Originally constructed in the 1930s, Building 2791 includes architectural features that had to be preserved in order to maintain the appearance of the original design. The three-story, 130,000 SF building was completely gutted and rebuilt without altering the interior of this historic structure. The restoration of the dormitory provides housing for 284 soldiers in 142 two-person living areas. The basement of the building was redesigned to serve as the headquarters of the Fort Sam Houston medical battalion.
As a federal historic renovation effort, the project followed parameters of the National Historic Preservation Act. To ensure that the visual character of the building was maintained, a special Army Alternate Procedures agreement that outlines more specific management practices was also in place and the project team consulted regularly with the Texas Historical Commission and the Advisory Council on Historic Preservation.