HomeMy WebLinkAbout09-05-06
IN RE: SHELDON GRANNISON,
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IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
REGISTER OF WILLS, ORPHANS' COURT
: NO.o?/:;;l(~ - '7V~
an alleged incapacitated person
PETITION OF GOLDEN GATE NATIONAL SENIOR CARE.
d/b/a BLUE RIDGE WEST CHATEAU
FOR ADJUDICATION OF !NCAP ACITY AND APPOINTMENT OF A
PLENARY GUARDIAN OVER THE PERSON OF SHELDON GRANNISON
AND NOW comes the Petitioner, Golden Gate National Senior Care, d/b/a Blue
Ridge West Chateau, by and through its counsel, Kelly, Hoffman & Goduto LLP, and
respectfully petitions this Honorable Court pursuant to 20 Pa. C.S.A. ~ 5511 for an Order
adjudicating Sheldon Grannison to be an incapacitated person and appointing a guardian
over his person and in support thereof states as follows:
1. Petitioner Golden Gate National Senior Care ("Golden Gate") is a
corporation properly registered and qualified to do business in Pennsylvania.
2. Golden Gate operates a personal care home for needy individuals known
as Blue Ridge West Chateau (the "Home") at 10 House Avenue, Camp Hill,
Pennsylvania 17011.
3. Sheldon Grannison, the alleged incapacitated, is a resident of the Home;
the essential requirements for his health and safety are provided at the Home.
4. As the residential care provider for Sheldon Grannison, the Home has an
interest in his welfare given his status as an alleged incapacitated person.
5.
Sheldon Grannison is 91 years of age, with a date of birth of APfust 25, ~
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CERTIFICATION OF THOMAS KUNKLE. D.O.
I, Thomas Kunkle, D.O., do hereby state under penalty of perjury that the following is
true and correct based upon my personal knowledge:
1. I am a physician licensed in good standing to practice medicine in the
Commonwealth of Pennsylvania.
2. I am the attending physician for Sheldon Grannison, a resident of the Blue Ridge
West Chateau located at 10 House Avenue, Camp Hill, Pennsylvania 17011.
3. I have been Mr. Grannison's physician since 2004. I last examined him on July
18, 2006.
4.
Mr. Grannison is 90 years of age, with a date of birth of August 25, 1915.
5.
Mr. Grannison suffers from Alzheimer's Dementia, which renders him
incapacitated and, therefore, unable to make and communicate decisions regarding his medical
treatment and personal or financial affairs.
6. Mr. Grannison's condition is permanent and not expected to improve; it will
continue to deteriorate over time.
7. As a result of his mental health condition, Mr. Grannison is unable to manage or
take care of matters pertaining to his own health and well-being without the assistance of another
individual to act as guardian. He is unable to resist fraud or undue influence without the
assistance of a guardian.
8. I am unaware of any living will, advance directive for health care, power of
attorney, or other document regarding Sheldon Grannison's wishes pertaining to his medical care
or finances in the event of his incapacity.
Rug 24 06 10:44a Thomas P Kunkle Do
AUG-23-2006 WED 04:40 PM
717 774 3357
FAX NO.
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9. It is my opinion that Sheldon Orannison's social, physical, medical and hygiene
are cunently best met in a skill~ care facility.
Under penalty of perjury. I declare that the above statements arc true.
~~;J~( ~
Thomas Kunkle, D.O.
2
EXHIBIT B
A~G-2~-2006 FRI 03;15 PM KHG LLP
---- . ~---- ............ -. ,-
FAX NO. 7179093052
CERTIFICATION O~ JUDY SKODA
EXECTJ'llVE D~crOR ~T
BLUE RIDGE WEST CllATEAU
1, Judy Skoda" do hereby state under penalty ofperju:ry that the following is e
d correct based upon my personal knowledge:
1. I am the Executive Director at Blue Ridge West Chateau., 10 House
'\ venue, Camp Hill, Pennsylvania 17011, which is a personal OlQ'e home for needy
ndividnals.
2. Blue Ridge West Chateau is operated by Golden Gate National Senior
... re, by which I am employed.
3. She1dQ11 Grannison is currently It milknt of Blue Ridge West Chat
d has been. a resident shloCe his admission in October, 2003.
.4. Upon information available to the Petitioner, Sheldon Gmnnison has
~xecuted n.o living will, advance direetive for health C3.l'e, or other document re
Ls wishes pertai1li.og to his personal affairs and/or medical care in the evmt of his
:LcaPacity while a resident at Blue Ridge West Chateau.
I
s.
Sheldon Orannisol1 has no known relative. who wish to act as euardi
I vcr his person or Oppose the appointment of a suardian.
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Under penalty ofperjuty, I declare that the above statements are trI.I.e.
F / 'J.S,/O fa
Skoda
ecutive Director
Blue Ridge West Chateau
P. 02
EXHIBIT C
AUG-28-20C6 MON 04:11 PM KHG LlP
FA~ NO. 71780S3052
P. 02
all al1eaed iDcapaeitauIQ pcrlOn
: IN THE COt.1JlT OF COMMON PLEAS
: CUMBDLAND COUNTY. PESNSYLV ~"'1A
: RBOISTBR OF WILLS_ ORPHANS' COURT
: No.
IN llB: SHELDON GRANNlSON,
CQNSENT OF ~RpPOSJtp GUARDIAN
NeitJLborhood Servieea hereby conaentlto IC1 q Plmary Ouatdim of the Penon or
Sheldon Oranait=, an allepd incapacitated. penon.
NeiPborhaod Services is a non.protit cozporation orpniJed under rho laws of the
Commonwealth otPounsylvmia and is doint buueal at 100 South Queen Street, I..antaaur.
P....ylvllDia.
Nciabborhood SeMen provid.cs pardiwh.ip HrViea aUowina for the hipnt quality of
care available in tho 1... reatrictivc setting availablo. NeiJhborhoo<l Services provldae a Ibll
ranee ofhumlIl'~~ lftCluding taking tesponlibiUty fOf IMdieal and personal ~are cteoisioal,
hllldlinl financial affaire, providiq one~OD.cne contact and anonkorina, and other serviece, as
DClQeIIal}' .
'Neipborhood Service, &n4 its agentl have no intereiQ (fiAaawial Qf otherwise) advcrs;
co rho.. oftlw aUopd wapacitlted person, and AD &&;Db oCNel8hborhood StrVic.. rNide in
the .-me housebOld or la.cillty with the in.capecitatecl person.
DeJo:A.u.1JI.Pf% ~~
NQahborhood Servic:..
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