In 2019, New York agreed to pay $2 million each to the families of three developmentally disabled residents of a group home who had been beaten, smacked and humiliated by workers who called the facility the “Bronx Zoo.”

But the mistreatment did not end for one of those residents, a 52-year-old woman identified only as Z.O., according to court papers. Workers retaliated against Z.O. by withholding her daily constipation medicine, according to court papers, and she eventually died in a hospital from complications of massive bowel obstruction.

Now, five years after the original settlement, the state will pay Z.O.’s family an additional $10 million.

“The state failed this woman in every possible way,” said Ilann M. Maazel, a lawyer who brought the lawsuits over the treatment of the woman, in a news release. “Staff abused and neglected her and then, as if that were not enough, they killed her.”

Erin Silk, a spokeswoman for the state’s Office for People With Developmental Disabilities, which oversees the state’s more than 1,000 group homes, said in a statement that the agency’s highest priorities are “providing high-quality services and keeping people safe.”

“We are deeply saddened by the loss of Z.O. We believe this resolution is in the best interests of all parties involved,” Ms. Silk wrote.