The bed across the room was empty before Elena opened her eyes.
She lay still for a moment, watching the pale morning light stretch across the mattress where Carla had slept or rather, where Carla's things had been. The pillow still held the shallow impression of a head. A paperback novel lay splayed on the nightstand, spine cracked halfway through, a story interrupted mid-sentence. The kind of detail a person left behind when they expected to return.
Carla did not return.
Coordinator Faye explained it over breakfast in the same practiced tone she used for everything.
Calm and measured, designed to prevent questions rather than answer them. "Carla has been transferred to a partner facility better suited to her needs. We wish her the very best." She'd moved on before anyone could ask which facility or before anyone could ask why Carla's things were still in the room.
Elena ate her oatmeal and said nothing.
But she counted. That was the third in six weeks.
Rosa found her in the sunroom that afternoon, tucked into the corner chair Elena had quietly claimed as her own. Rosa dropped into the seat beside her with the easy grace of someone who didn't believe in knocking, sliding off her shoes and tucking her feet beneath her.
"You have that look again," Rosa said.
"What look?"
"Like you're solving a math problem no one else can see." Rosa tilted her head, studying her. "Is it Carla?"
Elena glanced toward the doorway. The hallway beyond was empty, the faint murmur of a prenatal yoga class drifting from the east wing, then nodded.
"They said the same thing about her that they said about Mei." Elena kept her voice low, barely above a whisper. "Transferred to a better suited facility, Janelle was first."
Rosa was quiet for a moment. She picked at a loose thread on her cardigan sleeve, her expression thoughtful in a way that felt careful. "Three women."
"Three women. No forwarding addresses and no goodbyes."
Elena exhaled. "Carla had a book. She was in the middle of a book, Rosa. She would have taken it."
Rosa looked at her then there came a long, assessing look that Elena couldn't quite read. Something moved behind her eyes, some quick internal calculation, and then it resolved into something that looked like decision.
"I've noticed things too," Rosa said quietly. "I wasn't sure if I was being paranoid."
Elena turned to face her fully. In the weeks since orientation, Rosa had become the fixed point of her days, the only person here who felt genuinely present, whose laugh didn't sound rehearsed, whose questions about Elena's life before the clinic felt like actual curiosity rather than data collection. She'd told Rosa things she hadn't planned to tell anyone.
Rosa had not judged her, she just listened.
"Tell me," Elena said.
Rosa leaned in slightly. "The check-ins, have you noticed they don't follow the same schedule twice in a row?"
Elena had noticed. She thought it was disorganization.
"It's not random," Rosa said. "I've been tracking it. Like the week after Janelle started asking about the medical files, suddenly there were twice as many wellness checks, twice as many reasons to keep everyone separated."
Elena's stomach tightened. "You've been tracking it too?"
"In my head, I don't write things down here. You shouldn't either."
"What do you think it means?"
Rosa was quiet long enough that Elena almost pulled the question back. "I think the transfers aren't transfers."
The sunroom felt suddenly smaller. The warm afternoon light, the distant sound of soft music, the careful prettiness of everything, it all took on a different texture, like wallpaper peeled back to reveal something underneath.
"Then what are they?" Elena asked, even though some part of her already knew she didn't want the answer.
Rosa opened her mouth.
The door swung open.
Both of them startled, a sharp, involuntary flinch that Elena prayed looked like nothing. Coordinator Faye stepped into the sunroom with her clipboard and her smooth professional smile, her gaze moving between them with an attention that lingered a half-second too long.
"There you two are." Her voice was warm, unhurried. "Elena, Dr. Vasquez would like to move your next check-up to this evening. Five o'clock. Is everything all right? You both look a little pale."
"Just tired," Rosa said. Easy and comfortable. The words arrived without hesitation.
Faye's eyes stayed on Elena.
"Of course." Elena heard herself match Rosa's tone, felt herself produce the expected small smile. "Five o'clock is fine."
Faye nodded, made a small notation on her clipboard, and left. Her footsteps receded down the corridor, unhurried and neither of them spoke until the sound had fully faded.
Rosa exhaled through her nose. Her hands, Elena noticed, were perfectly still in her lap.
"Tonight," Rosa said quietly. "After dinner, I'll find you."
Elena nodded.
She watched Rosa gather her shoes, stand and stretch with the casual ease of someone who had not just said something that rearranged everything. Rosa's composure was beautiful, really seamless.
It was only later, lying awake in the blue hush before her five o'clock appointment that she realized she'd never found out what Rosa actually thought the transfers were.
--------
Dr. Vasquez's office smelled like eucalyptus and something underneath it Elena couldn't name. The doctor herself was pleasant with eyes that measured while her mouth smiled.
She worked together with an embryologist, she knew because, she had taken a note at their faces two weeks ago when the embryo was transfered.
The standard checks came first, Blood pressure, a review of her nutrition log. Elena answered in the expected rhythms, compliant and unremarkable.
Then the clipboard shifted.
"How are you finding your relationships here?" Dr. Vasquez asked, pen poised. "With the other residents?"
Elena kept her expression neutral. "Fine, everyone's been kind."
"Anyone in particular you've grown close to?"
"It helps to have someone to talk to. Rosa's been friendly." She responded.
Dr. Vasquez made a small notation. The scratch of the pen felt loud. "And what do you two talk about, generally?"
Elena looked at the ultrasound image pinned to the light board, thinking of the best answer to that question.
"Cravings, mostly," she said. "She thinks I eat too much peanut butter."
Dr. Vasquez smiled. Wrote something else and said nothing more about it.
But Elena felt the question follow her all the way to dinner.
-----
The dining room was warm and deliberately cheerful, conversation flowing in careful, monitored currents. Elena ate without tasting anything, tracking the room the way Rosa had taught her without knowing she was teaching exits, staff positions, who looked at whom and for how long.
Rosa found her afterward in the corridor near the east stairwell, close enough to the noise of the common room that their low voices dissolved into it.
"Well?" Rosa asked.
"She asked about you."
Something moved across Rosa's face, too fast to name, there and gone. Then she nodded, once, like a door closing.
"Get some sleep," Rosa said softly. She squeezed Elena's hand, brief and warm. "We'll talk tomorrow."
Elena watched her disappear around the corner.
She turned around.
The corridor was empty, then she saw something that made her curious.