One of the Largest Tragedies in Iowa History. On January 7, 1950, a fire erupted at St. Elizabeth's Mental Health Facility for women. The disaster garnered state-wide and national attention as the second largest loss of life in the history of the state and the third largest hospital fire in the nation, to date. The fire, started by a patient, claimed the lives of forty patients and one nurse, while twenty-five patients were rescued. Rescue efforts were hampered by the fact that most patients were locked in their rooms at the time. Bret Grimes recounts the lives of those who fought and survived the ordeal.