Get CNA Certified in Texas

Want to become a CNA in Texas? 


Job Growth:

CNA jobs are projected to grow 11% by 2026, and Texas has a high level of employment with 88,000 registered nurse aids.



Texas is ranked top 2% for CNA wages, which average at $19/hour, but the top 10% of the nation’s nurse aids earn $50,000.



To become a registered CNA, you must graduate from an accredited course, some as short as 4 weeks, and pass the state exam.

What are the CNA requirements in Texas? Here’s how to prepare for your CNA state exam and how to become a Certified Nurse Assistant in Texas.


What is a Certified Nurse Aide?

A CNA is a Certified Nurse Assistant, or Certified Nurse Aide. It is one of the most important roles on the healthcare team. CNAs are fully responsible for the general care of patients. This includes taking and recording vital signs such as heart rate and blood pressure, assisting them to and from their bed, aiding them during meals, and attending to personal hygiene. The job is rewarding, as your role enhances a patient’s everyday livelihood, giving them an opportunity to be active members of society and offering them a chance to live their lives to the fullest.

CNA Requirements in Texas  

  1. Be at least 18 years old

  2. Be in good physical health

  3. Up-to-date immunization records

  4. Pass a criminal background check

  5. Graduate from a Certified Nursing Assistant School in Texas

  6. Pass the State Exam

  7. Register as a Certified CNA


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How to Become a CNA in Texas

To start a CNA training program, you need to be at least 18 years old. There is no minimum education requirement for nurse aides such as a high school diploma or a GED. Trainees with specific criminal convictions will not be allowed to practice as a CNA. A list of the offenses are at the Texas Health and Safety Code Chapter 250.006. Next, you will need to find accredited CNA classes in Texas. The Texas Health and Human Services department approves nurse aide training and competency evaluation programs, also known as NATCEPs, and also has a list of approved in-service education programs. Each program must include a total number of 100 training hours, including 60 classroom hours and 40 hands-on training hours at a nursing facility. The majority of these programs can be found at local community colleges, trade schools, or even the American Red Cross. You can find local CNA classes near you as well as CNA classes online.

The program can be completed in 6-15 weeks, although there are some accelerated programs that offer 4-week CNA classes as well. Students are under direct supervision during training and their program instructors must be licensed for nursing in Texas, have a minimum of 1 year of nursing experience, and must have either completed a course on how to teach adults or have verifiable experience teaching adults or supervising nurse aides.

Once the training is complete, you are eligible to apply for CNA certification, which allows you to sign up to take the official CNA examination. It’s recommended you take a free CNA practice exam to prepare. You must take the exam at a certified testing center such as the American Red Cross or one of the Pearson VUE testing sites for the National Nurse Assistant Training and Assessment Program (NNAAP).

Below you can also find city-specific information within Texas on how to become a CNA:

Free CNA Classes in Fort Worth

Free CNA Classes in Houston

Free CNA Classes in San Antonio

A Closer Look at CNA Training

A typical CNA program in Texas will include 16 hours of introductory training before administering direct care for patients. Introductory hours consist of communication, infection control, patients’ rights, and safety procedures such as the Heimlich maneuver. You can expect to take CNA classes that cover topics such as:

  • Interpersonal Skills

  • Anatomy

  • Social Service

  • Mental Health

  • Cognitive Impairment

  • Emergency Procedures

  • Personal Care & Hygiene

  • Infection Control

  • Basic Nursing Care

  • Restorative Services

  • Patients’ Rights

The CNA Training Program can cost anywhere from $500 to $2,000, depending on the program. For example, the American Red Cross program costs $1,300. However, these fees do not include classroom materials, uniforms, or textbooks. Some facilities, such as adult education centers, and nursing homes, offer free CNA classes, while others accept financial aid and payment plans. You can also apply for your employer to reimburse your training or supplement your certification with on-the-job training.


The CNA Test in Texas

Texas partners with the National Nurse Aide Assessment Program (NNAAP) to certify its nurses. The CNA state exam is distributed by Pearson VUE and they provide a multitude of information to help you succeed in the examination process, including a free CNA practice test, applications, and test site locations and times.

