                                         2017 IL App (3d) 160248

                                Opinion filed August 29, 2017
     _____________________________________________________________________________

                                                  IN THE

                                   APPELLATE COURT OF ILLINOIS

                                            THIRD DISTRICT

                                                    2017

     In re ESTATE OF DEBORAH BEETLER,       )     Appeal from the Circuit Court
                                            )     of the 9th Judicial Circuit,
             An Alleged Disabled Person,    )     Knox County, Illinois,
                                            )
     (David E. Beetler,                     )
                                            )
             Petitioner-Appellant,          )     Appeal No. 3-16-0248
                                            )     Circuit No. 13-P-187
             v.                             )
                                            )
     Tricia Bledsoe,                        )     Honorable
                                            )     Raymond A. Cavanaugh,
             Respondent-Appellee).          )     Judge, Presiding.
     _____________________________________________________________________________

           JUSTICE WRIGHT delivered the judgment of the court, with opinion.
           Justice Lytton concurred in the judgment and opinion.
           Justice Schmidt specially concurred, with opinion.
     _____________________________________________________________________________

                                                 OPINION

¶1          In 2013, Deborah Beetler executed a power of attorney authorizing her husband, David E.

     Beetler, to make her health care decisions. In 2014, the trial court appointed another person to

     serve as plenary guardian over Deborah’s estate and also authorized the guardian to remove

     Deborah’s person from David’s care and place her in a residential facility. In 2016, David

     requested the court’s permission for David to make arrangements to reline Deborah’s dentures

     contrary to the wishes of the court-appointed guardian. The court denied David’s request after
     finding the guardianship implicitly terminated David’s authority to make any health care

     decisions for his wife after the plenary guardianship was established in 2014. We reverse.



¶2                                                  FACTS

¶3           On August 29, 2013, Deborah Beetler (Deborah) executed an Illinois statutory short form

     power of attorney for health care giving her husband, David E. Beetler (David), permission to act

     as her attorney for purposes of making her health care decisions. The document authorized David

     to make any and all decisions for Deborah concerning her “personal care, medical treatment,

     hospitalization and health care.” This document became effective upon its execution on

     August 29, 2013, and remained effective until Deborah’s death. However, Deborah did not

     execute a power of attorney designating someone to handle her estate or financial affairs.

¶4                                    A. 2014 Guardianship Proceedings

¶5           On October 28, 2013, Barbara Foster, a caseworker for Alternatives for Older Adults,

     petitioned the court to appoint a guardian over the person and estate of Deborah, a disabled

     person. According to the petition, Deborah was 64 years old in 2013 and suffered from dementia

     resulting in her status as a disabled adult.

¶6           Foster’s petition for temporary guardianship requested that the court enter an order

     appointing Deborah’s daughter, Tricia Bledsoe, to serve as temporary guardian of Deborah’s

     person and estate, pending a full hearing on the allegations contained in the petition for plenary

     guardianship. The petition for temporary guardianship alleged Deborah’s current caretaker was

     neglecting and physically abusing Deborah.

¶7           The petition for plenary guardianship, filed on the same date, requested the court to

     designate Bledsoe as the plenary guardian of Deborah’s person and estate. Neither petition




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       advised the court that Deborah had executed a power of attorney for heath care naming David

       Beetler as her agent. Foster’s attorney filed a proof of service certifying that David and

       Deborah’s two children were served with copies of the petitions for temporary and plenary

       guardianship and a notice of hearing by mail on October 28, 2013.

¶8            On October 28, 2013, the court entered an order appointing Bledsoe as temporary

       guardian of Deborah’s person and estate. The court order dated October 28, 2013, specified that

       “the authority of the Temporary Guardian under this Order shall supersede all agencies executed

       on behalf of Deborah pursuant to the Illinois Power of Attorney Act.” The court also appointed a

       guardian ad litem for Deborah. On October 28, 2013, Deborah was removed from her home and

       placed in a residential care facility. To date, she has remained in the residential care facility.

