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  

    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.