Weston State Hospital operated from 1864 to 1994 in Weston, West Virginia and is recognized as the largest hand-cut masonry building in North America. This Kirkbride was originally designed to house 250 patients, but by the 1950's patient count reached 2,400. Corridors and day rooms became home to patient beds and the conditions were very poor. The hospital closed its doors in 1994 due to changes in the treatment of the mentally ill.