative Payee for her social security. At the time of the guardianship, the Office of Aging closed Mrs. Reighard's personal checking account and opened a guardian checking account at M&T Bank. When the account was opened her balance was $1043.54. Her current balance is $3022.99. Her income during 2008 was $491.00 from Social Security. The payments made to the Forest Park Health Center were between $360 and $435 depending on the number of days in the month. In addition, the Cumberland County Office of Aging began receiving $100.00 a month Guardianship Fee for services rendered having received the necessary court order from Judge Oler on May 22, 2008. Attached is a financial summary of Geraldine Reighard's income and expenses. Also attached is a spread sheet representing her checking account register. r,> n r-, r.: , .-~ <.~ ~, ~~ _, l7 , T- Se ~~ u 1• O .'~ N EMAIL US AT aging~gccpa.net OR VISIT OUR WEBSITE AT www.ccpa.net/aging v V °' a O ~ ~ ~ D ~ m ~ ^ 1 ' ~ 0 A 0 -~ 0 0 ~ C 0 ~ ] 0 N 0 'O 0 ff1 Z ~ v O ~ ~ I ~ O 0 7 S m p, 0 0 0 0 W W 0 0 0 0 7 0 0 7 0 0 1 p .ZI J " ' A A A A A A A A A A A A a O [0 l0 c0 [0 [0 [O [O [0 [O [0 [O o° o° °o °o °o o° °o °o °o o° °o °o Social Security ~ o W ~ ~ o ~ o° Civil Service Pension o n ili 0 0 o° Interest ~ W v o o ~ ~ °o Miscellaneous m 3 m O ° ~ v A 3 m d 3 W ~ W (,~ W _ A A A A A A A j N 0 0 A 0 A 01 A 0 A 0 A 0 0o OO A ~ 0 0 W (J1 W N '~~° ~ o ~ °o °o °o °o °o o° o° °o °o °o o° °o Room and Board N 7 3 N O y ~ l D O V N V ~ ~ O ° o Medications/sup lies p m A ~ Ao ~ ° ~ x 0 0 0 0 0 ~ °o °o °o o° °o Office Of Aging ~ O V 00~1 A W N N N 0 N 0 ~ 0] W O °o °o ~ ° o Clothing 0 °o Miscellaneous N A A A A A V A A A A A A O 1D (0 [0 (0 (O (O f0 (0 [0 (0 (O o° o° OO °o °o o°° °o °o °o o°° °o °o Totallncome A ° r 0 W 0 A A R A N A (r A A A A 0 A A A O A W A W ~ - N 0 0 0 0 0 O OD 0 OU V1 U1 0 0 0 0 0 0 0 0 0 0 0 0 o 0 o 0 o 0 o 0 o 0 b 0 Total Expense ~ ~ m ~ W ~ ~ ~ N N N N N N N N N N ( 0 A O 1 ~J1 ~ ONj T ~ A 0 A W W N N 0 0 ~ 0 W O D 1 . 11 ( O W ( t 0 o c 0 o 0 o 0 m 0 o 0 m 0 m 0 ( m t O [ o t O f o c D ( o t O ( o t 0 o B alance G. Reighard ~ G q$ 3000 ~ 2 CHECK DEPOSIT DATE CHECK # AMOUNT AMOUNT BALANCE Description 12/18/2007 2383.99 Cash-Christmas shopping 1/3/2008 491.00 2874.99 Soc Sec 1/16/2008 169 435.00 2439.99 Forest Park Health Center 2/3/2008 491.00 2930.99 Soc Sec 2/22/2008 170 435.00 2495.99 Forest Park Health Center 3/3/2008 491.00 2986.99 Soc Sec 3/20/2008 171 468.00 2518.99 Forest Park Health Center 4/3/2008 491.00 3009.99 Soc Sec 4/11/2008 172 446.00 2563.99 Forest Park Health Center 5/3/2008 491.00 3054.99 Soc Sec 5/22/2008 173 488.00 2566.99 Forest Park Health Center 6/3/2008 491.00 3057.99 Soc Sec 6/18/2008 174 446.00 2611.99 Forest Park Health Center 7/3/2008 300.00 2911.99 Economic Stimulus 7/3/2008 491.00 3402.99 Soc Sec 7/9/2008 175 446.00 2956.99 Forest Park Health Center 7/9/2008 176 100.00 2856.99 Office of Aging 8/19/2008 177 146.00 2710.99 Forest Park Health Center 8/19/2008 178 100.00 2610.99 Office of Aging 8/1/2008 491.00 3101.99 Soc Sec 9/24/2008 179 346.00 2755.99 Forest Park Health Center 9/24/2008 180 100.00 2655.99 Office of Aging 9/1/2008 491.00 3146.99 Soc Sec 10/3/2008 491.00 3637.99 Soc Sec 10/23/2008 181 346.00 3291.99 Forest Park Health Center 10/23/2008 182 100.00 3191.99 Office of Aging 11/3/2008 491.00 3682.99 Soc Sec 11/17/2008 183 360.00 3322.99 Forest Park Health Center 12/3/2008 491.00 3813.99 Soc Sec U~-Cp~~ ~~~~°~,, CUMBERLAND COUNTY C 1`~i AGING & COMMUNITY SERVICES /Y 16 W>vsT Hlctl SIxrFT, SuITr 100 CARUSLe, PA 17013 t~y,~~~ ~~_ (717) 240-6110 OR 1-888-697-0371 1l%T 6110 ~1NUM~ Fnx: (717) 240-6118 One Team ...One Minion Gary Eichelberger Cfiairman Richard L. RRve no ANNUAL GUARDIANSHIP REPORT ~? ''1BeC"~~a^ FOR GERALDINE REIGHARD '-`~~Bzrbara B~L3oss ii Sary _ 7.