The State Lunatic Asylum at Utica served the ENTIRE STATE OF NEW YORK from 1843 to 1890. After 1890, Utica State Hospital served the counties of Fulton, Hamilton, Herkimer, Montgomery, Oneida, Saratoga, Schenectady, and Warren.
1916 Utica State Hospital.
I believe that “Old Main” had its own cemetery located somewhere on the facility’s grounds. SOME of the deceased patients of Utica State Hospital were buried at Forest Hill Cemetery – Utica, New York.