The home never served children with mental or physical disabilities and only a small portion of the children were orphaned. The children assisted with the adjacent farm and the girls were taught to cook, clean, sew, and complete laundry work as well as help with the younger children. In 1956, the West Virginia Colored Children's Home in Huntington, WV was closed and the Elkins Children's Home became integrated. The home remained in operation until 1977 when it was given a new mission to treat, provide long-term care and evaluation of disturbed teenagers.
The facility now operates as a long-term care for children ages 12-18 from throughout West Virginia. These children have not been able to transition into foster care or a group home setting due to behavioral issues. The facility has its own state accredited school on campus and provides a number of activities ranging from arts and crafts, swimming, and sports to first aid/CPR training and nutrition training/food handlers card.