ND State Fire Marshal warns senior homes about oxygen safety after fatal MA fire

BISMARCK, N.D. (KFYR) - North Dakota’s state fire marshal is calling on long-term care providers, families and caregivers to double down on oxygen safety.

This comes after a fire at a Massachusetts assisted living facility killed 10 residents earlier this month. According to the New York Times, it started in a resident’s room with an oxygen machine and “smoking materials.”

“This tragedy is heartbreaking, and it hits close to home for anyone who works with our vulnerable populations,” said Doug Nelson, North Dakota state fire marshal. “Oxygen doesn’t burn on its own, but it feeds fire. A tiny spark—a cigarette, a candle, even an electrical short—can turn into a deadly blaze in seconds when oxygen is in use.”

North Dakota has more than 70 licensed nursing homes and over 80 assisted living facilities, many with residents who use oxygen. While these facilities follow strict fire safety codes, the State Fire Marshal’s Office wants staff and families to review and reinforce oxygen safety practices.

Nelson said thermal fuse cutoffs (TFOs) are a critical layer of protection. They are small safety devices that shut off oxygen flow if the tubing ignites. He suggests that caregivers ask oxygen suppliers about TFOs. He also asks companies that run homes to train staff and caregivers on how to recognize and maintain the feature.

Key safety steps when oxygen is in use:

• No smoking, ever. Sparks from cigarettes, cigars or pipes can ignite clothing, bedding or furniture instantly. 
• Keep oxygen at least five to 10 feet from flames or heat sources. 
• Use only approved equipment. Do not modify tubing, connectors or flow meters. 
• Store oxygen cylinders securely, upright and away from heat sources and clutter. 
• Post “Oxygen in Use – No Smoking” signs. Alert visitors and caregivers immediately upon entering the home or room. 

For more information, contact the North Dakota State Fire Marshal’s Office.