~ ~~erry Ifffidey December 11, 2008 '`! ^ Birec(ar Report from Guardian of Person ~ -' Cumberland County Office of Aging ~=' ' ~'~' Priscilla Whitman, Aging Care Manager III ~~ ~~ -- 0 G: On October 25, 2002, Permanent Guardianship of Person and Estate for Geraldine Reighard was granted by Judge J. Wesley Oler to Cumberland County Office of Aging. Ms. Reighard at that time was residing at Forest Park Health Center where she continues to live. Her admission date to Forest Park was on September 28, 2002. At the time of her admission to Forest Park, Ms. Reighard was diagnosed with senile dementia, non organic psychosis and depressive disorder. Her present medical conditions also include ambulatory dysfunction, dysphasia and history of fractured left hip and left wrist. During this past year it was discovered that a mas was found on Geraldine's right breast. A mammogram was taken and it showed two cancerous nodules. Based on her present physical and mental conditions it was decided that we would not pursue aggressive treatment but rather comfort measures. Geraldine does not appear to be in pain at this point and is unaware of her condition due to her lack of understanding. Her present medications are; Risperdal, Depakote, Celexa, Miralax powder, Xenaderm ointment and Tylenol. Ms. Reighard's weight has slowly declined and her current weight is 99 pounds. Ms. Reighard continues to require maximum assistance with all her activities of daily living and transfers. The majority of the time Ms. Reighard is very cooperative with her care. Nursing staff provide weekly skin and pain assessment. Ms. Reighard is prone to skin breakdown and experiences pain in her shoulders. She has a pressure relief mattress and a chair cushion for her wheelchair. She is non ambulatory and is unable to propel self in her wheelchair. She is incontinent of bowel and bladder. Her short and long term memory is severely impaired and she is unable to make decisions. Ms. Reighard displays much confusion and her verbalization is not coherent and very limited with no complete thought. Ms. Reighard may mumble a few words that have no meaning to others. She is pleasant with other residents and the staff. Geraldine continues to attend different activities as one who observes rather than participates. She attends bowling, sing along, movies, bingo and church. She usually has a smile, has her silly moods and likes to laugh. Ms. Reighard enjoys watching TV with her room mate and they continue to get along. Ms. Reighard does not like to be alone and is -, F';M1UUI. US :Yl' aging~a ccpa.net OR VISIT OUR W1ASI1'E AT www.ccpa.net/aging \`Iv\~~'}/\ V V usually with someone. She has become more lethargic and at times it is difficult to wake her. Ms. Reighard is visited by the care manager who also attends the care plan meetings. In addition to visiting her, the care manager reviews the medical record and discusses Ms. Reighard's condition with the nursing staff. The nursing home staff updates the care manager whenever there are concerns or medical problems. It is the request of the Cumberland County Office of Aging that the Agency retains Guardianship of Person and Estate for Geraldine Reighard. Forest Park Health Center has demonstrated an adequate quality of care for client by managing her daily needs and continuously monitoring her medical conditions. Therefore, we believe that Ms. Reighard should continue to reside at Forest Park Health Center. ~~''-"°~~,~ CUMBERLAND COUNTY ~ ~~'` AGING & COMMUNITY SERVICES ' 16 WEST HIGH STREET, SUtZ'>=;100 CARLISLE, P~1 17013 (717) 240-6110 oR 1-888-697-0371 ExT 6110 ~, ~ FAx: (717) 240-6118 Gary Eichelberger Chairman One Team ...One Mission Richard