Welcome to the Tennessee Health Facilities Commission
Our Vision
Entrusted to ensure excellence in an everchanging healthcare environment.
Our Mission
Protecting patients and promoting quality in healthcare facilities.
Our Values
Integrity, Accountability, Collaboration, Consistency, Innovation
***Important Notices***
Relocation Exemption Request for Unicoi County Hospital has been posted.
Decision will be made on August 31, 2026
Health Facilities Commission Voluntary Surrender of License Order Hearing
Tuesday, July 8, 2026 10am CST (Link for Virtual Hearing - Click Here)
In the 2022 legislative session, the Tennessee General Assembly passed Public Chapter 1119 to create a new independent state agency, the Tennessee Health Facilities Commission (HFC). The Commission is formed from the former Health Services and Development Agency (HSDA) and Department of Health’s Office of Health Care Facilities (OHCF). The Health Facilities Commission is the Centers for Medicare & Medicaid (CMS) designated State Surveying Agency (SSA).
The Health Facilities Commission encompasses the Certificate of Need Program, the licensure of health facilities, the Nursing Home Civil Penalty Reinvestment Program, Clinical Laboratory Improvement Amendments (CLIA) Program, the Trauma Care Advisory Council, and investigations of health facilities for compliance with state and federal regulations.
***Important Notice***
As of November 24, 2025, we’re moving into a single location in Nashville to better protect patients and promote quality healthcare facilities. Our offices in East and West Tennessee will not be impacted. Effective immediately, please direct all mail to our new address:
Health Facilities CommissionAndrew Jackson State Building
502 Deaderick Street, 9th Floor
Nashville, Tennessee 37243
Thank you for your support during this transition. We look forward to serving you from our new location!