Where'd she go?

When my grandmother was circling the drain my mom would call the nursing home when she wasn't there to get an update on her condition. This was the last conversation with a staff member:

::How's she doing?

:Um, Helen is not doing so well. In fact, she's no longer with us.

Grandma had refused to wake up or eat for several days so Mom was pretty sure that meant, despite the first sentence, no longer with us in the animate sense.