An Ohio nurse was sentenced to 10 years in prison for starving Makayla Norman, a 14-year-old girl with cerebral palsy, to death.

Mollie Parsons pleaded guilty to involuntary manslaughter before she was to go on trial for the 2011 death of Makayla, according to The Associated Press. Parsons had starved the girl, ultimately leading to her death. At the time of her death, Makayla weighed just 28 pounds, notes AP.

According to Dayton Daily News, Makayla could not speak, move or even feed  herself and needed a nurse to care for her on a daily basis. At the time of her death, on March 1, 2011, Makayla had bedsores all over her body and her hair was infested with lice.

Parsons was responsible for the daily care and supervision of the victim for six days a week at her home in Dayton, Ohio. But Parsons is not the only person to be held accountable for Makayla's death.

Angela Norman, Makayla's mother, is serving a nine-year sentence for her role in killing her daughter. Two other nurses, Mary Kilby, Parsons' supervisor who was supposed to check on Makayla every 30 to 60 days, and Kathryn Williams, who was supposed to inspect her living conditions every six months, were sentenced to five years of probation, reports AP.

Parsons was supposed to care for Norman from 3 until 11 p.m. for six days of the week while Angela Norman would take over when Parsons was not working, reports Dayton Daily News.

A fifth individual, Dr. Margaret Edwards was charged with failure to report the abuse of Makayla. Edwards was charged with the three misdemeanor counts in July, notes the Dayton Daily News. There is also an ongoing investigation regarding possible Medicaid fraud, reports WDTN.

Parsons' guilty plea was not due to a deal made with prosecutors. She got the maximum of a possible three to 10 years in prison for involuntary manslaughter, failure to provide for a functionally impaired child and tampering with medical records, notes AP.

Montgomery County Common Pleas Judge Mary Katherine Huffman had strong words for Parsons, reports the Dayton Daily News, calling the 10-year sentence too lenient. Huffman, addressing the defendant, said, “A much longer sentence is justified, the photographs were beyond horrific. I couldn’t begin to describe to somebody what I saw. And you couldn’t look at her and say you didn’t know.”

“That poor child looked worse than any concentration camp victim I have ever seen, in any photo I have ever seen," said the judge, reports WDTN.