Over time, the convent was expanded in 1920, 1925, 1938, 1941 and 1953. All of the additions were designed by the firm of E. Brielmaier & Sons, and it is believed that they designed the original building as well. The Brielmaier firm is best known in Milwaukee for designing the St. Josaphat Basilica and Calvary Cemetery Chapel. The high-profile firm specialized in work for the Catholic Church and received commissions nationwide. In early city directories, the convent was referred to as St. Mary’s Home for Old Ladies. It was later renamed St. Mary’s Home for Aged Ladies, and finally came to be known as St. Mary’s Nursing Home. The first male patients were not admitted to St. Mary’s until 1979.