United States (U.S.) Immigration and Customs Enforcement (ICE) detention facilities have been criticized for medical mismanagement and lack of transparency of health care and outcomes. In this study we analyzed call logs from individuals detained in a southern Georgia ICE detention facility to better understand the specific medical challenges they faced. Thematic analysis of 254 call logs identified three primary themes: mismanagement of medical and psychiatric conditions; detention as the cause of mental health symptoms, and concerns related to facility operations and conditions. Reports described delays in healthcare delivery, hazardous facility conditions, and deterrence from seeking medical care due to fear of segregation. Our results contribute to growing literature highlighting medical mismanagement and substandard conditions in ICE facilities.