¶9            On February 25, 2014, David filed an answer to Foster’s petition and counterpetition

       requesting the court to appoint David as Deborah’s plenary guardian for both her person and

       estate. On April 3, 2014, the trial court conducted an evidentiary hearing concerning Foster’s

       petition for plenary guardianship and David’s counterpetition. During the evidentiary hearing

       conducted on April 3, 2014, Judge Standard received testimony from approximately 14

       witnesses, including Foster, Bledsoe, David, and various relatives and health care professionals.

¶ 10          During the 2014 hearing, Foster explained to the court that, in August 2013, she

       investigated reports that Deborah had been wandering away from her home on multiple

       occasions due to inadequate supervision. As part of her investigation, Foster visited Deborah and

       David’s home on multiple occasions. On the first visit, a woman named Pat Turner, a family

       friend, was present outside Deborah’s home. Turner spoke to Foster and told Foster she could

       not speak with Deborah at that time because Deborah suffers from dementia. Foster then

       approached the front door, knocked, and spoke to Deborah. During this brief conversation,




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       Foster observed Deborah had fresh blood on her forehead and clothing. Shortly thereafter,

       Turner and her husband both directed Foster to leave the premises and instructed Foster to

       contact David for information about Deborah’s well-being. Foster complied with their request.

¶ 11           A few days later, Foster returned to Deborah’s home and spoke face-to-face with David.

       David advised Foster that while he was away from the home, a person named Jim Clayton

       provided supervision for Deborah. The record reveals David is employed during the weekdays

       and must be away from the household. During David’s work hours, David believed Clayton was

       supervising Deborah’s activities.

¶ 12           According to David, Clayton lived in the basement of the Beetler home. During Foster’s

       visit, David allowed Foster to speak with Deborah. Foster attempted to evaluate Deborah for

       competency. Foster described David as polite but very guarded.

¶ 13           Foster returned to the Beetler home on another occasion in late August 2013. A woman

       named Connie Turner, a relative, was present at this time and answered the door. While Foster

       was seated on the couch having a “very cordial” conversation with Deborah, Deborah

       unexpectedly became agitated and “attacked” Foster. Foster left the residence shortly thereafter

       to diffuse the situation.

¶ 14           During the 2014 evidentiary hearing, the court received testimony from over 10

       witnesses, including friends, family, and Deborah’s caregivers. For example, Kim Norville

       testified she was a family friend and witnessed David and Deborah engaged in a physical

       confrontation as the couple was travelling down the roadway in their vehicle. According to

       Norville, David seemed to be yelling at his wife and beating on the steering wheel as he drove.

       The court received testimony about David’s care plan for his wife which involved volunteer

       caregivers that had a prior relationship with Deborah through connections with her church,




                                                       4
       neighborhood, and family. This network of volunteers spent time supervising Deborah when

       David found it necessary to be away from his wife due to work or other commitments. The court

       also received information from current and past caregivers describing Deborah’s mental state and

       combative nature at times. The court received undisputed testimony indicating David has a

       calming effect on Deborah, causing her to be less agitated in his presence at times.

¶ 15          The court also received testimony from both Bledsoe and David in support of their

       separate requests to be named as Deborah’s guardian. Bledsoe advised the court of the need for

       residential placement due to Deborah’s advanced dementia, but conceded her mother trusted

       David. David expressed concerns about the inadequate care he perceived Deborah was currently

       receiving from the residential care facility, his desire to maintain her dignity and his hopes of

       avoiding further decline of her mental focus by improving her quality of life.

¶ 16          After the extensive evidentiary hearing in 2014, Judge Standard found that Deborah

       lacked the capacity to make decisions concerning the care of her person and the management of

       her finances due to her dementia. The court also found that placement in a secure facility under

       24 hour supervision, as recommended in a physician’s report, was in Deborah’s best interests.

       The court judiciously noted the difference in expressed perspectives of David, a devoted spouse,

       and Bledsoe, a devoted daughter. The trial court’s finding did not contain an express or implied

       conclusion that either David or Bledsoe had been abusive towards Deborah in the past. The

       court’s findings addressed the “tragic situation” resulting from the progression of Deborah’s

       disease and commented on the “anguish” resulting from Deborah’s circumstances. After making

       certain findings of fact, the trial court entered an order on April 22, 2014, selecting Bledsoe as

       the person to serve as the plenary guardian for Deborah’s person and estate.




