The family of a grandmother have received a payout after a review found she suffered "significant harm" in a Middlesbrough care home.
Grace Allenby, 88, from Thornaby, died two days after being transferred from Grove Lodge Care Home to another nursing home in March 2008.
An inquest determined Mrs Allenby died of natural causes.
Her family has accepted a settlement from care home owner Executive Care Group after taking legal action.
The family have not disclosed the amount of the settlement.
NHS Middlesbrough has also paid the family an undisclosed sum in relation to Mrs Allenby's long-term care costs.
A serious case review found she was failed by a number of agencies who should have done more.
It concluded that Mrs Allenby "did not receive the appropriate level of care from a number of agencies" which was "totally unacceptable."
A police investigation found insufficient evidence for a criminal prosecution.
Mrs Allenby's home was sold in 2006 so she could afford the fees at the Grove.
She was moved to a council-funded nursing home in March 2008 after a medical assessment and pressure from her family, who were concerned at the level of care she was receiving.
Staff at the new home were so concerned about her physical state that they took photographs of her.
Mrs Allenby's 61-year-old daughter-in-law Pauline, said: "We really wanted a court hearing so the persons responsible could be held to account for what Mam suffered.
"But we have accepted the recommendation of our solicitor and we now have to move on."
A spokesman for NHS Middlesbrough said: "We deeply regret that the quality of care provided to Mrs Allenby fell short of the high standards expected from our community nursing service.
"As a result of the lessons learned, we have introduced a number of significant changes to systems, processes and clinical practice to ensure we achieve and sustain the highest standards of care in the future."
No-one from Executive Care was available for comment.