In 1851, the first Roman Catholic Bishop of Cleveland, Louis Amadeus Rappe, brought from his native France a small group of members of a monastery of Augustinian canonesses regular dedicated to nursing to care for the sick of his diocese. By August of the following year, they were able to open St. Joseph Hospital, the first in the city. When the senior canonesses returned to France the following month, Rappe established the two young women from the group who had chosen to remain as the new religious congregation of Sisters of Charity of St. Augustine, under the leadership of an American woman, Mother Ursula Bissonette.