Ed Gein spent the remainder of his life in Wisconsin psychiatric hospitals after confessing to a pair of murders in 1957, but did he commit another homicide while in a hospital?

The Netflix series “Monster: The Ed Gein Story” depicts Gein, played by Charlie Hunnam, having a fatal encounter with a nurse at one of the psychiatric hospitals where he is being held.

Did that really happen, or is it another fictional departure from Gein’s story in the series?

Here’s what to know.

What Happens Between Ed Gein and a Nurse in ‘Monster’?

In the seventh of the show’s eight episodes, Gein is shown crossdressing in women’s lingerie while in a psychiatric hospital.

A new head nurse named Roz Mahoney, played by Linda Reiter, tells Gein on her first day that there will no more crossdressing. Gein’s life inspired the crossdressing Norman Bates, played by Anthony Perkins, in the horror classic “Psycho.”

“You, sir, are the most notorious killer since Jack the Ripper, so I intend to treat you like that,” Mahoney says. “You will be escorted by staff wherever you go.”

She also labels him “clever” instead of “crazy” and calls him a “liar” when he says he would never hurt her.

Gein later is shown violently killing Mahoney with a chainsaw. Gein was never known to use one on the two women he confessed to killing, but he has been cited as an inspiration for iconic horror character Leatherface in “The Texas Chainsaw Massacre.”

However, following the murder scene with the nurse, Gein is showing waking up and realizing Mahoney is alive.

Her murder was just a violent hallucination, which causes Gein to suffer a breakdown.

Gein is diagnosed with schizophrenia and put on medication under Mahoney.

Did Ed Gein Actually Kill a Nurse at a Psychiatric Hospital?

No, Gein was confined to Central State Hospital for the Criminally Insane in Wisconsin and then later Mendota State Hospital in the same state. He was 51 years old when he admitted to his crimes and lived the next 26 years in the two hospitals.

Gein pleaded not guilty by reason of insanity after being charged with first-degree murder.

It’s true that Gein was diagnosed with schizophrenia and endured hallucinations, according to a letter issued on Dec. 19, 1957, by officials at Central State Hospital after they questioned Gein.

“It was determined that Mr. Gein has been suffering from a schizophrenic process for an undetermined number of years and that this schizophrenic process is made apparent by what is delusional thinking,” the report stated.

“He stated that his activities were the result of some outside force acting upon him, and that he had been chosen as an instrument of God to carry out activities which were ordained to happen,” the report continued. “There have been at least several incidents of olfactory, auditory and perhaps visual hallucinations in the last 12 years.”

The letter recommended Gein be committed to Central State Hospital as “insane.”

No incidents were reported during Gein’s stay in multiple psychiatric institutions. He died in 1984 at 77 years old while living in Mendota Mental Health Institute.