Sanatoriums and asylums across the country are being left to decay despite their architectural and historical significance. Adaptive reuse is not considered an option for many of these former institutions because of the grandiose size of the buildings, the large grounds, and stigmas about the building's former populations. Glenn Dale Hospital is no exception to these challenges, however the site offers the unique possibility to house a senior population in a therapeutic garden setting on the outskirts of a busy metropolis. A feasible adaptive reuse plan for Glenn Dale Hospital would preserve its history while also potentially providing a blueprint for the future reuse of other institutional campuses.