The 1914 Dining Hall and Kitchen Building, made of local field stone found on the property, consisted of a piano nobile, or an elevated main floor, which served as a communal dining area for the residents. The concrete ramp was added in the 1930s as the facility transitioned from a work farm to a hospital/nursing home.
The fence is evidence of the barricading efforts performed many years ago, which was obviously quite ineffective. There's a cage-like structure on the ground, of which purpose it served I have no idea.
The light pollution on the horizon gives the image a "false dawn" effect.