Letchworth was established in 1911 to provide care for individuals with intellectual disabilities. The village featured fieldstone, neoclassical buildings, which included small dormitories, a hospital, dining areas, and staff housing, all spread across thousands of acres of countryside and woodlands. Following the guidelines laid out by William Pryor Letchworth during the institution's planning stage, the dormitories were primarily designed as single-story or at most two-story buildings, accommodating between 16 and 70 residents each, with subdivisions into smaller dormitory spaces. The dormitory buildings were mandated to be at least 200 feet apart from one another, and each was required to have a playground attached. Each playground included, at the very least, a basketball court. As of August 2021, most of these basketball courts remain minimally maintained (having nets) and are accessible to the public. Some playgrounds still hold remnants of other play equipment that has been removed over time. These guidelines were strictly followed until at least 1933. However, by 1944, overcrowding led to residents being placed in buildings not originally intended for dormitory use. This overcrowding was exacerbated by the Willowbrook State School, built in Staten Island, New York, to help alleviate the situation at Letchworth and other state institutions, which was turned over to the United States Army during World War II before it could accept its intended patients. Letchworth Village was shut down in 1996, and most of its buildings are now in a state of disrepair. The roof of the administrative building still displays the name of Dr. Charles Little, the first superintendent of Letchworth. Many structures have suffered vandalism, and some have been destroyed in acts of arson, though a few significant buildings still stand. The Town of Stony Point is looking to redevelop part of the former Letchworth Village property, now called the Patriot Hills Complex, which covers 159 acres off Willow Grove Road and includes the Patriot Hills Golf Course and Veterans Memorial Park. The focus is on an 18-acre area with eight remaining buildings from the Letchworth Village Developmental Center, built between 1929 and 1952. Five buildings are vacant, while the others have been renovated. The town has issued a Request for Expressions of Interest (RFEI), allowing proposals that may or may not use the existing structures. A 2003 community survey revealed that 71 percent of residents support partnering with private developers to create recreational and private facilities. A 2009 proposal for a stadium, hotels, and a shopping mall was abandoned due to concerns about losing Little League fields at the park. It is worth noting, Letchworth Village was featured in an episode of "Ghost Adventures".