In 1829, 200 acres of land was purchased and a poorhouse was built. After falling into disrepair, it was replaced by the current poorhouse in 1864.

The property contained a powerhouse, heating plant, meat storage, dairy, barn, and a cemetery. This infirmary was known as one of the best conducted institutions of it's kind in the state. Those able to work were required to on the farm.

In 1873, an insane hall was built to isolate the insane from those living in the poorhouse. The hospital was built in 1936. It provided 3 wards, each containing 10 beds. Patients had to be sent to the Salem City Hospital prior to the construction.