Tennessee Code Title 68. Health, Safety and Environmental Protection § 68-11-801

(a) The executive director of the health facilities commission has the authority to impose civil monetary penalties upon deficient nursing homes, as defined by § 68-11-201, under the circumstances provided in this part.

(b) In addition to the civil monetary penalties specifically enumerated in this part, the executive director has the authority to impose civil monetary penalties in such amount, scope, manner and circumstances as required by the federal Nursing Home Reform Act of 1987.

(c) The executive director has the authority to promulgate rules and regulations to impose the civil monetary penalties described in subsection (b).

(d) The imposition of a state civil penalty pursuant to this section and the decision to impose such penalty shall not be affected by either the imposition or withholding of a federal sanction under Title XVIII of the Social Security Act (42 U.S.C. § 1395 et seq.), or Title XIX of the Social Security Act (42 U.S.C. § 1396 et seq.).