An inspection in February of Camp East Montana in Texas, one of the country’s largest immigration detention centers, found dozens of violations of national standards, including instances that may have exposed detainees to illnesses and uses of force that were not documented, a new report found.

The inspection, which was carried out by the agency over three days in February and included interviews with 49 detainees, found that there were at least 49 overall “deficiencies” from national standards at the camp. Of all the deficiencies, 22 involved use of force and restraints, and five involved issues related to medical care. U.S. Immigration and Customs Enforcement defines use of force as “physical actions” necessary to control or restrain a detainee when other “reasonable efforts” have failed.

The findings at the detention center, which opened in August last year at the Fort Bliss military base in El Paso, Texas, were released online this week by ICE.

In recent weeks, the Department of Homeland Security has faced calls from lawmakers to shut down the camp entirely. In February, two dozen Democratic members of Congress wrote a letter to Kristi Noem, then the homeland security secretary, and Todd Lyons, the acting director of ICE, asking them to close the detention center. The lawmakers cited the deaths of at least three detainees at the facility, as well as reports of poor meals, sewage backups and a lack of regular access to legal help.

The review of the facility was led by ICE’s Office of Detention Oversight. It was the first time that team had inspected the facility.

In one instance, a detainee with symptoms resembling tuberculosis was not taken to an isolation room, a move that could have prevented the spread of illness, the report stated.

Earlier this year, at least 13 cases of measles were reported at the facility, prompting those detainees to be quarantined.

The report also found instances where workers at the facility used force on detainees and then failed to properly document those episodes.

According to the inspection, the facility also did not implement a “coordinated, multidisciplinary team approach” to respond to reports of sexual abuse or assault at the detention center.

ICE did not respond to a request for comment Friday about the report.

Acquisition Logistics, the Virginia-based company based that operates Camp East Montana, did not immediately respond to a request for comment.