Claire has always loved her son Jim and her granddaughter Sydney, but struggles to connect with her daughter-in-law, Allison. When Allison announces a big job promotion that will relocate them far away, Claire's motherly instincts are pushed to an unsettling level where she will scheme, lie and even murder to keep her son and granddaughter from moving away.

Two paramedics arrive at the site of a car accident to transport an injured teenage girl to the hospital. However, instead of taking her to the hospital, the strangers bring her to a home of a woman whose daughter just died.