I got this to work in 2023 by unzipping houses.png from the mod and turning it into an .xnb file using this converter: https://github.com/sullerandras/png_to_xnb/releases/tag/v1.0
Then I took the .xnb file and replaced the original. From your Stardew Valley install folder, it's in Content > Buildings. Just put the file in there and replace the original, or back up the original file first if you want to be careful. Now I have a nicer house :)
This mod only tells the game to switch the farmhouse sprites, so it should not conflict with anything that doesn't do the same thing. If it's not compatible though please let me know so I can put this on the mod page
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Then I took the .xnb file and replaced the original. From your Stardew Valley install folder, it's in Content > Buildings. Just put the file in there and replace the original, or back up the original file first if you want to be careful. Now I have a nicer house :)