This Queen Anne-style building stands at the head of the original main entrance drive on East Street, marked by a circa 1900 granite and wrought iron gate.

Designed by Boston architect John A. Fox, the building was part of a major construction effort in the 1890's to upgrade the old almshouse by replacing the wood frame buildings with more durable and fireproof masonry structures. The building is a three and a half story, red brick building with a steeply pitched slate roof defined by bridge-end chimneys, roof dormers, and a copper-clad clock tower rising from its center. The original core was enlarged with lateral wings around 1920, and a one-story rear addition around 1930.

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