John G. Ralston of Waterloo designed the building, a near copycat of his earlier design for the Chickasaw County Home in New Hampton. Ralston also served as architect for Kingsley Elementary School in Waterloo; the Cattle Congress Hippodrome (now McElroy Auditorium); and the redesign of The Black Hawk Hotel in Cedar Falls.
Mr. and Mrs. Pfeiffer did not want personal recognition for their generosity; instead, they asked that their parents be honored. Two plaques, one each for the Merners and Pfeiffers, graced the original front porch (one is visible at far left of photo) and still hang inside an entrance today.
In 1946 a church merger created the Evangelical United Brethren (EUB). Another merger in 1968 created the United Methodist Church, which operated The Western Home until 1983, when it became an independent, not-for-profit community service organization. The organization spent its first 75 years in the original building with five additions.