Wilson v. State, Department of Law

355 P.3d 549, 2015 Alas. LEXIS 117, 2015 WL 5167269
CourtAlaska Supreme Court
DecidedSeptember 4, 2015
Docket7046 S-15496
StatusPublished
Cited by5 cases

This text of 355 P.3d 549 (Wilson v. State, Department of Law) is published on Counsel Stack Legal Research, covering Alaska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wilson v. State, Department of Law, 355 P.3d 549, 2015 Alas. LEXIS 117, 2015 WL 5167269 (Ala. 2015).

Opinion

OPINION

BOLGER, Justice.

I. INTRODUCTION

Helen Wilson is an elderly woman residing at the Palmer Pioneer home. Helen previously lived in her own house but was unable to manage her medications and nutrition independently. Her son and grandson lived with her but were unable or unwilling to help. After Adult Protective Services received several reports of harm, a temporary emergency guardian was appointed for Helen; the guardian placed her in an assisted living facility and then in the Pioneer Home. Despite her limited financial means, Helen continues to support her son and grandson, who remain in her house. Helen appeals the appointment of a partial public guardian and full conservator. We affirm.

II. FACTS AND PROCEEDINGS

A. Helen's Living Situation

Helen Wilson 1 is an elderly woman who lives at the Palmer Pioneer Home with her husband, who is in very poor health and has an appointed public guardian. Helen and her husband own a house in Wasilla, to which Helen wants to return after her husband's *551 death. Helen's son and grandson reside in Helen's house. Helen's son's fiancée also stays at the house periodically but does not live there.

Deborah Rumbo from Adult Protective Services (APS) became involved with the Wilsons when Helen, her husband, and her grandson were all living in the Wasilla house. Helen's husband called APS reporting that he had been left home alone and needed help, and he was subsequently placed in assisted living. Helen's husband had been receiving in-home personal care assistant services, which incidentally benefitted Helen. These services ceased when Helen's husband moved out of their house, but out of concern for Helen, Rumbo arranged for approximately six hours a week of personal care assistant services through the Alzheimer's Resource Agency.

B. The Guardianship And Conservator-ship Proceedings

In early 2018 APS received at least seven reports of harm regarding Helen. On April 1 Rumbo met with Helen, who was in the hospital at the time, to "follow up" on these reports. Later that month Rumbo filed a petition seeking the appointment of a public guardian. In the petition Rumbo stated that Helen was in the hospital "with complaints of pain" and that "her grandson who lives in the home with her reportedly refused to assist her." As Rumbo further alleged, Helen "was worried [that] her grandson or her son would take her and her husband's money and property while she was hospitalized" and no longer wanted her family living in the house, given that they did not contribute or assist her.

According to Rumbo, Helen's grandson had prevented her from calling 911 "in times when she needed treatment" because Helen had "agreed to be a third party custodian for him in a criminal matter." Rumbo also alleged that the grandson "attempted to get [Helen] to take Benadryl to aid her in sleep-ingl,] against medical advice" and despite "[eontraindications] with her other pain medications." The petition further stated that Helen "indicated that [the] recent decline of her health resulted in multiple transports and admits to the hospital." Rumbo reported that Helen agreed with the guardian request and wanted help getting placed in the Pioneer Home. Rumbo requested a full guardian because Helen was unable to manage the application process for the Pioneer Home, and she requested a public guardian since she believed that no other appropriate individuals were available. 2

Just over a week after filing its original petition, APS filed a motion for an expedited hearing and the appointment of a temporary guardian. According to the accompanying affidavit, Rumbo received a report on April 24 that Helen "was found lying in her bed with a black eye." Helen "indicated that she fell in the bathtub the prior evening," but her son "did not provide any information." 3 Helen "was reported to be moaning and feeling dizzy[,] so she was taken to [the hospi-tall." Two days later Rumbo received a" report, presumably from the personal care assistant, that the "[personal care assistant] was unable to enter [Helen's] home as nobody answered the door," despite the presence of two vehicles on the property. When Rumbo attempted to visit Helen with a police officer, Helen's son and his fiancée "became verbally combative" and refused to let them in. According to Rumbo, Helen was hospitalized after a fall reportedly sustained on April 27 and was also admitted for dehydration and poor nutrition.

Serving as a standing master for the superior court, Magistrate Judge Craig S. Condie held an emergency hearing on May 2 and found that the appointment of a temporary guardian was warranted. At the master's recommendation the superior court appoint *552 ed the Office of Public Advocacy (OPA) as Helen's temporary guardian and conservator. 4 In coordination with OPA, Helen was initially placed in an assisted living facility. In July Helen underwent a neuropsychological examination 5 conducted by Dr. Russell Cherry, a neuropsychologist with substantial experience evaluating the capacity of elderly people.

The long-term guardianship and conserva-torship hearing was held in September, by which time Helen was living in the Pioneer Home. The State presented expert testimony from Dr. Cherry as well as testimony from Rumbo and Debra Heiker, Helen's temporary public guardian. Helen also testified.

Dr. Cherry testified that Helen "presented as far more intact than [he] expected given the records." He believed Helen had experienced "a several-month ... apparent delirium episode" that occurred "most likely due to pain medications." He explained that "[dJelirium is a state of temporary confusion brought on by a medical condition.... [TIhere's very compelling evidence that [Helen] had prior issues with delirium that resulted in her being misdiagnosed with dementia. But she wasn't delirious during [the] evaluation." Dr. Cherry diagnosed Helen with "age-related cognitive decline," "anxiety disorder," and "depressive disorder." He testified that Helen "had reduced performances on some tests" but that her performance was inconsistent, indicating that "something interfered with test performance." He speculated this could have been due to Helen's hearing problems, vision problems, or fatigue. He opined without reservation that Helen had "third grade math abilities."

In Dr. Cherry's opinion, Helen needed help managing her finances and would need daily assistance from a personal care assistant or a "family member with no prior history of predation or neglect" in order to live safely at home. His review of Helen's medical records showed that "several medical providers indicated financial predation" and that "{sleveral medical providers indicated that her grandson may have been stealing her pain medications." His opinion was that Helen could be successful living at home if she had assistance with obtaining food and preparing meals, taking her medications, managing her finances, and doing paperwork necessary to obtain services such as Medicaid and personal care assistants.

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Bluebook (online)
355 P.3d 549, 2015 Alas. LEXIS 117, 2015 WL 5167269, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wilson-v-state-department-of-law-alaska-2015.