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¶ 17          The court’s announced findings and written order dated April 22, 2014, were silent and

       did not explicitly address the prior agency created by Deborah pursuant to the Illinois Power of

       Attorney Act (Power of Attorney Act) (755 ILCS 45/1-1 et seq. (West 2016)). The court order

       granted Bledsoe “the power and authority to place the Ward in a residential facility,” a decision

       David hoped to avoid with an alternative plan for home health care. The trial court found

       David’s plan to be unrealistic in light of the medical testimony the court received. Before ending

       the proceeding, the trial court provided compassionate guidance urging the family that was

       divided on the issue of residential care to try to get beyond their differences and “stand at

       [Deborah’s] bedside side by side.”

¶ 18          The April 22, 2014, court order dictated that “Letters of Guardianship shall issue in

       accordance with the provisions of this Order.” On April 22, 2014, the deputy circuit clerk issued

       letters of guardianship. The letters state, in relevant part, that Bledsoe, as the plenary guardian,

       shall have the powers “[t]o arrange for and consent to any and all medical and/or dental tests

       and/or examinations which are reasonably required for the ward” and “[t]o consent to medical

       and/or dental treatment on behalf of the ward; including surgery, as is reasonably required for the

       ward, except where contrary to law.” The letters were not signed by a judge.

¶ 19                                       B. 2016 Health Care Request

¶ 20          On February 12, 2016, nearly two years after Judge Standard appointed Bledsoe to act as

       her mother’s plenary guardian, David filed a motion in the circuit court seeking an order

       allowing him to arrange for certain dental services pursuant to his authority as Deborah’s power

       of attorney for health care. The matter was assigned to Judge Cavanaugh.

¶ 21          On March 1, 2016, David filed an amended motion to correct a pagination error. In the

       amended motion, David stated he desired for his wife to have her denture relined because




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       Deborah was “having difficulty eating because of the placement of her teeth, gums, and

       denture.” The amended motion informed the trial court that Deborah’s plenary guardian,

       Bledsoe, opposed the dental procedural David felt was necessary for his wife’s well-being.

¶ 22          David attached an affidavit to the amended motion to allow dental services from Dr.

       Adam Welty, DMD, in support of the proposed dental procedure. In the affidavit, Dr. Welty

       stated that he visited Deborah at the nursing facility and examined Deborah’s maxillary denture.

       Dr. Welty determined the denture was loose fitting and provided no retention. Dr. Welty stated

       that in his experience, most patients in long-term care facilities lose weight and their dentures no

       longer fit due to loss of tone, muscle, and fatty tissue in their mouths. Dr. Welty recommended

       that Deborah receive a reline procedure, which essentially refits the existing denture. Dr. Welty

       stated that the procedure does not always ensure retention and denture adhesive may still be

       necessary. However, Dr. Welty opined that in Deborah’s case, a reline would dramatically

       improve the fit of Deborah’s upper denture. Finally, Dr. Welty stated that his observations and

       opinions were based on his education and experience and his opinions were made to a reasonable

       degree of dental certainty.

¶ 23          On February 22, 2016, Bledsoe filed a response to the motion to allow dental services. In

       the response, Bledsoe argued that the proposed denture reline procedure would not be in

       Deborah’s best interest due to her progression into end-stage dementia that resulted in her current

       hospice care. Further, Bledsoe alleged solid food creates a choking hazard for Deborah. Thus,

       according to Bledsoe’s response, Deborah did not require a denture for consumption because she

       was on a pureed diet. Bledsoe’s response indicates Bledsoe did not agree that Deborah had

       difficulty eating on the pureed diet. Bledsoe stated Deborah was unable to follow instructions or




                                                        7
       to report pain that could develop with a possible denture reline due to Deborah’s nonverbal status

       as an end-stage dementia patient.

¶ 24          On April 8, 2016, Judge Cavanaugh conducted an evidentiary hearing on David’s

       amended motion to allow dental services for his wife. The court heard testimony from Dr. Welty

       on behalf of David concerning the proposed denture reline procedure and the benefits it would

       provide to Deborah. Marcy Olmsted, R.N., Deborah’s case manager at hospice, testified the

       proposed procedure would have a negative impact on Deborah. David and Bledsoe provided

       their own testimony to the trial court.

