Surviving
the Feds
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Federal Medical Center · Lexington, Kentucky

FMC Lexington

Security level
Administrative + minimum camp
Medical care level
3, 4 of 4
Mental health care level
3 of 4
Population
1,219
Phone
859-255-6812

Last checked: November 3, 2026 (BOP documents for this prison) Intel last checked: November 3, 2026 BOP status updated: Nov 3, 2026, 9:10 pm ET News updated: Nov 3, 2026, 8:37 am ET

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Lexington at a glance

FMC Lexington is a Federal Medical Center, a federal prison that gives medical and mental health care. It is in Lexington, Kentucky, and holds both men and women. A minimum-security satellite camp sits with it. The camp is closing: on July 1, 2026 the BOP announced it will close the Lexington FMC Satellite Camp, and said staff there will be moved to other units on site. The BOP release gives no closing date. Call 859-255-6812 before you travel, and ask where your loved one will be.

How many people
1,090 in the FMC and 129 at the camp (BOP, October 29, 2026).
Medical care level 3, 4
The BOP list gives the medical center two levels, 3 and 4 (and the camp 1 and 2). Level 3 is outpatients with complex, usually long-term, conditions who need frequent clinician visits to stay stable or stay out of the hospital. Examples the BOP gives: cancer in partial remission, advanced HIV disease, end-stage liver disease. Level 4 is people who need services found only at a BOP Medical Referral Center, such as cancer on active treatment or dialysis. Click here to read the source: BOP "Institution Care Levels for Medical Assignment," February 13, 2024 (released under FOIA 2024-03455) ↗
Mental health care level 3
Weekly mental health care (enhanced outpatient care), or a residential psychology treatment program. The mental health list gives the satellite camp ("LEX SCP") level 2. The BOP does not post care levels on its website. This list is dated February 13, 2024 and came out through a public records request. Click here to read the source: BOP "Institution Care Levels for Medical Assignment," February 13, 2024 (released under FOIA 2024-03455) ↗
Who is there
Men and women, adults. On the first day of the December 2024 audit, ages ran from 18 to 85. The report lists the average stay as 25 to 60 months. Click here to read the source: PREA audit report, FMC Lexington (onsite December 3 to 5, 2024) ↗
Built for
1,517 people. On the first day of the audit there were 1,331. The average over the year before was 1,279. Click here to read the source: PREA audit report, FMC Lexington (onsite December 3 to 5, 2024) ↗
Counts
At least five official counts every 24 hours, with another at 10:00 a.m. on weekends and holidays. They must stand at their bed for the 4:00 p.m. and 9:00 p.m. counts on weekdays, and 10:00 a.m., 4:00 p.m. and 10:00 p.m. on weekends and holidays. This is from the 2017 handbook. Click here to read the source: FMC Lexington and SCP Atwood Camp Admission and Orientation Handbook (updated August 31, 2017) ↗
Camp name
The 2017 handbook calls the camp "SCP Atwood Camp." Click here to read the source: FMC Lexington and SCP Atwood Camp Admission and Orientation Handbook (updated August 31, 2017) ↗

The BOP's own page for FMC Lexington.