The fire at Beimen Hospital in Sinying and the fire at the Xindian Lohas Center both caused very serious damage and the death of many elderly. This has aroused people’s attention to the safe evacuation of hospitals and creating mass safe areas. People in care centers have the following characteristics:(1)they may have the ability to evacuate horizontally by themselves or with assistants, but it may difficult for them to change floors. Therefore, that will result in a stagnation on the stairways such that the evacuation cannot be continued.(2)the elderly, the disabled or those with low evacuation ability move slowly, resulting in lower speed than the design value. In order to accommodate these characteristics, new buildings after 2015 designed for large numbers of people with low evacuation ability should be divided into two fire divisions. When one of the zones is on fire, the personnel may horizontally evacuate to the other zone to wait for rescue. This study found that BSI British Standards BS9999 create a relatively safer area on the evacuation route, which can provide temporary shelter for the evacuees awaiting rescue. Using this concept, compared with the relevant norms in Taiwan, seven types of refuges for Taiwan standards to enhance the safety of evacuation are proposed: (1) an expanded area of staircase; (2) an expanded space in the exhaust room; (3) an increased zone of the outer corridor around the staircase; (4) an increased area in the middle of the long aisle; (5) a no-fire zone with a safety ladder in it ; (6) a no-fire zone close to safety ladder; (7) an expanded area in the elevator rooms.