Established in 1907, the Battle Mountain Sanitarium provided short term care to Civil War veterans with lung and respiratory conditions. Now the VA Black Hills Healthcare System, Hot Springs campus, the campus has much of its original historic integrity. The administration building and staff quarters retain their original functions. In 1915, the construction of 204 pink sandstone stairs, referred to as the Grand Staircase, connected the resort district of Hot Springs to the Battle Mountain Sanitarium.