The CNA test in Texas is comprised of 2 portions: a written (or oral) exam, and a clinical skills evaluation. Both are administered on the same day. The written exam has 70 multiple choice questions in English and you will have 2 hours to complete it. If English is your second language, you are able to opt out and take the written exam orally. You can take CNA classes en español as well. The oral exam consists of 60 multiple-choice questions and 10 reading comprehension questions. The skills examination requires the nurse aide evaluator to supervise you performing 5 skills randomly selected from a list of 34 skills in 30 minutes or less. You must perform 4 of the 5 skills correctly to pass. You can schedule your examination with the Nurse Aid Competency Evaluation Services (NACES) at 1-800-444-5178 or 512-467-0615. If you have a disability, you may request special arrangements for the test that must be approved in advance. If you don’t pass the exam on your first try, it is possible to retake the exam twice. If you fail the test three times, you must re-train at an approved program before attempting the test a fourth time.

Once you pass the exam, Congratulations! Your certificate will arrive in the mail 4-6 weeks later. You can check on the status of your certificate on the Texas Department of Aging and Disability Services Employment Website.

CNA Exam Cost Broken Down:

  • $104 - Written & Skills Evaluation

  • $104 - Oral & Skills Evaluation

  • $27 - Written Exam only

  • $27 - Oral Exam only

  • $77 - Skills Exam only

On the Day of the Exam, Plan to Bring:

  1. One form of current identification with a photo I.D.

  2. Social Security card

  3. Non-skid, closed-toe shoes for the clinical evaluation

  4. Three No. 2 pencils and eraser

  5. A watch with a second hand


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CNA Jobs in Texas

Texas has one of the highest CNA employment rates, according to the U.S. Bureau of Labor Statistics. There are more than 88,000 CNAs currently employed. Texas is also ranked top in the nation for CNA wages with Tyler, Texas being the 5th top-paying metro area in the country at nearly $19/hour. The Houston area is ranked as one of the country’s metropolitan areas with the highest employment; there are nearly 19,000 jobs in the city.

The top 10% of CNAs can make $50,000 annually, and nursing assistant jobs are relatively easy to find. Due to the ability for increased training opportunities and further career advancements, there is a high turn-around rate for CNAs, as many use their work experience to start the accreditation process needed to become Registered Nurses. Working as a CNA is not only rewarding, but also offers job stability and immense growth opportunities.  

Nearly 50% of CNAs work in Nursing Care Facilities, and there are 2,500 registered nursing facilities in the state of Texas that offer employment.


The remainder jobs are at hospitals, medical offices, facilities for elderly, mental health clinics, outpatient care centers, and even film and television housing facilities. CNAs play a such vital role in patient care, that the growth of CNA jobs is projected to grow 11% by 2026. An aging population will significantly increase nurse aide jobs. You may also work at a nursing facility for a maximum of 4 months while you are enrolled in your training program.

CNA Job Advancement

An entry-level position in the medical field, CNAs are given many opportunities to reach that next level. CNAs work with a Licensed Practical Nurse (LPN) and directly under a Registered Nurse (RN), so they are rewarded by seeing firsthand what it looks like to reach that next level. To become a LPN, a CNA can apply for a bridge course that can be found at a community college or a vocational training school that can either be offered online or on-campus. Typically this training includes a 6-24 week class with 75 hours of training, however many current CNAs are able to use their work hours to apply to training, making it very easy to promote. Texas has such a turnaround in CNA jobs advancement, that thousands of CNA jobs will open annually because of it. You may also join an association for resources and to help advance your career, such as the Texas Nurses Association

Renew a CNA Certification in Texas

The state of Texas requires you to renew a CNA license every 2 years. There is no expiration date printed on your certificate, but you are responsible to renew the certificate on your own. Within 2 years, you must complete 24 hours of in-service training and provide proof of qualifying employment in order to maintain an active status as you renew your CNA license in Texas. Twelve of the 24 required hours must be completed at a facility that is licensed or certified by Texas Health and Human Services, the Texas Department of State Heath Services, or the Texas Board of the Nursing. The remaining 12 hours can be completed at any healthcare facility. The Health & Services department actually offers 6 classes, each valued at 2 hours of in-service education. They’re available for free for renewal certificates here.

