In inquest was held but the instructions to the staff was so weak so they hadn't voilated any protocol. The facility has used a lot of time to prevent new deaths and have revised their protocols.
Unfortunately it was too late for Mark Soares.
May he rest in peace.
Sources:
- DA office probe to determine if criminal conduct involved. (Boston Herald)
- Lessons Unheeded, Lives Lost (Hartford Currant)
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