Fifty-four Confederate soldiers from Georgia, North Carolina, South Carolina, and Virginia are buried here after dying at General Hospital Number One at Kittrell Springs, established in the former Kittrell Springs Hotel owned by Maj. Charles C. Blacknall and his brother. The resort was converted into a hospital in mid-1864 to treat casualties from the fighting around Petersburg, Virginia, and Confederate authorities selected Kittrell for the small three-hundred-bed hospital because it stood at a railroad junction. Hundreds of wounded were treated there between June 1864 and April 1865, including teenaged youths in the North Carolina Junior Reserves; fourteen died at the hospital between August 1, 1864, and April 15, 1865, and were buried here. The cemetery site was chosen for its closeness to the hospital. Saint James Episcopal Church, the only church in Kittrell during the war, had been erected just east of the hotel shortly before the war, and the Rev. Matthias M. Marshall ministered to the sick and dying and officiated at the soldiers’ funerals there. The men’s names, ranks, companies, addresses, types of illness, dates of admission, and times and dates of death are recorded in the church’s official records.