Grand Rapids is the economic and cultural hub of West Michigan. It is part of Michigan’s Bible Belt, has a strong education system, a well-established economy from manufacturing furniture, is a clean city with very little unemployment and quite a low crime rate.

Alpine Manor was a large nursing home in Grand Rapids which looked after around 200 elderly patients. It wasn’t a retirement home but more of a nursing home for people who had Alzheimer’s or were terminally ill. The very nature of such a nursing home taking care of unwell elderly patients meant a higher-than-average death rate.

The death rate was about to get higher...

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