The former administrator of a now-closed Ohio residential care home faces up to 4.5 years in prison after pleading guilty to reckless homicide and patient abuse in the death of an 85-year-old resident.

Alice Ramsey, the former administrator of Hubbard Road Meadows in Madison Township, OH, about 40 miles east of Cleveland, pleaded guilty on Jan. 3, the day her trial was set to begin, reported. The day also was the one-year anniversary of when visitors said they heard resident Mary Srpan banging on the door to her room. Staff members opened the door with a key and found Srpan’s head wedged in a nightstand, according to a later investigation. She was taken to the hospital but died Jan. 17, 2017.

The investigation by the Ohio Department of Mental Health and Addiction Services, which licenses adult care homes and adult foster homes in Ohio, found that on Jan. 3, 2017, Ramsey “abused a resident, resulting in that resident’s hospitalization,” according to The Cuyahoga County Medical Examiner’s Office ruled Srpan’s death a homicide.

Ramsey had been arrested Jan. 13, 2017, and Hubbard Road Meadows closed permanently on March 30, 2017, because its license was revoked.

She is scheduled to be sentenced on Jan. 17, the one-year anniversary of Srpan’s death.

Ramsey’s attorney, William Bobulsky, had not responded to a request for comment by the publication deadline.