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Competency Evaluation Ordered by Lyon Co District Court in Fernley Stabbing Case

Competency Evaluation Ordered by Lyon Co District Court in Fernley Stabbing Case
Adam Miller. Photo courtesy at the time of his arrest. Photo courtesy of LCSO.

A Lyon County District Court judge ordered a competency evaluation for Adam Elijah Miller on January 13. The 19-year-old allegedly attacked his parents with a knife in their home on Farm District Rd on December 18. 

Miller’s father, Lance Miller, died of his wounds, and his mother, Elizabeth Miller, was seriously injured in the incident. Miller is facing charges of Open Murder with the Use of a Deadly Weapon, a Category A Felony, punishable by 20-50 years to life in prison, with or without the possibility of parole, and could even call for the death penalty. He is also accused of Attempted Murder with the Use of a Deadly Weapon, a Category B Felony punishable by 2 to 20 years. Other charges include Concealing Evidence and Domestic Battery.

The initial order came from Fernley’s Canal Justice Court Judge Lori Matheus on December 31, after Patrick Mansfield, Esq., the attorney appointed to represent Miller, requested the case be waived up to the District Court so that Miller could be assessed. 

At the January 13 hearing, the court ordered a competency evaluation and an early March status hearing to review the findings. In Nevada, legal competency standards require that defendants understand the charges against and the legal process before them, and can rationally and effectively participate in their defense.

Competency evaluations are not uncommon in murder cases to ensure defendants are fit to stand trial. If found competent, Miller’s case will return to Fernley Justice Court, where it originated, before officially transferring to the Third Judicial District Court until concluded.

If Miller is not initially determined competent, professional staff at Lake’s Crossing in Reno will work to treat him to a level of competency as established by NRS. Lake’s Crossing is a Nevada State maximum-security psychiatric facility that provides forensic mental health services. This process often takes months or longer. In some cases, individuals cannot meet competency requirements and remain under the care of treating physicians indefinitely.

 

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COMMENTS
Comment author: Mike HinzComment text: I knew Sam as a member of our church growing up. He always had a warm smile, a kind word, and a great sense of humor! He will be great missed!Comment publication date: 7/2/25, 11:57 AMComment source: Obituary -- Samuel Bruce WickizerComment author: Mike HinzComment text: Great teacher, great coach, but even a better person!!! Rest in peace Mr. BeachComment publication date: 7/2/25, 11:53 AMComment source: Obituary -- Jack Victor Beach, Jr.Comment author: Mike HinzComment text: I had Mrs Hedges for First Grade at Northside Elementary in 1969. I still, to this day, remember her as a wonderful teacher…one of my favorites!!Comment publication date: 7/2/25, 11:29 AMComment source: Obituary - Nancy Marie Hedges C Comment author: Carl C. HagenComment text: What are MFNs and PBMs ?? ............................ From the editor: This is a very good question and we apologize for not catching that wasn't in there. We reached out to the writer/submitter and got this info back...hope it's helpful. PBM: Pharmacy Benefit Managers are pharmacies that are owned by insurance companies. (CVS is one.) They negotiate with drug makers to get reduced pricing for medications, but they historically have not passed along those savings to patients. https://www.ftc.gov/system/files/ftc_gov/pdf/pharmacy-benefit-managers-staff-report.pdf MFN: Most Favored Nation pricing is a policy that means a country agrees to offer the same trade concessions (like tariffs or price reductions) to all member nations of the World Trade Organization (WTO). When applied to pharmaceuticals, it could disrupt global access, deter innovation, and obscure the deeper systemic issues in American health care. https://petrieflom.law.harvard.edu/2025/05/22/the-global-risks-of-americas-most-favored-nation-drug-pricing-policy/Comment publication date: 6/23/25, 7:47 AMComment source: L E T T E R TO THE EDITOR
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