If you’re looking for a home care franchise opportunity in Tennessee, Briggs Home Care® offers entrepreneurs the opportunity to build a locally operated home care business backed by an established healthcare organization, training, technology, marketing support and ongoing operational guidance. Tennessee is also a market Briggs has identified for expansion, making this a timely opportunity for qualified prospective franchise owners interested in Nashville, Memphis, Knoxville, Chattanooga and other growing communities across the state.

Home care is a compelling business category because it solves a need families cannot simply put off indefinitely. As parents age, health circumstances change or family caregivers become overwhelmed, many Tennessee families begin asking the same question: How can we help someone we love remain safely and comfortably at home?

A well-run home care agency can help provide that answer.

For the right entrepreneur, a Briggs Home Care franchise offers the opportunity to build a local business while providing a service that can have a meaningful impact on the community it serves.

Is Tennessee a Good State for a Home Care Franchise?

Tennessee can be an attractive state to explore for a home care franchise because it combines a substantial older population with growing metropolitan and suburban communities.

According to U.S. Census Bureau estimates, Tennessee had approximately 7.3 million residents in 2025, representing growth of roughly 5.8% from its 2020 population base. Approximately 18.6% of Tennessee residents are age 65 or older.

For prospective home care franchise owners, that combination matters. Tennessee is adding residents while already having a significant population of older adults who may increasingly need assistance to continue living independently at home.

However, statewide statistics only tell part of the story.

Home care is an unusually local business. The potential of a franchise depends heavily on what is happening within the actual territory you plan to serve.

Before opening a home care business in Tennessee, a prospective franchise owner should evaluate factors such as:

That territory-level analysis matters far more than simply choosing the biggest city on a map.

Where Are the Best Home Care Franchise Opportunities in Tennessee?

There isn’t one universally “best” place to open a home care franchise in Tennessee.

Nashville may offer a larger potential customer base than a smaller Tennessee community, but it can also have a different competitive environment, caregiver market and cost structure. A suburban or regional territory may offer a different balance of population growth, older households, healthcare infrastructure and competition.

The strongest territory is the one where demand, demographics, caregiver availability, referral opportunities and competitive conditions create the right foundation for the business.

Several Tennessee regions are worth investigating.

Nashville and Middle Tennessee

Nashville immediately stands out when evaluating business opportunities in Tennessee. The city and surrounding Middle Tennessee region have experienced significant population growth, creating a large and increasingly diverse potential customer base.

But a home care franchise opportunity in Nashville shouldn’t be evaluated solely by the population within Nashville itself.

Middle Tennessee includes a network of growing suburbs and surrounding communities where families may be searching for senior home care, companion care and other forms of in-home assistance.

For a prospective owner, the opportunity is not simply “Nashville.” It is identifying an available territory where there are enough potential clients, caregivers and referral partners to support long-term development.

Memphis and West Tennessee

Memphis is another major market for prospective senior care franchise owners in Tennessee.

Families throughout Memphis and surrounding West Tennessee communities face a challenge that is becoming increasingly familiar: an aging parent wants to remain at home, but living completely independently is becoming harder.

Home care can help bridge that gap.

A franchise owner serving West Tennessee would need to build both consumer awareness and strong local referral relationships. Hospitals, rehabilitation providers, physicians, senior communities and other professionals serving older adults can all become important parts of the local home care ecosystem.

Knoxville and East Tennessee

Knoxville serves as a major population and healthcare hub for East Tennessee, but the potential home care market extends beyond Knoxville itself.

Suburban communities and regional population centers can also generate demand for in-home care, particularly where older adults want to remain close to their families, churches, doctors and established communities.

This highlights an important characteristic of the home care business model: the service goes to the client.

A home care agency does not depend on securing the highest-traffic retail location. The quality of the territory, caregiver base, local reputation and referral network can be much more important than storefront visibility.

Chattanooga and Southeast Tennessee

Chattanooga and surrounding Southeast Tennessee communities represent another market worth evaluating.

As with Knoxville, Memphis or Nashville, prospective owners should examine the actual service area rather than relying on city population alone.

