SANDUSKY, Ohio — John Riems would leave Christmas cards on car windshields and barely wave to neighbors. The exceptionally private night-side nurse and his wife seldom had visitors to their tidy mobile home near Lake Erie. His co-workers said he had a temper and would swear at patients.

Officials say Riems had far more concerning behavior: the 49-year-old is accused of raping, nursing home abuse and assaulting a paralyzed patient.; the victim list could reach 100 if investigators believe what Riems claims.

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