(UNITED STATES) A new U.S. Senate report led by Senator Jon Ossoff alleges widespread abuse inside immigration detention centers across the United States, documenting more than 500 credible cases since January 2025 and pointing to systemic failures in federal oversight. The findings, compiled through records, interviews, and site investigations, detail medical neglect, denial of adequate food and water, overcrowding, and unsanitary conditions. The report flags abuse of vulnerable people, including pregnant women, children, and detainees with serious health needs. It serves as a stark warning that detention operations, overseen by the Department of Homeland Security (DHS), may be falling short of basic care standards.
Key findings: medical neglect and life‑threatening failures

At the center of the report are more than 80 credible cases of medical neglect, including instances where people were denied insulin, asthma medication, or timely evaluation despite worsening symptoms. In one case described by investigators, a detainee suffered a heart attack after days without effective treatment.
The report concludes these were not isolated errors but patterns that put lives at risk. Interviews with lawyers and advocates detail:
- Serious delays for urgent care.
- Poor follow-up for chronic conditions.
- Inadequate mental health support for people in severe distress.
These failures are especially alarming for detainees held in remote facilities far from family and outside medical providers.
Abuse of pregnant women, children, and other vulnerable people
Investigators documented multiple instances of abuse affecting vulnerable groups:
- 14 cases involving pregnant detainees who were denied urgent healthcare, experienced malnutrition, or were forced to sleep on the floor — sometimes in extreme heat.
- 18 violations of children’s rights.
- At least 41 cases of physical or sexual assault.
These findings echo prior warnings from independent monitors tracking trauma and harm in custody settings. For families hoping detention would be brief and safe, the report suggests the experience can be painful and dangerous, particularly for those already in fragile health.
Living conditions and facility patterns
The report describes a range of poor living conditions:
- Overcrowded holding rooms.
- Cells lacking bedding and privacy.
- Limited access to clean water and adequate nutrition.
- Restricted contact with legal counsel.
Notable facility examples include:
- Krome North Service Processing Center (Florida) — reports of prolonged confinement in cold, crowded cells without proper bedding or hygiene items; women detained in a male-only facility, exposing them to voyeurism and unsafe conditions.
- Facilities in Georgia, Texas, and Louisiana showing similar patterns.
While conditions vary by site, the report finds consistent problems across multiple states, suggesting breakdowns are not confined to a single contractor or region.
Oversight failures and administrative obstacles
The Senate inquiry documents systemic oversight failures, drawing on testimony from detainees, attorneys, DHS staff, and advocates. Key problems reported include:
- Gaps in medical staffing and poor recordkeeping.
- Slow or incomplete responses to emergency complaints.
- Weak mental health services for people experiencing severe stress.
- Limited phone and in-person access that hinders legal preparation.
- Inadequate checks on solitary confinement and protective custody practices, increasing risks for those who speak up.
Investigators also reported obstruction and lack of transparency during their work. Senator Ossoff’s team says DHS restricted site visits and interviews with detainees, limiting verification of on-the-ground claims and delaying evidence gathering. Despite these barriers, the Senate team argues the consistency of testimonies and supporting records indicate abuse and neglect are widespread.
“The volume and consistency of testimonies, along with medical and legal records, support the conclusion that abuse and neglect are widespread and ongoing.”
DHS response and the divide between policy and practice
DHS, through Assistant Secretary Tricia McLaughlin, denied the report’s findings, asserting that all detainees receive medical, dental, and mental health care. DHS points to published standards, on-site monitoring, and contracted clinical services as safeguards meeting federal requirements, and says it responds to complaints via internal review mechanisms.
The Senate team counters that stated policies do not match on-the-ground experiences. Analysis by VisaVerge.com highlights the clash between official assurances and field evidence, increasing pressure on Washington to:
- Strengthen outside inspections.
- Increase unannounced visits.
- Create clearer routes for independent complaint review.
Corroboration from advocacy groups and prior studies
Independent researchers and advocacy groups cited by the Senate report corroborate many core claims:
- Reports of psychological abuse, frequent solitary confinement, and sexual violence in ICE facilities.
- Harm often concentrated among people with language barriers, limited legal support, or mental health conditions.
- Fear of reporting abuse because of potential retaliation or transfer far from family.
These organizations link many problems to a detention model that keeps people in custody for long periods while immigration cases progress slowly through the courts.
Recommendations and proposed reforms
The report offers a set of reform ideas and policy choices for Congress and DHS:
- Stronger medical oversight and reliable access to medication.
- Prompt emergency response protocols.
- Expanded alternatives to detention for people with medical vulnerabilities, pregnant women, and families with children.
- Linking federal funding to measurable improvements, such as lower rates of preventable medical incidents and verified compliance with detention standards.
- Stronger contracts and penalties for violations to ensure facility operators follow existing rules.
Changes to inspection systems are a likely early test, including calls for:
- More independent monitoring with real-time public reporting.
- Data on medical staffing, incident response times, and complaint outcomes.
Detention operators argue they face tight budgets and staffing challenges and say clear guidance and timely federal payments are essential to meet care requirements, especially in high-volume border and transfer hubs.
What happens next and the stakes
Families, legal teams, and advocates will closely watch responses from DHS and Congress. Immediate steps the report urges include:
- Review and oversight of high-risk facilities.
- Moving vulnerable detainees to safer settings while investigations continue.
- Expanding supervised release and case management programs, which supporters say are less costly and reduce harm.
If reforms proceed, detainees and families may see reduced risk and improved care. If not, the report warns preventable medical crises and abuse allegations will likely continue, leading to more litigation and oversight hearings.
The stakes are high for a system handling tens of thousands of people each year. Policymakers now face renewed scrutiny over whether detention meets basic health and safety standards and whether federal oversight works as intended.
For readers seeking current official rules, Immigration and Customs Enforcement publishes its detention standards and health care guidance on its official site at ICE Detention Standards.
As Congress weighs next steps and the administration responds, people inside these facilities wait to see whether the promises of safety and proper care will match their daily experiences.
This Article in a Nutshell
A Senate report led by Senator Jon Ossoff documents more than 500 credible abuse cases in U.S. immigration detention centers since January 2025, including over 80 instances of medical neglect. Investigators cite denial of insulin and asthma medication, overcrowding, unsanitary conditions, assaults, and failures in mental‑health care. The inquiry found systemic DHS oversight lapses and restricted access for investigators. Recommendations include stronger medical oversight, independent inspections, expanded alternatives for vulnerable detainees, and tying federal funding to verified compliance.