Leslie Andino, 23, suffers from multiple sclerosis, dementia and depression. A psychiatric evaluation found her incompetent, prompting Judge Elliot Solomon to order her back into treatment at a hospital.
Andino's status will be reviewed again in two months, but her lawyer said it is unlikely her mental state will improve.
``The disease is generally understood to be chronic, progressive and debilitating,'' Christopher J. Rossitti said.
The Feb. 26 fire at Greenwood Health Center forced patients into the cold. Ten people died that day and six more died later.
Andino told police and nurses that she started the blaze by playing with a cigarette lighter in bed, according to court documents. Investigators said it appears that the lighter had been held to the bedding and that the fire was not started by accident.
She was arrested in May on murder and arson charges.
Andino did not speak to the judge Thursday. She appeared in court in a wheelchair, holding a stuffed animal, and blew kisses to her family.
Her mind is clear some days and foggy others, Rossitti said.
``I don't think she understands what her role in this is,'' he said.
