The two women met at the Alpine Manor nursing home where Graham was a nurse's aide and Wood was her supervisor. They quickly became friends and then lovers in 1986. They practiced sexual asphyxia and other games to achieve a better orgasm. Graham began to talk about murder which added a new level of excitement to their games.
Over the next few months, five more Alpine Manor patients died. Many of the victims, whose ages ranged from 65 to 97, were incapacitated and suffered from Alzheimer's disease. Graham and Wood turned the selection of victims into a game, choosing victims whose initials collectively spelled M-U-R-D-E-R.
The murder investigation began in 1988 after Wood’s ex-husband went to the police with a statement she had made a year earlier. She told him the story of the murders (August 1987). Her ex-husband told the police in October 1988 which led them to investigate further. The first victim was exhumed on November 30, 1988 almost a year after her burial. The coffin was then taken to Kent County Morgue for examination. Eight possible victims were identified, but police ended up pursuing five.
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