Sherry West is the latest former employee of Kermit Gosnell to be sentenced for her role in crimes that took place inside Gosnell’s “house of horrors” clinic in West Philadelphia. She was sentenced to five to ten years.

West had known Gosnell for 35 years when she was hired as a medical assistant in 2008.

“[West] had no training or certificate that would qualify her to do ultrasound examinations, administer anesthesia, monitor patients in the recovery room, or do any of the other duties that she performed,” according to the 2011 grand jury report. She was accused of administering some of the “unmonitored, unrecorded intravenous injections of Demerol” to 41-year-old Karnamaya Mongar, the mother of three who died during the procedure.

West pleaded guilty to third-degree murder and other charges, admitting that she administered some of the overdose of Demerol that killed Mongar. She also admitted to participating in a cover-up by lying about what happened and destroying files.

The grand jury concluded that West was not only “unlicensed and qualified” to administer drugs and to perform other medical duties, “but sloppy and unconcerned as well.”