According to early medical exports, rest in a dry, temperate climate, surrounded by lush scenery and little stress, was thought to treat tuberculosis, along with rheumatism, asthma, and other diseases.

[5] As part of a Works Progress Administration project funded at $100,000,[6] additional buildings were added to the campus in the early 1940s, further increasing the capacity to 260 beds.

[1] In an attempt to support the recovery of patients, the grounds were kept pristine, with Spanish tiled roofs and big decks off the wards with lounge chairs.

[8] Advances in medicine in the late 1950s, including the widespread availability of antibiotics that could treat and cure tuberculosis patients, reduced the need for separate treatment facilities.

In 1972, the facility was closed permanently, and the buildings sat vacant until the grounds were sold to the Midpeninsula Regional Open Space District in 1983.

[9] Local residents recall near-accidents resulting from walking on the caving-in roofs of the hospital's wards and sneaking around the grounds after large storms.

In the early 1980s, a local student called into a radio program on a Friday and announced a big party was to be held at the site that night.

In May 1975, then-San Francisco mayor Joseph Alioto suggested that the property be used as a halfway house for up to 500 Vietnamese residents following the end of the Vietnam War.

[14] In November 1973, Proposition "I" was placed on the ballot for San Carlos voters, a bond that would have raised $1 million for the purchase of the property to keep it as open space.

In 2007, upon hearing news of additional tree removal, neighbors in the Brittan Heights area protested the district's efforts, although they were mostly unsuccessful.

[14] Rates were advertised as $15 per week for selected cases,[21] and for more details, interested parties were suggested to contact the Medical Director at the Flood Building in San Francisco.