Guardianship Nightmares: 4 Costly Mistakes and How to Avoid Them in North Carolina
Attorneys Greg McIntyre and Brenton Begley
Guardianship is meant to protect vulnerable adults who can no longer manage their personal, financial, or healthcare affairs. But in practice, guardianship cases often become contentious, complex, and emotionally draining for families.
In North Carolina, only a judge—not a doctor—can legally declare someone incompetent. Once a petition is filed, the court must decide both whether the individual is incompetent and, if so, who should serve as guardian.
Unfortunately, this process can quickly turn into a nightmare if certain safeguards aren’t in place. Attorneys Greg McIntyre and Brenton Begley of McIntyre Elder Law identified four major guardianship pitfalls that families frequently encounter:
Lack of medical evidence
No powers of attorney in place
Highly contested guardianship disputes
Appointment of a third-party guardian
Let’s explore each of these “guardianship nightmares” and how families can prevent them.
1. Lack of Medical Evidence in Guardianship Cases
When someone petitions for guardianship, they must provide clear, cogent, and convincing evidence that the individual is incompetent. This is a much higher standard of proof than most civil cases.
Why Medical Evidence Matters
- Testimonies from family and friends can support the case, but they’re rarely enough on their own.
- Medical records and physician evaluations carry significant weight in court.
- Without solid medical evidence, the petition may stall or be dismissed entirely.
What Happens If You Don't Have Medical Records
Petitioners can ask the court to order a multidisciplinary evaluation (MDE).
An MDE typically includes:
- A psychological assessment
- A physical examination
- A social work evaluation
The findings are presented to the court and often become the deciding factor in whether guardianship is granted.
In short, lack of medical evidence is one of the quickest ways a guardianship case can unravel.
2. No Powers of Attorney in Place
Perhaps the most common reason guardianship becomes necessary is that the individual failed to create powers of attorney (POA) before losing capacity.
The Role of Powers of Attorney
- General Durable Power of Attorney (GDPOA) covers financial and legal matters.
- Healthcare Power of Attorney (HCPOA) allows a trusted person to make medical decisions.
If these documents exist, guardianship is often rendered unnecessary because the appointed agents can step in immediately.
What Happens Without POA?
- The family must go through the court process of guardianship, which can be time-consuming, expensive, and emotionally draining.
- The court, not the family, decides who should manage the person’s affairs.
The Legal Safeguard in North Carolina
Under Chapters 32C and 35A of the NC General Statutes, the court must consider existing powers of attorney before appointing a guardian. In fact, guardianship may be denied if a valid POA is in place. Creating POAs now can spare your loved ones the nightmare of a future guardianship battle.
3. Contested Guardianship Cases: Family Feuds in Court
Guardianship cases often pit family members against each other. It’s not unusual for siblings to fight over who should control a parent’s care 0r finances.
Why Contested Cases Are a Nightmare
- Family history, resentment, and “dirty laundry” often spill into the courtroom.
- Court proceedings can destroy relationships permanently.
- Even if one party is qualified, the court may hesitate to appoint them if there is too much conflict.
The Court's Typical Response
If the court sees ongoing family disputes, it may refuse to appoint any family member and instead:
- Appoint a third-party attorney as a guardian of the estate
- Appoint Department of Social Services (DSS) as guardian of the person
- This means strangers end up making crucial decisions about healthcare, living arrangements, and finances.
4. Appointment of a Third-Party Guardian
The final guardianship nightmare occurs when courts bypass family altogether.
When Does This Happen?
- In highly contested cases where family members can’t agree
- When no suitable family member is available or trustworthy
- If the court believes a neutral party will best protect the individual
Why Families Want to Avoid This
- Third-party guardians do not know the individual personally.
- Families lose meaningful control over their loved one’s care.
- The individual may feel isolated if family visitation is restricted.
In essence, failing to plan often results in losing family decision-making power to outsiders.
How to Avoid Guardianship Nightmares
The good news is that guardianship nightmares are preventable with proper estate planning.
- Establish both Generable Durable and Healthcare Power of Attorneys
- Work with an elder law attorney to ensure documents comply with NC law.
- Discuss wishes openly with family to reduce future conflict.
- Seek legal counsel immediately if guardianship becomes unavoidable.
McIntyre Elder Law helps families across North Carolina create proactive plans and, when necessary, navigate contested guardianship hearings with passion and expertise.
Plan Now, Avoid the Nightmare Later
Guardianship is often described as a last resort, but without proper planning, it can quickly spiral into one of the most stressful legal battles a family faces.
By understanding the four common guardianship nightmares—lack of medical evidence, no POAs, contested disputes, and third-party appointments—you can take steps today to safeguard your future and protect your loved ones.
👉 The best way to avoid guardianship nightmares is estate planning done right. Don’t wait until it’s too late.
📍 Offices in Shelby, Charlotte, and Hendersonville
📞 Call us at 1-888-999-6600
🌍 Visit our website: www.mcelderlaw.com
Don’t wait until it’s too late—take control of your future today!
Attorney Greg McIntyre
CEO & Founding Attorney
McIntyre Elder Law
Charlotte, NC


Attorney Brenton Begley
Estate Planning & Elder Law Attorney
Partner, McIntyre Elder Law
Shelby, NC



