A man accused of murder in 1993 will remain committed to Eastern State Hospital after an annual review determined he is still mentally insane.

Lloyd T. Waters Sr., who has chronic schizophrenia, stood trial in 1994 for the June 24, 1993 murder of 78-year-old Ocie Ruffin. He was found not guilty by reason of insanity.

According to city spokeswoman Debbie George, Waters told police during the investigation that “God had told him to do it.”

“This individual, who appeared to be mentally unstable, went to the church of the victim,” George said. “There was no animosity between him and the victim. The victim was actually trying to help him.”

Waters, however, arrived at Ruffin’s residence on Boat Street one night. Ruffin’s wife answered the door, and Waters asked for her husband, George said. After a short conversation between the two men, Waters shot Ruffin.

The case comes up for review annually, prosecutor Will Jamerson said. The next review will be in January 2012.