¶ 25          After hearing all of the evidence and the arguments of the attorneys, the court found the

       denture reline might provide cosmetic benefits for Deborah but would not be in Deborah’s best

       medical interests. Further, the court order dated April 8, 2016, found, as a matter of law:

                      “That the Court’s Order dated April 22, 2014, appointing Tricia Bledsoe

              as Guardian of the Person and Estate of Deborah Beetler, obviates and supersedes

              any Illinois Power of Attorney for Health Care executed by Deborah Beetler.”

¶ 26          On May 5, 2016, David filed a timely notice of appeal challenging the trial court’s denial

       of his amended motion to allow dental services filed pursuant to his authority as Deborah’s

       power of attorney for health care.



¶ 27                                              ANALYSIS

¶ 28          In this appeal, David argues Deborah’s 2013 decision to designate David as her agent for

       purposes of making her health care decisions was not extinguished by the 2014 order appointing

       Bledsoe as plenary guardian of Deborah’s person and estate. Bledsoe submits the 2014




                                                        8
       guardianship implicitly revoked David’s authority to make any health care decisions for Deborah

       after the court found Deborah to be a disabled adult and appointed a guardian on her behalf.

¶ 29          Before Foster filed a petition under section 11a-3 of the Probate Act of 1975 (Probate

       Act) (755 ILCS 5/11a-3 (West 2012)), Deborah made her own arrangements by selecting David

       as the person she trusted to make her future health care decisions, if necessary. To date, no

       person has filed a petition in the circuit court pursuant to section 2-10 of the Power of Attorney

       Act (755 ILCS 45/2-10) (West 2016)), seeking to set aside or requesting a judicial determination

       that David’s agency should be terminated.

¶ 30          Hence, in this appeal, we focus on a very narrow issue. Namely, this court must

       determine whether Deborah’s 2013 decision to designate David as her agent for purposes of

       making her health care decisions under the Power of Attorney Act survives the subsequent 2014

       judicial decision appointing Bledsoe as the plenary guardian. The issue in this appeal involves a

       question of law subject to de novo review. See In re Estate of Wilson, 238 Ill. 2d 519, 552 (2010)

       (“Statutory construction presents a question of law which we review de novo.”).

¶ 31          With great foresight, our lawmakers provided statutory guidance for courts facing the

       precise issue presented in this appeal involving the interface between the Power of Attorney Act

       (755 ILCS 45/1-1 et seq. (West 2016)) and a guardianship proceeding for a disabled adult

       pursuant to the Probate Act (755 ILCS 5/1-1 et seq. (West 2016)). It is clear that David’s

       authority to make any health care decisions for his wife arises solely out of an agency

       relationship created by his wife under the Power of Attorney Act in 2013.

¶ 32          The Power of Attorney Act provides that an individual, such as Deborah, “has the right to

       appoint an agent to make property, financial, personal, and health care decisions for the

       individual.” 755 ILCS 45/2-1 (West 2016). The Power of Attorney Act establishes that the




                                                        9
principal may empower another person to act as their agent “throughout the principal’s lifetime,

including during periods of disability” and the principal must “have confidence that third parties

will honor the agent’s authority at all times.” 755 ILCS 45/2-1 (West 2016). Section 2-5 of the

Power of Attorney Act provides, in pertinent part, as follows:

       “Unless the agency states an earlier termination date, the agency continues until

       the death of the principal, notwithstanding any lapse of time, the principal’s

       disability or incapacity or appointment of a guardian for the principal after the

       agency is signed.” 755 ILCS 45/2-5 (West 2016).

Next, section 2-6(a) of the Power of Attorney Act states:

       “All acts of the agent within the scope of the agency during any period of

       disability, incapacity or incompetency of the principal have the same effect and

       inure to the benefit of and bind the principal and his or her successors in interest

       as if the principal were competent and not a person with a disability.” 755 ILCS

       45/2-6(a) (West 2016).