Where are older adults concentrated? Where are healthcare and rehabilitation facilities located? How far will caregivers need to travel? Which home care competitors already have strong local recognition? Are there growing suburban communities that may be underserved?

Those questions can reveal much more about the potential of a Tennessee home care territory than a statewide population number alone.

What Does a Home Care Franchise Actually Do?

A home care agency helps people receive assistance while continuing to live in their own homes.

Depending on the agency’s service offering and applicable requirements, clients may include older adults, adults with disabilities and other individuals who benefit from additional support with everyday life.

But owning a home care franchise is different from personally becoming a caregiver.

As a franchise owner, your job is to build and manage the organization responsible for delivering dependable care.

That can involve:

That distinction is important for entrepreneurs who are interested in the home care industry but don’t have a nursing or clinical background.

You are building a care company, not personally providing every hour of care.

Do You Need Healthcare Experience to Own a Home Care Franchise?

No. Briggs Home Care does not require franchise owners to have a medical or healthcare background.

Healthcare experience can certainly be useful, but the stronger fit is an entrepreneur with managerial ability, financial qualifications, a passion for service and the ability to develop relationships and grow a business.

In many ways, a successful owner needs to be part business builder, part community connector and part team leader.

Caregivers are the people delivering services in clients’ homes. The owner’s responsibility is to create the organization that recruits good people, earns the trust of families, maintains high standards and grows responsibly.

For entrepreneurs researching how to start a home care business in Tennessee but worrying that they aren’t a nurse or clinician, that is an important distinction.

Why Buy a Home Care Franchise Instead of Starting an Independent Agency?

It is possible to start an independent home care agency in Tennessee. The more useful question is whether you want to develop every component of the business yourself.

An independent owner may need to create operating procedures, identify technology platforms, establish billing processes, develop caregiver recruitment systems, create marketing campaigns, learn client-acquisition strategies, navigate regulatory requirements and build brand recognition from zero.

A franchise changes the starting point.

With Briggs Home Care, owners enter the industry with an established business framework and support infrastructure.

Briggs provides franchise owners with resources that include:

The franchise model doesn’t eliminate the work required to build a successful business. It provides a framework so an owner doesn’t have to invent the business while simultaneously trying to grow it.

What Does It Cost to Open a Briggs Home Care Franchise in Tennessee?

The current estimated initial investment for a Briggs Home Care franchise ranges from $97,285 to $146,440, including a $50,000 initial franchise fee.

We require that potential franchisees have a net worth of $250,000-$300,000 with a minimum of $100,000 in liquid assets.

There are also ongoing costs associated with franchise ownership. Prospective owners should review the current Franchise Disclosure Document (FDD) for the complete fee structure, financial requirements and other important information before making an investment decision.

When comparing home care franchise opportunities, don’t focus only on the franchise fee.

A more useful comparison considers:

The lowest-cost franchise is not automatically the strongest business opportunity. Prospective owners should understand what they receive for their investment and whether the franchise system aligns with the type of business they want to build.

How Does Briggs Help Tennessee Franchise Owners Find Clients?

One of the biggest challenges facing any new home care agency is client acquisition. Opening the doors doesn’t automatically make families call.

Briggs provides training and ongoing support designed to help franchise owners market their businesses, attract clients and develop relationships with referral sources.

That can include guidance around local digital marketing, traditional marketing, promotional materials and networking with organizations and professionals who regularly encounter families needing care.

For a Tennessee home care franchise, potential relationship-building opportunities may include hospitals, rehabilitation facilities, physicians, senior living organizations, elder-care professionals and community organizations serving older adults. This matters because home care is built on trust.

Consider the actual search journey.

A daughter in Nashville realizes her mother is no longer comfortable being alone all day. A husband in Knoxville needs help caring for his wife. A family in Chattanooga is preparing for a loved one to return home after rehabilitation. An adult child living outside Tennessee realizes Dad in Memphis needs more day-to-day support than the family can provide from a distance.

Those families aren’t casually browsing. They are trying to solve an immediate, personal problem.

Home care agencies that become visible, responsive and trusted within their local communities put themselves in a stronger position when that moment occurs.

What Are the Requirements for Starting a Home Care Business in Tennessee?

