Elderly residents – some in wheelchairs and some dependent on oxygen tanks – were blinded by deadly smoke as they tried to escape an assisted-living facility in Fall River, Massachusetts, which caught fire Sunday evening.

The Massachusetts assisted-living facility where a fatal fire killed nine people was caring for dozens of aging residents reliant on wheelchairs and oxygen tanks, but it lacked the safety measures and most of the staffing requirements that are commonplace in nursing homes.

A former employee said she never saw the staff perform fire drills. The local fire chief pushed back at claims that dispatching more firefighters would’ve saved more lives.