The statutory scheme makes it clear that this agency is strictly protected from judicial

intervention except under a very narrow set of rigid procedural circumstances. Specifically,

section 2-10 of the Power of Attorney Act provides, in relevant part, as follows:

               “(a) Upon petition by any interested person (including the agent), with

       such notice to interested persons as the court directs and a finding by the court

       that the principal lacks either the capacity to control or the capacity to revoke the

       agency, the court may construe a power of attorney, review the agent’s conduct,

       and grant appropriate relief including compensatory damages.




                                                 10
                      (b) If the court finds that the agent is not acting for the benefit of the

              principal in accordance with the terms of the agency or that the agent’s action or

              inaction has caused or threatens substantial harm to the principal’s person or

              property in a manner not authorized or intended by the principal, the court may

              order a guardian of the principal’s person or estate to exercise any powers of the

              principal under the agency, including the power to revoke the agency, or may

              enter such other orders without appointment of a guardian as the court deems

              necessary to provide for the best interests of the principal.” 755 ILCS 45/2-10

              (West 2016).

¶ 33          We consider the statutory mandates associated with a plenary guardianship proceeding

       for a purported disabled adult. Section 11a-17(c) of the Probate Act recognizes the agency

       created by a valid power of attorney may survive a disability and the appointment of a plenary

       guardian. 755 ILCS 5/11a-17(c) (West 2016). Section 11a-17(c) of the Probate Act provides that

       “[a]bsent [a] court order pursuant to the Illinois Power of Attorney Act directing a guardian to

       exercise powers of the principal under an agency that survives disability, the guardian has no

       power, duty, or liability with respect to any personal or health care matters covered by the

       agency.” (Emphases added.) 755 ILCS 5/11a-17(c) (West 2016). Thus, the Probate Act is

       entirely consistent with section 2-10 of the Power of Attorney Act, cited above.

¶ 34          Based on the representations of fact emphasized by Bledsoe’s attorney during oral

       arguments before this court, we recognize that both David and Bledsoe care deeply about

       Deborah’s comfort, care, and well-being, but face significant challenges due to her advancing

       illness in spite of her young age. As Bledsoe’s counsel pointed out during the argument before

       this court, once Bledsoe placed her mother in the residential facility in 2013, David and Bledsoe




                                                         11
       have not had any noteworthy conflicts over Deborah’s day-to-day healthcare, with the exception

       of the denture issue that arose in 2016.

¶ 35           Bledsoe concedes that the 2014 order did not explicitly terminate David’s status as the

       power of attorney for health care for Deborah. Importantly, since becoming her mother’s plenary

       guardian, Bledsoe has not petitioned the court to explicitly revoke her mother’s 2013 power of

       attorney as contemplated by section 2-10 of the Power of Attorney Act. 1 Yet, Bledsoe argues

       that the 2014 order implicitly revoked the agency relationship under the Power of Attorney Act

       and relies heavily on the decision of In re Estate of Doyle, 362 Ill. App. 3d 293 (2005). We do

       not find the rationale in Doyle to be persuasive and decline to follow this Fourth District

       decision.

¶ 36           In Doyle, the trial court appointed a son-in-law as plenary guardian of his mother-in-

       law’s estate. Doyle, 362 Ill. App. 3d at 296-97. On appeal, the daughter argued, among other

       things, that the order appointing the son-in-law as the guardian was void because her mother

       previously executed a power of attorney giving the daughter the exclusive authority to make

       decisions affecting mother’s property. Doyle, 362 Ill. App. 3d at 299.

¶ 37           The appellate court found the judicial determination to appoint a plenary guardian

       “implicitly revoked” the daughter’s agency pursuant to section 2-10 of the Power of Attorney

       Act. Doyle, 362 Ill. App. 3d at 299. The appellate court explained that, although no petition was

       filed under section 2-10 of the Power of Attorney Act, all interested parties in the case were

       notified and had knowledge other persons were asking to become guardians of the disabled

       person’s estate. Doyle, 362 Ill. App. 3d at 299-300. The reviewing court noted the trial court

       heard testimony from a variety of witnesses before granting the request for guardianship. Doyle,


               1
                 Moreover, Foster’s 2014 petition for plenary guardianship did not request the trial court to
       explicitly revoke Deborah’s 2013 power of attorney in favor of David for her health care decisions.


