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CHARLESTON, W.Va. (AP) — A former nursing assistant who killed seven elderly veterans with fatal injections of insulin at a West Virginia hospital was sentenced to life in prison on Tuesday by a federal judge who called her “the monster that no one sees coming.”

Reta Mays has a history of mental health issues & offered no explanation Tuesday for why she killed the men. But U.S. District Judge Thomas Kleeh told her “you knew what you were doing” before sentencing her to seven consecutive life terms, a punishment that means she’ll likely die in prison.

Mays, 46, pleaded guilty last year in federal court to seven counts of second-degree murder for intentionally injecting the men with unprescribed insulin at the Louis A. Johnson VA Medical Center in Clarksburg.

While the deaths accumulated during her overnight shifts at the hospital in 2017 and 2018, Mays conducted internet searches on female serial killers & watched the Netflix series “Nurses Who Kill,” Kleeh said. He also said she repeatedly denied her involvement, telling investigators three times that she had no knowledge of the crimes.

“Several times your counsels made the point that you shouldn’t be considered a monster,” Kleeh told Mays. “Respectfully, I disagree with that. You are the worst kind. You’re the monster that no one sees coming.”

Mays cried & apologized in addressing the court briefly before learning her sentence.

“I know that there’s no words that I can say that would alter the families’ pain & comfort,” she said. “I don’t ask for forgiveness because I don’t think I could forgive anyone for doing what I did.”

Hospital officials reported the deaths to the VA inspector general & fired Mays after evidence pointed to her.

Then-U.S. Attorney Bill Powell said there were about 20 suspicious deaths at the medical center during the time Mays worked there, but charges were only brought in cases where the government thought it had sufficient evidence.

The second-degree murder charges involved the deaths of Army veterans Robert Lee Kozul Sr., 89, Archie D. Edgell, 84, Felix Kirk McDermott, 82, & William Holloway, 96; Navy veteran Robert Edge Sr., 82; Air Force veteran George Nelson Shaw Sr., 81; & Army & Air Force veteran Raymond Golden, 88.

She also was sentenced to an additional 20 years for assault with intent to commit murder involving the death of Navy veteran Russell R. Posey Sr., 92.

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