A Fort Bend County probate judge found Grayville Anderson totally incapacitated and appointed the Texas Health and Human Services Commission (HHSC) as guardian of the person, the court announced during a guardianship hearing in case 25 CPR 042224.

State guardian witnesses described the proposed ward’s medical condition: the ward (born April 12, 2006) has profound intellectual disability, is blind, has frequent seizures and requires near-constant nursing-level care. The petitioner’s caseworker and long-term guardian specialist testified the ward had been referred from CPS, was examined by a physician (Dr. Heather Moore) on Jan. 31, 2025, and required full guardianship with no less-restrictive alternatives available. HHSC said the plan is for the ward to remain in his current HCS placement with his foster father.

The court found clear and convincing evidence of total incapacity, determined guardianship was warranted, appointed the Texas Health and Human Services Commission as guardian of the person, waived bond, discharged the attorney ad litem and awarded the attorney ad litem $763.50. The judge noted concerns about language in the proposed order (including DNR phrasing) and said the order may be amended as appropriate.

Why it matters: The ruling assigns legal authority for personal-care decisions to a state agency for an individual with severe disabilities, formalizes long-term care arrangements, and preserves continuity of nursing-level supports in the ward’s current placement.