                                                            12
       362 Ill. App. 3d at 300. Thus, the appellate court concluded that while the trial court did not

       expressly make reference to section 2-10 of the Power of Attorney Act, the court’s order

       appointing a plenary guardian implicitly met the requirements of section 2-10 of the Power of

       Attorney Act and stripped the daughter of her prior authority. Doyle, 362 Ill. App. 3d at 301.

¶ 38            We decline to follow the holding in Doyle as contrary to the statutory scheme. Instead,

       we adopt the rationale expressed by the dissent in that case based on overriding public policy

       concerns in addition to the mandates of the statutory construction. The dissent explained:

                         “The whole idea of the Durable Power of Attorney Law is that the

                decision of a competent principal to appoint an agent should not be easily

                overcome. The fact that the court would not have selected the agent selected by

                the principal is irrelevant; what is important is what the principal thought best, not

                what the court thinks is best. The legislature would not have enacted the Durable

                Power of Attorney Law if the solution was the appointment of a guardian of the

                estate; guardians of the estate could be appointed before the Durable Power of

                Attorney Law was enacted. The suggestion that whenever a guardian of an estate

                is appointed any exiting durable power of attorney is revoked is contrary to the

                spirit and the letter of the Durable Power of Attorney Law.” Doyle, 362 Ill. App.

                3d at 306 (Cook, J., dissenting). 2

¶ 39            We are unwilling to ignore Deborah’s unchallenged power of attorney based on implied

       assumptions arising out of the 2014 order entered by Judge Standard. Based on strong public

       policy considerations, we hold that the appointment of a plenary guardian in 2014 by Judge

       Standard did not automatically extinguish Deborah’s preexisting and unchallenged power of

                2
                 We note that the Illinois Supreme Court referred to the Doyle decision in a footnote in Wilson, 238 Ill. 2d
       at 540 n. 9. However, the Illinois Supreme Court cited Doyle only to explain the procedural posture of the case and
       did not address the merits of that decision.


                                                                13
       attorney naming someone, other than a judicially appointed guardian, as her designated agent for

       health care purposes.

¶ 40          Finally, we consider Bledsoe’s argument that the letters of guardianship issued by the

       deputy circuit clerk in 2014 contained the explicit language necessary to revoke David’s

       authority to make health care decisions for his wife. This argument ignores the April 22, 2014,

       guardianship order signed by Judge Standard and expressly directed the clerk to prepare the

       letters of guardianship “in accordance with the provisions of this Order.” (Emphasis added.)

¶ 41          In this case, the letters of guardianship issued by the deputy circuit clerk contained

       language beyond the terms contained in the court order dated April 22, 2014. This order gave

       Bledsoe the power to place her mother in a residential care facility without addressing Bledsoe’s

       authority to make dental care choices for her mother. Therefore, we reject Bledsoe’s argument

       that the letters of guardianship issued by the deputy circuit clerk should be interpreted as a

       judicial order revoking David’s status as Deborah’s power of attorney for health care. See 755

       ILCS 45/2-10(g) (West 2014); 755 ILCS 5/11a-17(c) (West 2014).

¶ 42          For these reasons, we hold that absent a written court order explicitly directing a plenary

       guardian to exercise the powers of the principal under the agency pursuant to the Power of

       Attorney Act, the appointment of a plenary guardian does not automatically revoke an existing

       power of attorney for health care. The decision regarding whether Deborah should receive the

       proposed denture reline procedure is clearly within the scope of the unchallenged power of

       attorney for health care document that Deborah executed in 2013 giving David the authority to

       make such decisions.




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¶ 43          On this basis, we reverse the trial court’s order dated April 8, 2016, denying David’s

       amended motion to allow dental services for Deborah and remand the matter to the trial court for

       entry of an order consistent with this decision.



¶ 44                                             CONCLUSION

¶ 45          The judgment of the trial court of Knox County is reversed and remanded for entry of an

       order consistent with this decision.

¶ 46          Order reversed and remanded.

¶ 47          JUSTICE SCHMIDT, specially concurring.

¶ 48          I concur in the judgment. I do not concur in the majority’s discussion of Doyle. Supra

       ¶¶ 36-39. The facts in Doyle were sufficiently dissimilar to the facts in this case that I would

       simply find Doyle inapposite.




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