L. Rovegno Vice Chairman ANNUAL GUARDIANSHIP REPORT BarbazaB.Cross FOR GERALDINE REIGHARD Secretary Terry L Barley Director January 19, 2010 Report from Guardian of Estate Cumberland County Office of Aging Priscilla Whitman, Aging Care Manager III On October 25, 2002 Judge J. Wesley Oler appointed the Cumberland County Office of Aging permanent Plenary Guardian of Estate for Geraldine Reighard. Subsequently, the Office of Aging became Ms. Reighard's Representative Payee for her social security. At the time of the guardianship, the Office of Aging closed Mrs. Reighard's personal checking account and opened a guardian checking account at M&T Bank. When the account was opened her balance was $1043.54. Her current balance is $3376.99. Her income during 2009 was $519.00 from Social Security. That is her only income. The payments made to the Forest Park Health Center have been $374.00. In addition, the Cumberland County Office n f Aecev ed 9he necessary court order fr m Judger Olehip Fee for services rendered ha g on May 22, 2008. Attached is a financial summary of Geraldine Reighard's income and expenses. Also attached is a spread sheet representing her checking account register. c~ ~~ ~:O [~ .~ ~ ~ (v ' _.:' : ~ ~ r'r~ t ,~. W ~-~'~ . {~ EMAIL US AT aging@ccpa.net OR VISIT OUR WEBSITE AT www.ccpa.net/aging O F- .. c a~ E a~ E a~ ... ~~ aouele8rnrnrnrnrnrnrnrnrnoioiai of NrO~N.rCfl~(Or'CC~ NMI~NO~t1')tnOd'o0M ~ M Mrr-NM00a0~~-NNM M M M M N N N M M M M M M O O O O O O O O O O O O asuadx31e}ol 000000000000 ° ° N ~ ~ 00 C ~ ~ ~' d' ~t d' cr 00 f~ f~ ~t O I~ 1~ 1~ 1~ i~ f~ I~ ' ' tC O~ d CC~t~tM~~~~'~~d r ~ O O O O O O O O O O O O auaoou~~e}ol 000000000000 ° ° o ~oiaivicioiviaioiaiaioi ~~~ o~~~~~o~~ ~~~~~~ti~~~~~ snoauepaosiW 0 ° 0 6 uiy}old o 0 °c o M r ~ r O O O O O O O O O O O O 6ui6y}pao!~1O 000000000000 ° ° 000000000000 000000000000 °c (V ~ ~ r r r ~ ~ ~ 'cam r ~ r Idns/suoi}eoipaW O °• 0 0 0 0 0 0 0 0 0 0 0 0 p~eo8pueuaooZ{ 0000 0000000 ' C 0 Nd'~o0 ~'~'d'd'~~d M 1~ f~ ~ 1~ 1~ N 1~ I~ f~ I~ M M M M M M M tC d ~ M M M~ snoaue~~aosiW }saga}u aoin~ag d E v c s c 0 noa ~eioo 000000000000 S S 000000000000 r-rnrnrnrnrnrnrnrnrnairn c n ~ i n~ n n n n n ~~~~~ rn 0 U O 0 0 as M M v C ~a a N O C N O m m v K .a cW m ~ ~ ~ O O O O Z ~-. 1- Z Ci Ree~ha~a M &T' Pank gg~3ooo©12 DATE CHECK # AMOUNT AMOUNT BALANCE Description 11/17/2008 183 360.00 3322.99 Forest Park Health Center __ _ 12/3/2008 491.00 3813.99 Soc Sec __ _ __ 12/3/2008 184 200.00 3613.99 Office of Aging-Nov & Dec _ ___ 12/16/2008 185 332.00 3281.99 Forest Park Health Center 12/17/2008 186 150.00 3131.99 Cash-Christmas shopping 1 /3/2009 519.00 3650.99 Soc Sec 1 /23/2009 187 374.00 3276.99 Forest Park Health Center 1/23/2009 188 100.00 3176.99 Off of Aging 2/3/2009 519.00 3695.99 Soc Sec 2/26/2009 189 374.00 3321.99 Forest Park Health Center 2/26/2009 190 100.00 3221.99 Off of Aging 3/3/2009 519.00 3740.99 Soc Sec 3/16/2009 191 i 500.00 3240.99 Forest Park Health Center _ __ __ 3/17/2009 _ 192 -- 748.00 - - -- 2492.99 Forest Park Health Center __ _ - - - /17/2009 3 --- 193 100 00 -{- _ - I 2392.99 Off of Aging _ 4/3/20091 _ - I 519 OO --- 2911 99 Soc Sec _ _ _ - _ -- - -- - - t- 4 - { -- - 100.00 2811 99 Off of A in -g g - - - _ _ -_ __ ~ --- - - 5/312009 i ~ 519.00 3330.99 Soc Sec _ - - __ _ 5/7/2009 _ ~ 195 0 374 - - 250.00 ---- 3580.99 Stimulus -- - -_ - - 3206.99 Forest Park Health Center - - 5/18/2009 5/18/2009 _ _ 196 . 