The Lawrence County Home for the Aged, also known as the poor house or poor farm housed the county’s mentally ill, severely destitute, and elderly residents that didn’t have any known family. It was built to replace the aging New Castle City Home and consolidated various small institutions around the county.
The facility opened it’s doors on Tuesday, October 19, 1926.  
In June of 1944, county welfare officials were accused of incompetency at the home.  Mantz B. Hogue, the longtime director of the welfare department, took over operations at the home.
The home continued to operate for many years and in the latter half of the 1960’s was remodeled and slowly changed into a  skilled nursing center while under supervision of Director Clarence E Covert. By 1970 the home was facing severe overcrowding issues.
In December of 1974 the county decided to add a new section, which is now known as the North Wing. The north wing opened in mid-1977, and after a contest to find a more suitable name for the Lawrence County Home for the Aged, it was renamed as Hill View Manor on March 22, 1977.
Hill View Manor closed its doors in 2004 due to financial constraints. Although it seems to sit quietly at the top of the grassy hill above Route 65, evidence of its history remains active.