It is managed by the Powys Teaching Health Board.

The facility has its origins in the Knighton Union Workhouse which was designed by Edward Jones and was completed in 1837.

[1] It has hit by a bad gas explosion in 1907 and then served as a Red Cross Hospital during the First World War.

[1] Due to staff shortages, the number of beds reduced from thirteen to seven in 2014.

[2] An old X-Ray room was converted into facilities for patients needing palliative care in 2017.