The regulations for Certified Nurse Assistants (CNA) fall under the Missouri Department of Health and Senior Services’ (DHSS) jurisdiction.
You can only become a CNA and enter into the CNA Registry when you complete the following:
- State-approved nurse assistant training program (NATP)
- Pass the Missouri Nurse Assistant Competency Exam (MO-NACE)
Table of Contents
Taking on a CNA Training Program in Missouri
There are plenty of state-approved NATPs offered by training facilities in Missouri, some of which are listed below.
In the NATP, you will be prepared for the responsibilities that a nurse assistant does in long-term care facilities.
You will complete a minimum of 175 hours of training, comprising of:
- 75 hours of classroom instruction
- 100 hours of supervised clinical training
32 CNA Schools in Missouri
School Name | Address |
---|---|
Appleton City Manor | Appleton City, MO 64724 |
Ashland Healthcare | Ashland, MO 65010 |
Bethany Care Center | Bethany, MO 64424 |
Life Care Center of Bridgeton | Bridgeton, MO 63044 |
Life Care Center of Brookfield | Brookfield, MO 64628 |
The California Care Center | California, MO 65018 |
Camdenton Windsor Estates | Camdenton, MO 65020 |
Fountainbleau Lodge | Cape Girardeau, MO 63701 |
Life Care Center of Cape Girardeau | Cape Girardeau, MO 63703 |
Friendship Village Chesterfield | Chesterfield, MO 63017 |
The Delmar Gardens Family | Chesterfield, MO 63017 |
Parkside Manor | Columbia, MO 65202 |
Mineral Area Regional Medical Center | Farmington, MO 63640 |
Camelot Nursing and Rehabilitation Center | Farmington, MO 63640 |
Bent-Wood Nursing and Rehabilitation Center | Florissant, MO 63031 |
Jefferson City Manor Care Center | Jefferson City, MO 65109 |
Twin Pines Adult Care Center | Kirksville, MO 63501 |
Village Care Center | Maryville , MO , 64468 |
Scotland County Care Center | Memphis, MO 63555 |
SSM Health St. Mary’s Hospital – Audrain | Mexico, MO 65265 |
New Florence Nursing and Care Center | New Florence, MO 63363 |
Oakdale Care Center | Poplar Bluff, MO 63901-2650 |
Riverside Nursing and Rehabilitation Center, LLC | Riverside, MO 64150 |
Laverna Village Nursing Home and Apartments | Savannah, MO 64485 |
Glenwood Healthcare | Seymour, MO 65746 |
Miner Nursing Center | Sikeston, MO 63801 |
Oxford HealthCare Springfield | Springfield, MO 65807 |
Carriage Square Health Care Center | St. Joseph MO 64506 |
Missouri Baptist Medical Center | St. Louis, MO 63131 |
Golden Age Living Center | Stover, MO 65078 |
Life Care Center of Sullivan | Sullivan, MO 63080 |
Maries Manor | Vienna, MO 65582 |
Waiving of CNA Training
There are CNA candidates who don’t have to enroll in NATP and go straight to MO-NACE.
They are called “challengers” who meet certain criteria and have state approval.
- Nursing graduates and students who completed a Fundamentals of Nursing course with clinical rotation within the last five years
- Nursing graduates who failed the state licensure exam
- Foreign-trained nurses awaiting licensure in the U.S.
- Individuals who completed the Unlicensed Assistive Personnel training
- CNAs with inactive status in the Missouri CNA Registry
- Individuals with backgrounds in the gerontology and health occupations that have equivalent components to the NATP curriculum
If this applies to you, then send a written request along with other documentation to cnaregistry@health.mo.gov.
Evaluating a CNA Candidate
Completing NATP means you’re now ready to take the competency evaluation exam.
MO-NACE will be administered by the testing vendor, D&SDT-Headmaster.
There will be two parts to MO-NACE:
- Knowledge test, usually in written format
- Manual skills test
For the knowledge test:
- You have 60 minutes to answer 75 questions.
- An oral test is available upon request.
- If oral, 67 questions will be read orally while the rest won’t be to assess your reading comprehension.
- You can’t use a bilingual dictionary in the exam room.
- Passing rate is 76%.
For the manual skills test:
- You’ll be evaluated by performing three to four random nurse assistant tasks.
- You must complete all tasks within 30 minutes.
- Passing rate for non-key tasks is 80% and for key tasks 100%.
Do make sure to take MO-NACE within 12 months from the date you started NATP.
Exam Fees
To be able to take the tests, you will have to pay the following fees:
- Knowledge test – written – $30
- Knowledge test – oral – $40
- Manual skills test – $90
Note that fees are the same for initial exam takers and exam retakers.
Exam Results
Your official results will be posted online via D&SDT-Headmaster’s TestMaster Universe.
It will be available after 7 PM the day after your exam.
Should you pass, then your information will be added to the CNA Registry.
If not, then you have two other attempts to pass the test/s you failed.
If you still fail on the third attempt, you’ll have to retrain to be able to retake MO-NACE.
Out-of-State CNA under Reciprocity
You can transfer your CNA status to Missouri without having to take the exam if you:
- Currently hold a CNA certification
- Have an active status and in good standing at another state’s CNA Registry
You only have to submit to DHSS the following for review and approval:
- Duly accomplished out-of-state reciprocity form
- Proof of your current CNA certificate
You may email these to DHSS at cnaregistry@health.mo.gov or fax them to 573-526-7656.
Potential Salary
After all the hard work on training and certification, it is natural to expect a good salary.
In Missouri, you can receive an average salary of $30,198 annually.
Take a closer look at the salary information in major cities across the state.
Annual Salary Range:Average Salary of CNAs in Missouri
City Name | Salary | ||||
---|---|---|---|---|---|
Kansas City | $31,107 | ||||
St. Louis | $31,199 | ||||
Springfield | $30,589 | ||||
Independence | $31,074 | ||||
Columbia | $30,863 | ||||
St. Joseph | $30,812 | ||||
Lee's Summit | $30,989 | ||||
St. Charles | $31,030 | ||||
St. Peters | $30,963 | ||||
Florissant | $31,149 |
Region | Employed | Avg. Annual Salary | Avg. Hourly Pay | Top 10% Annual Salary | Bottom 10% Annual Salary |
---|---|---|---|---|---|
Cape Girardeau, MO-IL | 710 | $33,850 | $16.28 | $35,880 | $29,130 |
Columbia, MO | 1,730 | $37,490 | $18.03 | $45,200 | $30,940 |
Jefferson City, MO | 570 | $34,540 | $16.61 | $36,720 | $29,130 |
Joplin, MO | 900 | $35,020 | $16.84 | $39,630 | $29,420 |
Kansas City, MO-KS | 11,980 | $38,780 | $18.65 | $44,840 | $33,680 |
St. Joseph, MO-KS | 640 | $37,140 | $17.86 | $43,930 | $29,730 |
St. Louis, MO-IL | 12,530 | $37,810 | $18.18 | $44,400 | $31,010 |
Springfield, MO | 2,560 | $34,350 | $16.51 | $38,040 | $28,930 |
* Employment conditions in your area may vary.