You must start the renewal process 3 months before your license expires. If you fail to complete renewal, your nurse aide license will expire and you will not be legally employable until it is active again. If you cannot verify employment, you will also have to re-train and re-test. If you are out-of-state and already a CNA, such as a military exemption, you can obtain a license and CNA recertification in Texas. All nurse aides and nurse aide candidates must register in the Credential Management System, where a nurse’s certification status is available.

The state’s Department of Public Health also has a Nurse Aide Registry in Texas. A registered CNA must graduate from an accredited program and have an active license.

For additional information about state licensing, renewal, and certification contact:

Texas Department of Aging and Disability

Nurse Aide Registry

Mail Code E-414,

P.O. Box 149060

Austin, Texas 78714-9030

Phone: (512) 438-2050


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Visit your local Health and Human Services office for more nursing assistant information at the following locations:

701 W. 51st Street

Austin, Texas 78751

2561 Matlock Road

Arlington, TX 76014

1425 East 40th St.

Houston, TX 77022

200 Texas Ave.

Ste. 405

Texas City, TX 77590

5806 34th St.

Lubbock, TX 79407

11307 Roszell

San Antonio, TX 78217

State-Approved Nursing Assistant Programs in Texas 

Region 1: 

Amarillo College-Center For Continuing Health Care 

6222 W. 9th

Amarillo, TX 79178

Director Contact: Kimberly Crowley

(806) 354-6085

Amarillo College Moore County Campus

1220 East First Street

Dumas, TX 79029

Director Contact: Robert Bates

(806) 934-7220

Amarillo VA Medical & Community Living Center

6010 Amarillo Blvd West

Amarillo, TX 79106

Director Contact: Jeanette Williams

(806) 468-1540

Destiny Staffing Career Center, LLC

2402 52nd Street, Suite 12

Lubbock, TX 79412

Director Contact: Della Showers

(806) 748-1666

Frank Phillips College

1301 Roosevelt

Borger, TX 79008

Director Contact: Peggy Quinn

(806) 457-4200

Frank Phillips College - Perryton

2314 South Jefferson Street

Perryton, TX 79070

Director Contact: Sarah Wilson

(806) 648-1450

Parmer Medical Center C.N.A. Program

1307 Cleveland

Friona TX 79035

Director Contact: Carmen Putman

(806) 250-2754

Vista College - Lubbock

4620 50th Street, Suite 14

Lubbock, TX 79414

Director Contact: Cathy Johnson

(806) 785-2100

Vista College N.A. Program

3440 South Bell Street, Suite 100

Amarillo, TX 79109

Director Contact: Colette Good

(806) 372-3700

Region 2: 

Cisco College

717 E Industrial Blvd

Abilene, TX 79602

Director Contact: Pearl Merritt

(325) 794-4411

Patty Hanks Shelton School of Nursing

2149 Hickory St

Abilene, TX 79601

Director Contact: Phil Howell

(325) 671-2399

Vernon College/Vocational Center at Haskell

4105 Maplewood Ave

Wichita Falls, TX 76308

Director Contact: Sherrie Denham

(940) 696-8752

Region 3: 


