State Licensing for Senior Communities and Care Services in Tennessee

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Tennessee Department of Health
Cordell Hull Building, 3rd floor
425 5th Avenue North 
Nashville, TN 37247 
(615) 741-3111
www.state.tn.us/health

State Commission on Aging
www.state.tn.us/comaging

Types of Housing/Care Search Definitions
Affordable Senior Housing Affordable Senior Housing HUD 202 Program that offers rental assistance for seniors who meet the requirements of the federal program.
Assisted Living Facilities Assisted Living Assisted Living Facilities are a building, establishment, or complex which accepts primarily senior/elderly persons for domiciliary care. Assisted Living provides on-site to its residents room, board, non-medical living assistance services appropriate to the residents’ respective needs, and medical services as prescribed by each resident’s treating physician (limited to the extent not covered by a physician’s order to a home care organization and not actually provided by a home care organization). An Assisted Living Facility may directly provide such medical services as medication procedures and administration that are typically self-administered (limited to oral medications, topicals, suppositories and injections [excluding intravenous]) according to a physician’s order, and emergency response. All other skilled nursing services (part-time or intermittent nursing care, physical, occupational and speech therapy, medical social services, medical supplies other than drugs and biologicals, and durable medical equipment) that a Home Care Organization is licensed to provide, may be provided in the facility only by a licensed Home Care Organization, except for home heath aide services.
Homes for the Aged Homes for the Aged Homes for the Aged are represented and held out to the general public as a home which accepts elderly persons for relatively permanent, domiciliary care. Homes for the Aged provide room, board and personal services to one or more non-related persons. The home may include any building, section of a building, or distinct part of a building, a residence, a private home, a boarding home for the aged, or other place, whether operated for profit or not, which undertakes to provide, for a period exceeding 24 hours, housing, food services and one or more personal services for one or more aged persons who are not related to the owner to administrator by blood or marriage. A facility may be a Home for the Aged without regard to its size or to its licensed bed capacity. As used in these regulations, Homes for the Aged do not refer to an “Institutional Home for the Aged”. Institutional Homes for the Aged must meet all of the requirements of the minimum standards and regulations regarding nursing homes.
Home Health Agencies Home Care Home Heath Services are provided to outpatients by an appropriately licensed health care professional or an appropriately qualified staff member of a licensed Home Care organization in accordance with orders recorded by a physician, and which includes one or more of the following: 
1. Skilled nursing care including part-time or intermittent supervision; 
2. Physical, occupational or speech therapy; 
3. Medical social services; 
4. Home health aide services; 
5. Medical supplies and medical appliances other than drugs and pharmaceuticals, when provided or administered as part of, or through the provision of, the services described above.
Hospice Hospice Hospice involves a coordinated program of care, under the direction of an identifiable hospice administrator, providing palliative and supportive medical and other services to Hospice patients and their families. The standards for a residential Hospice include building construction and fire and safety features requirements. Standards also ensure that a medically divested team of professionals will design a plan of care to meet the medical, nursing, social, psychological, emotional, spiritual and other special needs which are experienced by residential Hospice patients and their family during illness and bereavement. Hospice services will be provided 24 hours a day, seven days a week.
Nursing Homes Nursing Nursing Homes provide services to residents who require continuous medical and nursing care and supervision due to physical and/or mental disability. All Nursing Homes provide long term care services to chronically ill persons. Many also offer short term or “extended care” rehabilitative services (such as those needed to help people continue to recover from recent hospitalization) and special units for people with Alzheimer’s Disease or other types of dementia.

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