Well, now we know that
not restocking the fridge -> starving -> deaths -> ghosts
therefore
ghosts + not restocking the fridge -> more ghosts
which can also be explained as
Mia + uncontrollables -> graveyards getting built
I too was amazed at the Social Worker not showing up. Then again, I kind of focused more on keeping them alive than the patients.
Death and destruction does seem to work in one's favor when it comes to creative writing But really, I am proud of myself for writing up such a dramatic ending. Makes me want to start some challenges with more plot in them...