BRISTOL, Pa. (AP) — Construction crews and drones searched the rubble of a Pennsylvania nursing home Wednesday, a day after a powerful explosion killed at least two people, collapsed part of the building and left several residents unaccounted for.

Emergency responders from across the region had evacuated residents and dug through debris on Tuesday amid flames, smoke, a strong smell of gas and even a second explosion, Gov. Josh Shapiro said at a news conference that evening.

The blast at the 174-bed nursing home in Bristol Township, about 20 miles (32 kilometers) northeast of Philadelphia, happened shortly after a utility crew responded to reports of a gas odor at the facility, authorities said. Investigators are examining whether a gas leak caused the explosion, a finding officials cautioned remains preliminary.

The town’s fire chief, Kevin Dippolito, said at the Tuesday news conference that five people were still unaccounted for, but he cautioned that some may have left the scene with family members.

The first report of an explosion at Bristol Health & Rehab Center came at around 2:15 p.m. Tuesday, authorities said. Dippolito described a chaotic rescue in which firefighters found people trapped in stairwells and elevator shafts and pulled residents from windows and doors. Two people were rescued from a collapsed section of the building.

Firefighters handed patients to police officers waiting outside, including one officer “who literally threw two people over his shoulders,” Dippolito said. Rescuers used search dogs, heavy equipment and sonar to locate potential victims.

Willie Tye, who lives about a block away, said he was watching a basketball game when he heard a loud boom.

“I thought an airplane or something came and fell on my house,” he said. When he went outside, he saw “fire everywhere” and people fleeing the building.

The local gas utility, PECO, said its crews were responding to reports of a gas odor when the explosion occurred. The company said it shut off natural gas and electric service to the facility to protect first responders and nearby residents.

“It is not known at this time if PECO’s equipment, or natural gas, was involved in this incident,” the utility said in a statement.

Investigators from the Pennsylvania Public Utility Commission went to the scene. A utility commission spokesperson said a determination that a gas leak caused the explosion cannot be confirmed until investigators examine the site.

Musuline Watson, who said she was a certified nursing assistant at the facility, told WPVI-TV that staff smelled gas over the weekend but did not initially suspect a serious problem because there was no heat in that room.

The nursing home recently became affiliated with Saber Healthcare Group and was previously known as Silver Lake Healthcare Center.

Saber called the explosion “devastating” in a statement and said facility personnel promptly reported the gas odor to PECO before the blast. The company said it was cooperating with authorities to ensure the safety of residents, staff and the surrounding community.

State records show the facility was cited for multiple violations during its most recent inspection in October by the Pennsylvania Department of Health, including failing to provide accurate floor plans, properly maintain stairways and fire extinguishers on one level. Inspectors also cited the facility for lacking required smoke barrier partitions designed to contain smoke across floors.

According to Medicare.gov, the facility underwent a standard fire safety inspection in September 2024 and received no citations. Medicare’s overall rating of the facility is listed as “much below average,” with poor ratings for health inspections in particular.

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Levy and Scolforo reported from Harrisburg, Pennsylvania. Associated Press reporters Tassanee Vejpongsa in Bristol, Pennsylvania; Holly Ramer in Concord, New Hampshire; Michael Casey in Boston; and Hannah Schoenbaum in Salt Lake City contributed.

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