Prospective owners should understand that home care is a regulated industry, and Tennessee has state-specific requirements that must be considered when establishing a home care organization.

The Tennessee Health Facilities Commission oversees licensing for healthcare facilities and services within the state, including applicable Home Care Organization and Home Health Agency licensing processes.

The exact requirements depend on the type and scope of services an organization intends to provide.

Tennessee also maintains a Certificate of Need program for certain healthcare services, including Home Health under applicable circumstances. Whether a particular requirement applies depends on the services being offered and the structure of the agency.

For that reason, prospective owners should not rely on a generic “how to open a home care agency” checklist found online.

Depending on the business model, launching a Tennessee home care organization can involve:

Briggs provides franchise owners with compliance and operational guidance as part of its support system. However, franchisees remain responsible for satisfying all applicable federal, Tennessee and local laws and regulations.

Because healthcare regulations can change, prospective owners should verify current requirements with the appropriate Tennessee authorities and review them with the Briggs Home Care franchise development team during the discovery and pre-opening process.

What Makes a Successful Home Care Franchise Owner?

The strongest prospective owners usually aren’t looking for a completely passive investment. Home care rewards local involvement.

Successful owners need to build a team, develop referral relationships, understand their territory and create a reputation families can trust. That often requires someone who is comfortable with both people and numbers.

You need enough business discipline to understand staffing, revenue, expenses and growth. At the same time, you need enough empathy to recognize that every “lead” represents a family making an important decision about someone they care about. That balance matters.

A great home care business isn’t built solely through marketing. It’s built when effective marketing generates an inquiry, a responsive team earns the family’s confidence, a dependable caregiver provides a strong experience, and that experience contributes to referrals, reputation and long-term community recognition.

Why Briggs Home Care?

Prospective owners have choices when comparing home care franchises in Tennessee, so the franchise organization behind the business matters.

Briggs Home Care is backed by the broader Briggs healthcare legacy and offers franchise owners a combination of business infrastructure and healthcare-industry experience.

Franchisees receive a one-week pre-opening training course for the owner and one lead staff member, followed by ongoing support through remote assistance, refresher training, virtual and in-field visits, and guidance related to finances, management, client service, quality control and other operational responsibilities.

Briggs also provides support in areas that directly affect growth, including client acquisition, marketing, referral networking, compliance, billing and technology.

For an entrepreneur entering home care for the first time, having those systems already established can be particularly valuable.

What Should You Look for When Comparing Home Care Franchises in Tennessee?

Don’t choose a home care franchise solely because you recognize the brand name or like the website.

Treat franchise research like business due diligence.

Before investing, ask prospective franchisors:

  1. What Tennessee territories are currently available?
  2. How are territories defined and protected?
  3. What does the total initial investment include?
  4. What ongoing royalties, technology and marketing fees apply?
  5. What happens during initial training?
  6. What support will I receive after opening?
  7. How does the franchise help owners acquire clients?
  8. What caregiver recruiting resources are available?
  9. What technology does the business use?
  10. Can I speak with existing franchise owners?
  11. What does the current FDD disclose about the franchise system?
  12. What would my first 90 days as an owner realistically look like?

Those questions move the conversation beyond “How much does it cost?” and toward the more important question:

Can this franchise system help me build the type of home care business I want in my Tennessee market?

Explore Available Briggs Home Care Territories in Tennessee

Briggs Home Care has identified Tennessee as an expansion market, but territory availability changes as new franchises are awarded.

If you’re considering Nashville, Memphis, Knoxville, Chattanooga or another Tennessee community, the next step is to determine whether your preferred market is available and whether it meets Briggs’ criteria for franchise development.

The Briggs franchise discovery process gives prospective owners an opportunity to learn more about the business, review franchise disclosure documents, connect with existing franchise owners and meet the team that would support their business.

That process matters.

Choosing a franchise shouldn’t be an impulse decision. Prospective owners should understand the economics, territory, operating model, expectations and support structure before deciding whether an opportunity fits their goals.

Frequently Asked Questions About Home Care Franchises in Tennessee

Is Tennessee a good place to start a home care business?

