On a mountain road in the dead of night mother Samantha (Melanie Nelson) and her 10-year-old daughter Cassie (Scarlett Roselynn) are involved in a car accident. It runs off the road and Sam is relatively unscathed but Cassie is badly injured and ends up needing a wheelchair. While at a hospital undergoing a large blood transfusion, the hospital staff learn that Cassie was adopted, which causes a nurse named Margaret Smith (Brittany Underwood) to get the job of live-in nurse to take care of Cassie after she's released from the hospital. She does this by impersonating Rachel, another nurse from her agency, and of course she's up to no good.
What occurs after this is typical Hallmark thriller. A psycho nurse nurses someone's child, plans to take over, become the mother and get the husband. It's a well worn idea/plot which efficiently acted, however what lifts this up from average is Brittany Underwood's performance. She's beautiful, yet deadly and conveys this so well.