Nine people died Sunday night after an assisted living facility caught fire in Fall River, Massachusetts, officials said, with elderly people begging for help from first responders as smoke poured out of the building.

Flames roared through an assisted-living facility in Massachusetts, killing nine people and trapping residents inside, including some who leaned out of windows and screamed for help.

Nine people were killed and at least 30 were hospitalized after a fire ripped through an assisted living facility in Fall River Sunday night, the city’s fire chief said.