100.00 3106.99 Aging & Comm Svcs 613/2009 519.00 3625.99 Soc Sec 6/12/2009 197 374.00 3251.99 Forest Park Health Center 6112/2009 198 100.00 3151.99 Aging 8~ Comm Svcs __ 7/3/2009 519.00 3670.99 Soc Sec 7/20/2009 199 374.00 3296.99 Forest Park Health Center 7120/2009 200 100.00 3196.99 Aging & Comm Svcs __ ___ - _ 8/3/2009 _ 519.00 3715.99 Soc Sec ___-___. _ __ 8/18/2009 _ 201 374.00 3341.99 Forest Park Health Center_ _ _ _ _ 8/18/2009 202 100.00 3241.99 Aging & Comm Svcs _ __ 9/3/2009 519.00 3760.99 Soc Sec 9/21 /2009 203 374.00 3386.99 Forest Park Health Center 9121/2009 204 100.00 3286.99 Aging & Comm Svcs 10/3/2009 519.00 3805.99 Soc Sec 99 Forest Park Health Center 3431 10/27/2009 205 206 374.00 00 100 . 3331.99 Aging 8~ Comm Svcs ___ _ 10/27/2009 . 00 519 __ _______ 3850.99 Soc Sec 11/312009 207 00 374 . _ 3476.99 Forest Park Health Center__ _ _ _ 11119/2009 11/19/2009, _ 208, . 100 00 _ i 3376.99iAging & Comm Svcs py One Team ...One Mission 16 WEST HIGH STREET, SUITE 100 CARLISLE, Pr1 17013 (717) 240-6110 oR 1-888-697-0371 EXT 6110 FAx: (717) 240-6118 Gary Eichelberger Chairman Richazd L. Rovegna ANNUAL GUARDIANSHIP REPORT Vice chairman FOR GERALDINE REIGHARD aazbaraB.Cross NS,ecretary _, 2010 January 19 ~ ~o Ter Bazley Ire"°~~ , by , Report from Guardian of Person ~ " " Cumberland Coun Office of A m tY 9~ 9 _ ~~~~ -- ~ `µ' -:, -;~ Priscilla Whitman, Aging Care Manager III ~'~~ ~ `p ~-~ ~-~ ~~ ~ ~ ; v~~ ~Y=; ~ ~ O O t b 25 2002 Permanent Guardianship of Person and Estate for ~erald _ . inew ``" `~ n c o er , Reighard was granted by Judge J. Wesley Oler to Cumberland County Office of Aging. Ms. Reighard at that time was residing at Forest Park Health Center where she continues to live. Her admission date to Forest Park was on September 28, 2002. At the time of her admission to Forest Park, Ms. Reighard was diagnosed with senile dementia, non organic psychosis and depressive disorder. Her present medical conditions also include ambulatory dysfunction, dysphasia and history of fractured left hip and left wrist. Ms. Reighard's medical condition appears to be stable. The only medications she is on is Tylenol as needed and a stool softener. Ms. Reighard continues to require maximum assistance with all her activities of daily living and transfers. The majority of the time Ms. Reighard is very cooperative with her care. Nursing staff provide weekly skin and pain assessment. Ms. Reighard is prone to skin breakdown and experiences pain in her shoulders. She has a pressure relief mattress and a chair cushion for her wheelchair. She is non ambulatory and is unable to propel self in her wheelchair. She is incontinent of bowel and bladder. Her short and long term memory is severely impaired and she is unable to make decisions. Her appearance is good and she doe not seem to be in any discomfort. Ms. Reighard displays much confusion and her verbalization is not coherent and very limited with no complete thought. Ms. Reighard may mumble a few words that have no meaning to others. She is pleasant with other residents and the staff. Geraldine is a passive participant in activities. She likes Sing Along, Bible study, church and social events. She usually has a smile, has her silly moods and likes to laugh. Ms. Reighard enjoys watching TV with her roommate and they continue to get along Ms. Reighard is visited by the care manager who also attends the care plan meetings. In addition to visiting her, the care manager reviews the medical record and discusses Ms. Reighard's condition with the nursing staff. The nursing home staff updates the care manager whenever there are concerns or medical problems. EMAIL US AT aging a(~ccpa.net OR VISIT OUR WEBSITE AT www.ccpa.net/aging CUMBERLAND COUNTY AGING & COMMUNITY SERVICES `\ It is the request of the Cumberland County Office of Aging that the Agency retains Guardianship of Person and Estate for Geraldine Reighard. Forest Park Health Center has demonstrated an adequate quality of care for client by managing her daily needs and continuously monitoring her medical conditions. Therefore, we