When a fire occurs, there is little time to escape. In less than 30 seconds, a fire can rage out of control, filling the area with heat and toxic thick smoke (Purdue University Fire Department, 2017; http://www.purdue.edu/ehps/fire/fire-101.html.) In 2010, following the successful evacuation of Maale Ha’Carmel Mental Health Center during a raging forest fire in the area, a comprehensive investigation was performed to evaluate the management of the evacuation process and to systematically elicit lessons learned from the incident. In 2016, a forest fire erupted in the same geographic area that required the evacuation of Fliman Geriatric Rehabilitation Hospital, and methodical debriefing identified the strengths and weaknesses of the evacuation process in that hospital. The lessons learned from the evacuation of these two health care facilities, which were at the focus of major fires in Israel in 2010 and in 2016, are presented. (Disaster Med Public Health Preparedness. 2019;13:375–379)