Tennessee can offer attractive opportunities for home care businesses because it has approximately 7.3 million residents, a significant population age 65 and older, and growing metropolitan and suburban communities. However, the strength of a specific opportunity depends on territory-level demographics, competition, caregiver availability, healthcare networks and potential referral sources.

How much does a home care franchise cost in Tennessee?

Briggs Home Care currently estimates the total initial investment at $97,285 to $146,440, including a $50,000 initial franchise fee. Briggs also lists minimum financial qualifications of $250,000-$300,000 in net worth and $100,000 in liquid assets. Prospective franchisees should review the current FDD for complete and current financial information.

How do I start a home care business in Tennessee?

Starting a home care business in Tennessee generally involves establishing the business, satisfying applicable state licensing and regulatory requirements, creating operating systems, recruiting caregivers and staff, developing marketing and referral channels, and acquiring clients. Joining a home care franchise provides an established business model and support system for many aspects of this process.

Do I need a license to operate a home care business in Tennessee?

Tennessee regulates applicable home care organizations and healthcare services through the Tennessee Health Facilities Commission. Licensing requirements depend on the services an agency intends to provide. Prospective owners should verify current requirements with Tennessee authorities and obtain appropriate professional guidance before opening.

Does Tennessee require a Certificate of Need for a home care agency?

Tennessee maintains a Certificate of Need program that applies to certain healthcare services, including Home Health under applicable circumstances. Whether a Certificate of Need is required depends on the services and structure of the organization. Prospective franchise owners should verify the requirements applicable to their specific home care business rather than assuming all agencies are treated the same.

Do I need to be a nurse to own a home care franchise?

No. Briggs Home Care does not require franchise owners to have medical or healthcare experience. The company looks for financially qualified business owners with managerial ability, a service-oriented mindset and the ability to develop relationships and grow a business.

What are the best cities in Tennessee for a senior care franchise?

Nashville, Memphis, Knoxville and Chattanooga are logical Tennessee markets to investigate because of their populations and regional healthcare networks. However, suburban and regional territories may also present opportunities. Market selection should be based on demographics, competition, caregiver supply, referral opportunities and territory availability rather than city size alone.

Can I open a home care franchise in Nashville, Tennessee?

Briggs has identified Tennessee as an expansion market, but individual territory availability changes as franchises are awarded. Prospective owners interested in Nashville or Middle Tennessee should contact Briggs Home Care to determine which territories are currently available.

Are there home care franchise opportunities in Knoxville or East Tennessee?

Potential opportunities may exist in Knoxville and other East Tennessee communities depending on current Briggs territory availability. Prospective owners should evaluate population demographics, competition, caregiver availability, healthcare networks and local referral opportunities when considering an East Tennessee territory.

Is a home care franchise the same as a senior care franchise?

The terms are frequently used interchangeably, but they aren’t always identical. Senior care generally focuses specifically on older adults, while a home care organization may serve seniors, adults with disabilities and other individuals who need assistance at home. Services vary by provider and applicable regulations.

How does a home care franchise find clients?

Home care agencies can acquire clients through local search marketing, advertising, community outreach, reputation and relationships with healthcare and senior-care referral sources. Briggs provides franchise owners with marketing and client-acquisition training and support, including guidance around digital marketing, traditional marketing and referral networking.

Is owning a home care franchise passive?

Home care franchise ownership is generally better suited to someone prepared to actively build and manage a business. Owners are responsible for developing a team, attracting clients, creating referral relationships, overseeing operations and maintaining service quality.

Is it better to start an independent home care agency or buy a franchise?

The answer depends on the entrepreneur. An independent agency offers greater freedom to develop its own systems and brand, while a franchise provides an existing business model, training, technology, marketing resources and ongoing support. Entrepreneurs should compare total investment, ongoing fees, territory structure, support and long-term business goals before deciding.

What should I ask a home care franchisor before investing?

Ask about territory availability and protection, startup investment, ongoing fees, training, caregiver recruitment, marketing support, client acquisition, technology, regulatory guidance and ongoing operational support. Prospective owners should also carefully review the current FDD and speak with existing franchisees before making an investment decision.