believe that Ms. Reighard should continue to reside at Forest Park Health Center. One Team ...One Miarion CUMBEI~,~~fi~~ ~_~~UNTY AGING & COMM~~~;~'~ SERVICES 16 WEST HIGx ~TRE~', LAS ~I'~T ~ SLE, PA 17013 (717) 240-6110 oR 1-888-697-0371 EXT 6110 n ~' ~ ~' ; ~~ ~ FAx: (717) 240-6118 VrCC~-~'i-L~~+,i~~~'v~t~)~i GaryEichelberger CUi~GG=ryLia~JiJ Li? PA Chairman Richard L. Rovegno ANNUAL GUARDIANSHIP REPORT Vice Chairman FOR GERALDINE REIGHARD BarbaraB.croaa Secretory oa - ~9y Terty L Barley November 19, 2011 Director Report from Guardian of Person and Estate Cumberland County Office of Aging Priscilla Whitman, Aging Care Manager III PERS N On October 25, 2002, Permanent Guardianship of Person and Estate for Geraldine Reighard was granted by Judge J. Wesley Oler to Cumberland County Office of Aging. Ms. Reighard at that time was residing at Forest Park Health Center where she continues to live. At the time of her admission to Forest Park, Ms. Reighard was diagnosed with senile dementia, non- organic psychosis and depressive disorder. Her present medical conditions also include ambulatory dysfunction, dysphasia and history of fractured left hip and left wrist. Ms. Reighard's medical condition appears to be slowly declining. The only medications she is on is Tylenol as needed and a stool softener. There has been little change during this year. Ms. Reighard continues to require maximum assistance with all her activities of daily living and transfers. Ms. Reighard is incontinent of bowel and bladder. She is checked every 2 hours for changing and although her skin is fragile, she has had no skin breakdown. She has a pressure relief mattress and a chair cushion for her wheelchair. She is non- ambulatory and is unable to propel self in her wheelchair. She is non-verbal although sometimes she will mumble something that is incoherent and occasionally giggles. There was a consultation with an orthopedic surgeon and it was decided she should wear braces on her legs two times a day for 2 hours each time for contracture prevention. The braces are very soft and she shows no sign of discomfort or distress. The staff does range of motion exercises with Ms. Reighard in the morning and evening Every day staff takes her to activities that she can listen to. She seldom opens her eyes. She seems to like the Protestant worship service, music programs, bible study and social activities. Ms. Reighard is on a pureed diet. She had been on a protein supplement but that was stopped because she had a 9°lo weight gain. EMAIL US AT agingQccpa.net OR VISTT OUR WEBSITE AT www.ccpa.net/aging Ms. Reighard is visited by monthly by Aging staff who also attends the care plan meetings. The medical record is reviewed and Ms.Reighard's condition is discussed with the nursing staff. The nursing home staff updates Aging whenever there are concerns or medical problems. Numerous Christmas presents were donated by Home Instead's Secret Santa project. She received these at the Home's Christmas party. ESTATE At the time of the guardianship, the Office of Aging closed Mrs. Reighard's personal checking account and opened a guardianship checking account at M&T Bank. When the account was opened her balance was $1043.54. Her current balance is $4320.99. Her income during 2011 is $519.00 from Social Security. That is her only income. The payments made to the Forest Park Health Center continue to be $374.00. In addition, the Cumberland County Aging began receiving $100.00 a month Guardianship Fee for services rendered having received the necessary court order from Judge Oler on May 22, 2008. Attached is a financial summary of Geraldine Reighard's income and expenses. Also attached is a spread sheet representing her checking account register. It is the request of the Cumberland County Office of Aging and Community Services that the Agency retain Guardianship of Person and Estate for Geraldine Reighard. Forest Park Health Center has demonstrated an adequate quality of care for client by managing her daily needs and continuously monitoring her medical conditions. Therefore, we believe that Ms. Reighard should continue to reside at Forest Park Health Center. aouee 18 rn rn rn rn m rn rn rn rn rn rn rn rn rn rn rn rn rn rn rn rn rn rn rn rn rn o- es N ~[) M ~ n fO .