This is the first film Marcus Nispel has made that isn't a remake or an adaptation.
The river shown at the beginning was added digitally as there is no such river near the school site in Exter, RI
The main character's name is Devon. The asylum is called Exeter Asylum. Exeter is the county city of Devon in England, United Kingdom.
The Ladd School (the "location" of the movie) was demolished in 2013
It was filmed at The Ladd School in Exeter Rhode Island.