The green thing is a portable gurney. You could have slid poles on pockets on the sides to carry someone that way, or you could have used the straps used to roll it up. The straps on top were to keep the injured from falling off.

Many of the former patients of these places are mostly homeless today. These hospitals were shut down because it was felt that "community based" care would be better, when a majority of communities didn't have any sort programs or anything in place. Most still don't.

That's not a horse and carriage, it's a carousel. See the top and the sugarcane poles?
And yeah, that looks to be a gingerbread house. The "eyes" look like peppermint candies.

spidergirl, would you just stop with the patient sexual abuse thing?! If you're that riveted by molestation, go watch Law and Order SVU. Workers in places like this were very busy, and what if they had to leave the room while supervising a bathing child? It's a lot easier to watch them through a window than worry about them drowning.

The writing on the wall says "Have Another Tomorrow" If you look closely the writing on the last word extends under the head of the first angel, meaning that 'Turn' is too short a word to fit in there.

Love it, I'm an Irishman living in York, England