State plate · TN
Assisted living in Tennessee
Tennessee licenses assisted living through Tennessee Health Facilities Commission, under the license types Assisted Care Living Facility; Home for the Aged; secured beds. The state's own list, as of October 2026 bed report, counts 322 licensed facilities with 22,424 beds; 313 of them have 20 or more, the smallest size HUD's Section 232 program insures. HUD's active-loan file shows 13 FHA-insured assisted living loans in Tennessee with $83.6 million outstanding as of September 30, 2026.
Licensing
- Licensing agency
- Tennessee Health Facilities Commission
- License types
- Assisted Care Living Facility; Home for the Aged; secured beds
- Official program page
- tn.gov
- Facility list
- XLSX (Oct 2026)
Licensing details checked against each agency's site on 2026-10-24. HUD requires a Section 232 assisted living project to be licensed or regulated by the state and have at least 20 beds.
Licensed supply, from the state's list
| Facilities on the list | 322 |
|---|---|
| Licensed beds | 22,424 |
| Facilities with 20 or more beds | 313 (97% of facilities, 100% of beds) |
| Homes with 6 or fewer beds | 1 |
| Median size | 64 beds |
| Memory care | 6,006 secured beds in 193 facilities |
Covers: Assisted care living facilities (licensed). Source: tn.gov, as of October 2026 bed report.
CDC survey profile (2020)
The National Post-acute and Long-term Care Study, run by CDC's National Center for Health Statistics, estimates residential care communities with four or more beds. 2020 is its latest wave with state figures, so these numbers differ from the state's own list.
| Measure | Tennessee | US |
|---|---|---|
| Communities | 350 | 30,600 |
| Beds | 20,000 | 1,197,600 |
| Average beds per community | 58 | 39 |
| For-profit | 83.6% | 81.9% |
| Chain affiliated | 76.4% | 61.4% |
| Medicaid certified | 21.0% | 43.6% |
| Dementia-only communities | n/a | 10.5% |
| Dementia-only or with a dementia unit | 37.0% | 20.5% |
| Residents 85 and older | 54.6% | 49.9% |
| Residents with Alzheimer disease or other dementias | 43.8% | 42.1% |
Source: CDC/NCHS, Biennial Overview of Post-acute and Long-term Care (data.cdc.gov). Percentages are of communities, except the resident rows.
HUD Section 232 assisted living loans
- Active FHA loans
- 13
- Outstanding
- $83.6 million
- Median note rate
- 3.27%
- Endorsed since FY2001
- 48
Since fiscal 2001 HUD has endorsed 48 FHA-insured assisted living loans in Tennessee for $266.2 million of original principal, 19 of them for new construction or substantial rehabilitation, and 1 since fiscal 2021.
| Property (HUD name) | City | Units | Endorsed | Rate | Balance | Matures |
|---|---|---|---|---|---|---|
| Germantown Plantation Senior Living CommunityFHA 08143043 | Memphis | 258 | Feb 2020 | 3.27% | $11,020,180 | Aug 2057 |
| Regency MorristownFHA 08722040 | Morristown | 339 | May 2018 | 3.94% | $10,483,095 | Jun 2053 |
| Vantage Pointe Village at Ashland CityFHA 08622055 | Ashland City | 180 | Apr 2020 | 2.76% | $9,394,403 | May 2055 |
| Regency JacksonFHA 08122043 | Jackson | 139 | Apr 2021 | 3.08% | $9,093,055 | May 2056 |
| Creekside at Three RiversFHA 08643054 | Murfreesboro | 64 | Jul 2012 | 3.85% | $8,206,120 | Jun 2050 |
| The Lodge at Natchez TreeFHA 08643050 | Nashville | 87 | Jan 2012 | 2.72% | $7,539,947 | Jul 2053 |
| Heritage Pointe Senior LivingFHA 08622046 | Cookeville | 126 | Aug 2017 | 3.25% | $5,364,382 | Sep 2052 |
| Preston Place Suites and IIFHA 08722026 | Kingsport | 99 | Feb 2012 | 2.19% | $5,315,268 | Oct 2042 |
| Trinity Hills of KnoxvilleFHA 08722032 | Knoxville | 87 | Aug 2013 | 3.79% | $4,803,850 | Sep 2048 |
| Creekside VillasFHA 08643055 | Murfreesboro | 48 | Jun 2015 | 3.75% | $4,341,442 | Nov 2056 |
| Carriage House InnFHA 08622031 | Shelbyville | 60 | Feb 2012 | 3.75% | $3,756,746 | Mar 2047 |
| Providence PlFHA 08622036 | Mt Juliet | 68 | Oct 2012 | 2.83% | $2,949,478 | Jul 2040 |
| Creekside at Three RiversFHA 08615005 | Murfreesboro | 64 | Jun 2014 | 3.82% | $1,335,752 | Jun 2050 |
Active loans: HUD FHA insured mortgages, active, as of September 30, 2026. Endorsements: HUD Office of Healthcare Programs database, data run July 8, 2026. Facility type comes from HUD's endorsement records.
Own or are buying an assisted living or memory care building in Tennessee? See what HUD, Fannie Mae and Freddie Mac would lend against your NOI.
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ALF Atlas is operated by Janover Capital LLC and is not affiliated with HUD, FHA, CDC or any state agency. Methodology.