- ~ ~ ~ In ~ ~ O 0 » ~ aO 0 M ~ h 0 N O C O ~ M ('q ~ of s7' ~ ~' ~t ~ ~ ~ o asuadx31e;o1 ° ° ° ° ° ° ° ° ° ° ° ° ° o o o o o o o o o o o o o o v v v v v o v v v c v o f\ -~ n ~ ~ N ti ti ~ ~ ~ m L ti p V 7 el ~ ~ ~ ~ ~ '~ N C ~ O awo~ulleaol ° ° ~ g g ° ° ° ° ° ° ° 0 o o o o o o o o o of of ai ai of ai of of of of of of ed In In In to In In l(') In Ln In In In N m snoauellaasiyy °o 0 6wy~ol~ ° ~ ° ~ ~ o o i a O N CO C M N N M 17 f0 Iq {} ~ 6ul6y~paoyJp ° ° ° ° o ° ° ° ° ° ° o o o o o o o o o o c 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 K r w saliddns/suogeolpay~ ° o c a a O ~ r N m ~ N G p~eoBPuewooa °o o °o °o °o °o o °o °o °o °o ~ ~ ~ k ~ v c v v v 0 v v v v a c E S w E ~ C'7 ~ fh r~ fh n fn r~ C7 N V' r~ C7 r~ M ~ f7 r~ f~7 r~ ('l! eo ~ m ~'' _ 1e la m ~+ m O O m to F- F- N1 Y C m ~ snoauelleasyy °o ~ .- o m ~. ~ ;sa~a~u I o ~ c 0 • ~. 0 ' ~U G uolsuad aoln~aS linl~ °o ~ c Y C f0 m ~ unoa eloo SI S 0 0 0 0 0 0 0 0 0 0 0 0 g 0 0 0 0 0 0 0 0 0 0 0 0 of of of of of ai of of of of of of ap r ~ r ~ ~ ~ ~- ~A ~ lfj ~ ~ ~ ~A ~ 1A r ~ r ~ r ~ r ~ N N E m m t .m m o o o o ~ r- ~ ~ r- .- ~- ~ .- C = Y r \ r ~ r 1 r 1 r 1 r T ` r ` r 1 r 1 r ~ r 1 r 1 !O ~ O Z ~ ' ~ C C ~ C L ' ' Q ' ^ V/ ` /A V O~ r CHECKING ACCOUNT FOR GERALDINE REIGHARD Account # 9833000012 9/9/2010 - _ - ---- 1 / 1 228 - 100.00 3352.99 A in & Comm Svcs Oct _ 0 1/2010 __ 51 9 00 3871 99 S _ _ _ _ , 1 : oc Sec 11/3/2_010 __ ___ ~ _~_-____~ ! _ 51 9.0 0 - 4390.99 - -------_ __-, _. __. Soc Sec 11/10/2010 ; 229 100.00 . _ ~- _ _ '__ 4290.99 ~ A in & Comm Svcs Nov 11/10/2010 - 12/3/2010 ; _ 230 _~ 374.00 19 00 ~ _ 3916.99 _ --- - Forest Park _Health Center --- --' 12/9/2010 _ ' 231 _ T 100 00 _ . ~ _ 4435.99 Soc Sec - _ 12/9/2010 ____ 232 . 374 00 ~ 4335.99 A in 8 Comm Svcs Dec . - 3961.99 Forest Park Health Center 1/3/2011 __ ~ 519.00 4480.99 Soc Sec ---- - _ 1/13/2011 1/13/20 233 374.00 4106.99 _ _ Forest Park Health Center 11 234 ~ 100.00 4006 99 A i 2/3/20 _ ~-- _ . n 8 Comm Svcs Jan 11 519 00 -- -___ _ . 4525.99 Soc Sec 2/9/2011 __ _235 374.00 _ 4151.99 Forest Park Health Center 2/14/2011 _ 236 ` 100.00 4051.99 A ing & Comm Svcs Feb __3/3/2011 519.00 4570.99 Soc Sec ------- --- 3/9/2011 237 374.00 4196.99 _ Forest Park Health Center 3!9/2011 238 100.00 4096.99 A in & Comm Svcs -March 4/1/2011 519.00 4615.99 Soc Sec 4/12/2011 239 420.00 4195.99 Forest Park Health Center 4/18/2011 240 100.00 4095.99 A in & Comm Svcs -April 5/3/2011 519.00 4614.99 Soc Sec _5/12/2011 241 374.00 ~ 4240.99 Forest Park Health Center _5/13/2011 ^ 242 __1.00.0.0 __ _ _ 4140.99 _ A in & Comm Svcs - Maur __ 6/3/2011 __ _ ~ _ _ __ 519 .00 4659.99 Soc Sec -- 6/6/2011 243 100.00 __ __ _ ~~ _ 4559 99 ____ _ A in & C S e ~ 6/6/2011 244 ___ 374 00 _ _ _ __ . g omm vcs - Jun _ _ 7/1/2011 - - . ---{ - 4185.99 ------- Forest Park Health Center _- 7/18/20111 _ --245 - --- 519 001 -- -- r 4704.99 _.. Soc Sec ~- -- -`-------- 7/18/2011 _ _ 374 00 _ _ ~~ _ 4330.99 - Forest Park Health Center __- 8/3/2011 -- 246 ~_ ___ 100.00 -- _ ~- i ___ 519.00; 4230.99 -- - 4749.99 _ _ A in ~ Comm Svcs -Jul y _ _ _ _-- Soc Sec 8/5/2011 1- 247 --- 374.00 _ ------~ 4375.99 ____ Forest Park Health Center ~ 8/5/2011 - 248 100.00 4275 99 _ --- __ _ A i - 9/2/2011 __ _ . ng 8 Comm Svcs - Au ust _ 519.00 ~ 4794.99 __ Soc Sec - _ _ 9/8/2011 249 _ 100.00 _ _ 4694,99 A i9 n9 8 Comm Svcs -Sept ~ 9/14/2011 250 374.00 _ 4320.99 _ ___ __ Forest Park Health Center '~ (~ try ~~~~°~ CUMBERLAND COUNTY ~ ~~ ti ~~ ~ ~ , . AGING & COMMUNITY SERVICES ~~ ~%`~ ~~ ~ ' ' ' ' ~ ~ 16 WF?s HIGH S IRL):?T, Surl 1 I~,10 0 C~~IU,ISI,i~;, P~-1 17013 ~ ~_ ~,~;,~- (717) 240-6110 OR 1-888-697-0371 i ,xr 6110 '~ ~~ ~ ~,N; Ntirtg' l~:~x: (717) 240-6118 ~~ , [ .