It is the only cemetery for Confederate veterans, 313 in total, that is an official state burying ground in Kentucky.

Between the inn's closure and 1902, it temporarily became a private high school, the successor to the Kentucky College for Young Ladies.

Young's group of Confederate veterans and the Daughters of the Confederacy chose the Villa Ridge site just outside the cemetery, as it was well-sited and inexpensive compared to what it had cost to build in 1889.

Eventually, the number of veterans who could be served dwindled, and by 1934 the hospital was no more, with the remaining five residents being transferred to the nearby Pewee Valley Sanitorium.

[5][8] All that remains of the hospital is its main gate, which was moved to become the entrance arch for the cemetery one mile away and part of the walkway from the house to the railroad.

Another oddity is that the obelisk and base are separated by an inscribed Gothic altar that acts as an arch on the face of the monument.