# Tennessee — Nursing home minimum staffing requirements by US state — hours per resident day, RN coverage mandates, and penalty structures after the 2026 federal repeal

For Tennessee, total hprd minimum is 2.06; rn hprd minimum is none specified; cna hprd minimum is none specified; rn on-site requirement is 1 RN/LPN 24 hrs/7d/wk; minimum 0.4 hprd RNs/LPNs; penalty for noncompliance is none specified, verified against its source on 2026-08-15.

- **State:** Tennessee _(verified: appears in the quote below)_
- **Total HPRD minimum:** 2.06 _(verified: appears in the quote below)_
- **RN HPRD minimum:** none specified _(verified: appears in the quote below)_
- **CNA HPRD minimum:** none specified _(verified: appears in the quote below)_
- **RN on-site requirement:** 1 RN/LPN 24 hrs/7d/wk; minimum 0.4 hprd RNs/LPNs _(verified: appears in the quote below)_
- **Penalty for noncompliance:** none specified _(verified: appears in the quote below)_
- **Regulatory citation:** TN Rules and Regulations Ch. 1200-8-6-.06(4)(a)(b)(d) _(verified: appears in the quote below)_
- **Federal standard status:** repealed _(verified: appears in the quote below)_

## What the source says

> TN Sufficient Staff RN (inc.DON @.06) 0.06 TN Rules and Regulations To provide nursing care to all residents as needed. LPN0.34 Ch. 1200-8-6-.06(4)(a)(b)(d). Licensed Staff (RN, LPN/LVN) Revised 11/20. 1 DON RN Total LN 0.40 1 RN/LPN 24 hrs/7d/wk

## Source

- https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf

Last verified: 2026-08-15. Review by: 2027-08-15.
Part of [Nursing home minimum staffing requirements by US state — hours per resident day, RN coverage mandates, and penalty structures after the 2026 federal repeal](https://referencesource.org/nursing-home-minimum-staffing-by-state/).