~ ~~ ~ One T~~7? ~-~ ~ ...OYZt'~'ZOYZ Gary Eichelberger Chairman t .. «~::C -- , ~ -' ~„t Richard L, Rovegno ~--' ~ ~ '•~ - = ~' ~ ANNUAL GUARDIANSHIP REPORT ~'i~t Charrman - =`'"' ;: ~ . r~ ~~~ T~ ~ FOR GERALDINE REIGHARD Barbara B Cross Secretary ~ , ~ ~ ~ 1 '1._ I ~_ ~ ' Terry L Barley Di ` ~~- `° ~ ~, November 24, 2012 r" °r Report from Guardian of Person and Estate Cumberland County Office of Aging PERSON On October 25, 2002, Permanent Guardianship of Person and Estate for Geraldine Reighard was granted by Judge J. Wesley Oler to Cumberland County Office of Aging. Ms. Reighard at that time was residing at Forest Park Health Center where she continues to live. At the time of her admission to Forest Park, Ms. Reighard was diagnosed with senile dementia, non- organic psychosis and depressive disorder. Her present medical conditions also include ambulatory dysfunction, dysphasia and history of fractured left hip and left wrist. Ms. Reighard's medical condition appears to be slowly declining. She had only been on Tylenol as needed and a stool softener until she was recently started on amulti-vitamin with minerals. There has been little change during this year. Ms. Reighard continues to require maximum assistance with all her activities of daily living and transfers. Ms. Reighard is incontinent of bowel and bladder. She is checked every 2 hours for changing and her skin is fragile. There was one episode of skin breakdown with a small blister on her buttock but the home successfully treated it. She has a pressure relief mattress and a chair cushion for her wheelchair. She is non- ambulatory and is unable to propel self in her wheelchair. She is non-verbal although sometimes she will mumble something that is incoherent and occasionally giggles. There was a consultation with an orthopedic surgeon and it was decided she should wear braces on her legs two times a day for 2 hours each time for contracture prevention. The braces are very soft and she shows no sign of discomfort or distress. The staff does range of motion exercises with Ms. Reighard in the morning and evening Every day staff takes her to activities that she can listen to. She seldom opens her eyes. Ms. Reighard is on a pureed diet. She also receives supplements in a special ice cream twice a day. Ms. Reighard is visited every 30-60 days by Aging staff who also attend the care plan meetings. The medical record is reviewed and Ms.Reighard's condition is discussed with the nursing staff. The nursing home staff updates Aging whenever there are F.h1AII. US ;1'I' aging@ccpa.net OR VISIT' OUR WI~BSI'17? AT www.ccpa.net/aging ~~~ ~,~ concerns or medical problems. Whenever staff visit Ms. Reighard always appears well groomed and well cared for. Numerous Christmas presents were donated by Home Instead's Secret Santa project. She received these at the Home's Christmas party. It is the request of the Cumberland County Office of Aging and Community Services that the Agency retain Guardianship of Person and Estate for Geraldine Reighard. Forest Park Health Center has demonstrated an adequate quality of care for client by managing her daily needs and continuously monitoring her medical conditions. Therefore, we believe that Ms. Reighard should continue to reside at Forest Park Health