An inspection by ICE's Office of Detention Oversight at Camp East Montana in El Paso, Texas found 49 deficiencies in detention standards on April 2, 2026. Violations included issues related to use of force, medical care, security, and disease prevention, with documented safety lapses including inadequate suicide prevention measures, unsecured equipment, staffing shortages, and medical negligence such as failure to isolate a detainee with tuberculosis symptoms. The facility, the nation's largest immigration detention center housing nearly 3,000 detainees daily since opening in summer 2025, has experienced at least three deaths. Despite these violations, the facility received an acceptable rating.