 In 1974, Forest Haven received at least 20 individuals from a nearby orphanage "Junior Village" which had closed.A lawsuit filed by families of patients at Forest Haven in 1976 and joined by the Department of Justice in 1978 resulted in the relocation of many residents to group homes, but the facility continued to operate, even allowing a physician with a suspended medical license to continue practicing there.Between 1989 and 1991, prior to the facility's closure, the Justice Department began to monitor deaths from aspiration pneumonia, a condition that can be caused by improper feeding procedures (e.g.