Center. ESTATE At the time of the guardianship, the Office of Aging closed Mrs. Reighard's personal checking account and opened a guardianship checking account at M&T Bank. Her only income is Social Security which was $519 during 2011 and increased to $538.00 in 2012. The payments made to the Forest Park Health Center are currently $$393.00. In addition, the Cumberland County Aging began receiving $100.00 a month Guardianship Fee for services rendered having received the necessary court order from Judge Oler on May 22, 2008. Attached is a financial summary of Geraldine Reighard's income and expenses. 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X ~ - 1-; -- ~ i ~ = j (~ I W W a~ _Z ;~; IcI ~ ~ i ~I ~ O ,U ~ °o iii W ~ ~ ~ ~ ~ ~=i p a' H ~ N~alc; Z ~ ~~ ~IQ Q ~°!~°~~ ~ ~!~ m ~~~ ~ ~ ~~~ Z m rn 0 Y `n I, '`r ' ~t U ~ of ~ _10 ~ o ~o rn o ~~~ ~~~ ~I~ NON N NON r rir O O O N N N ~-- ~ N c~ ~ ~- ~ ~ ~ CUMBERLAND COUNTY AGING & COMMUNITY SERVICES 1100 CLARHMON'r RD CARLISLE_,PA 17015 (717)240-6110 OR 1-888-697-0371 rxr 6110 FAX:(717)240-6118 Barham B Cross One Team...One A4isrion n ctK—, m, C Jim e�ler M n FINAL GUARDIANSHIP REPORT ''imcl wrnl'°" " ° FOR GERALDINE REIGHARD m 2GtyEienEfb�gc o � mr1l��1 �°�' mm D Z M-Y Lq ley :;j August 14, 2013 z ('' 01 aor o ° 3 Report from Guardian of Person and Estate Cumberland County Office of Aging ° r\) r m PERSON n —' , Cn On October 25, 2002, Permanent Guardianship of Person and Estate for Geraldine Rl5ighar(T was granted by Judge J. Wesley Oler to Cumberland County Office of Aging. Ms. Reighard at that time was residing at Forest Park Health Center where she continued to reside until her death. At the time of her admission to Forest Park, Ms. Reighard was diagnosed with senile dementia, non-organic psychosis and depressive disorder. Her medical conditions also included ambulatory dysfunction, dysphasia and history of fractured left hip and left wrist. Ms. Reighard's medical condition slowly declined over the past year. She continued to require maximum assistance with all her activities of daily living and transfers. Ms. Reighard had been incontinent of bowel and bladder. She spent most of her time sleeping and was repositioned every two hours. Her arm was splinted and wore Geri sleeves due to her contractures. She had a pressure relief mattress and a chair cushion for her wheelchair. She was non- ambulatory and unable to propel self in her wheelchair. She was non-verbal. On March 5, 2013 she was placed on oxygen due to low oxygen level in her blood. On March 14, we were advised that she had C-Dill and her white blood count was elevated which indicated an infection. Two Aging staff members took her balloons to celebrate her birthday. She did open her eyes during the visit. We were advised that she passed away the next day. Death was due to complications from advanced Alzheimer's disease. She was 91. ESTATE At the time of the guardianship, the Office of Aging closed Mrs. Reighard's personal checking account and opened a guardianship checking account at M&T Bank. Her only income was Social Security which was $547 at the time of her death. The monthly payments made were to Forest Park Health Center for $411. In addition, the Cumberland County Aging received $100.00 a month Guardianship Fee for services rendered having received the necessary court order from Judge Oler on May 22, 2008. The balance in her account at the time of her death was $5573.89. The Department of Public Welfare's Estate Recovery Division was notified of her death and the account balance. Attached is a financial summary of Geraldine Reighard's income and expenses. Also attached is a spread sheet representing her checking account register. 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