Federal data shows that 385 facilities licensed to house more than 52,000 people total had not installed enough sprinklers or were missing them altogether as of July. That’s despite a history of deadly nursing home fires and a five-year timeline to comply with the sprinkler rules.

Nursing home watchdog Brian Lee of Families for Better Care says failing to comply is gambling with a “catastrophic loss of life.”

The federal agency that regulates nursing homes says it’s working with facilities to get them to comply.