This case takes place in Massachusetts and involves a patient in a nursing home, who passed away due to complications from dehydration. The decedent was physically disabled and required close supervision and care. She was living at the defendant nursing home required contact supervision by staff at all times in every area of the nursing facility. On one occasion, the decedent and a staff member were sitting in the common area of the home. According to the defendant’s notes, the staff member stepped outside for a brief period of time. When the staff member came back in the decedent was slumped over in the chair and was unresponsive. According to the notes of the nursing home, lab reports were sent to the nursing home which revealed elevated sodium and chloride levels some time before the patient’s death. The group home files do not contain any further notes concerning the lab results. The autopsy report lists elevated sodium and chloride levels consistent with severe dehydration.