Overview

• The after-action report urges Massachusetts to apply nursing-home level fire protections to assisted living, group homes, day cares, sober homes, shelters and similar facilities.
• Officials reiterate that medical oxygen accelerated the fire and that the ignition was accidental, likely from smoking or an oxygen-device electrical failure.
• Investigators detail building shortcomings that worsened conditions, including no hallway fire doors, no smoke compartmentalization, window AC units secured with plywood and a single elevator.
• The department reports that 53 residents were rescued under extreme conditions, with police and EMS credited for lifesaving evacuations and care.
• Recommendations include staffing and communications upgrades, dedicated rescue drills for upper floors and tight spaces, an emergency preparedness guide for high-risk facilities and added support equipment.