10501 North Central Expressway
Suite 308
Dallas, TX 75231

Director Contact: Carolyn Perry

(214) 295-2962

Alliance Career Institute

9304 Forest Ln, Ste 107
Dallas, TX 75243

Director Contact: Roland Ehioghae

(214) 575-4774

B & M Career Institute

9550 Forest Ln., Ste 125
Dallas, TX 75243

Director Contact: Amber Wampler

(972) 876-8226

Bah Career Training

2433 Goldfinch Ln

Garland, TX 75042

Director Contact: Victorine Tenya

(972) 272-5820

C. E. Global Health Education Network Inc.

2121 Northwest Hwy #106

Garland, TX 75041

Director Contact: Shenola Fox-Hamilton

(972) 698-7792

Centric Nursing Institute

1301 Northwest Highway Suite 205,

Garland, Texas  75041

Director Contact: Florence Eriken

(214) 556-7766

Companion Training Center

10925 Estate Lane, Suite 240

Dallas, TX 75238

Director Contact: Christian Ewelike

(972) 310-6070

CTK Healthcare and Career Institute

3455 N. Beltline Road, Ste. 203,

Irving, TX 75062

Director Contact: Paulette Potter

(214) 441-3556

Dallas Career Institute

8499 Greenville Avenue #200

Dallas, TX 75231

Director Contact: Adolphus Aganigbo

(214) 691-0555

DISD-LaGrone Advanced Technology Complex

1504 Long Rd

Denton, TX 76210

Director Contact: Sheila Temple

(940) 369-4850

El Centro College

801 Main Street

Dallas, TX 75202

Director Contact: Catherine Henon

(214) 860-2243

Grayson County College

6101 Grayson Dr

Denison, TX 75020

Director Contact: Shirley Greenway

(903) 463-8765

Metromed Nursing Institute

11325 Pegasus St., Ste W-165

Dallas, TX 75238

Director Contact: Priscilla Madu

(469) 867-1149

Region 4:

Panola College Continuing Education

678 Roughrider

Center, TX 75935

Director Contact: Judy Lee

(936) 591-9075

Progressive Learning Center - NATCEP

669 Francis St

Hawkins, TX

Director Contact: Juliua Williams

(903) 374-4799

Tyler Junior College Continuing Studies-West Campus

1530 SSW Loop 323

Tyler, TX 75701

Director Contact: Charolette Kay Devereaux

(903) 510-2968

Vista College - Longview

1905 W. Loop 281 Suite 21

Longview, TX 75604

Director Contact: Colette Good

(903) 704-0544

Region 5:

Abundant Light of Colita

1309 Colita

Livingston, TX 77351

Director Contact: Hope Eaton

(936) 329-0478

Angelina College

3500 S. First Street

Lufkin, TX 75904

Director Contact: Sandra Patterson

(936) 633-5377

Garden of Gethsemane Center/Housing Authority

160 George Briggs

Crockett, TX 75835

Director Contact: Mary Smith

(832) 382-1549

Sam Houston State University - Office Of Cont. Ed.

1806 Avenue J

Huntsville, TX 77341

Director Contact: Colleen Franklin

(936) 294-4568

Shelby College Center/Panola College

678 Rough Rider Dr.

Center, TX 75935

Director Contact: Judy Lee

(936) 591-9075

The Abundant Light of Livingston

301 Hwy 59 Loop, Ste E

Livingston, TX 77351

Director Contact: Hope Eaton

(832) 527-3322

Vista College - Beaumont

3871 Stagg Dr, Ste 194

Beaumont, TX 77701

Director Contact: Colette Good

(409) 291-4900

Region 6

Academy of Exceptional Healthcare Training

8449 West Bellfort Suite 140

Houston, TX 77071

Director Contact: Vanessa Lee

(713) 777-4262

Ace Training Institute

10101 Harwin Suite #110

Houston, TX 77036

Director Contact: Stella Iyare

(713) 771-7737

Active Nursing Assistant Training of Clear Lake

2511-B Nasa Rd, Ste 102

Seabrook, TX 77586

Director Contact: Brenda Manning

(832) 265-2824

Aides For Home Health Care Services

4008 Vista Rd. 108 - Bldg C

Pasadena, TX 77504

Director Contact: Nancy Fontenot-Sparks

(713) 910-7575

American Medical Institute

6902 Cook Rd

Houston, TX 77072

Director Contact: Ify Emenaha

(713) 772-5300

Assurance Academy, LLC

2600 Gessner, Ste 203

Houston, TX 77080

Director Contact: Tangie Smith-Bryant

(281) 865-8533

Avalon Medical Career Academy

10101 Fondren Rd Ste 311

Houston, TX 77096

Director Contact: Gloria Wesley

(713) 272-6820

BC Houston Career Training Academy

2626 South Loop West, Ste 670

Houston, TX 77054

Director Contact: Ollie Williams

(713) 636-2746

Brazosport College Community Education

500 College Drive

Lake Jackson, TX 77566

Director Contact: Donna Britt

(979) 230-3600

Region 7:

A Med Ed School of Nurse Aide Training

4620 FM 1783

Gatesville, TX 76528

Director Contact: Samantha Shinn

(254) 223-2062

Austin Community College-Highland Business Center

5930 Middle Fiskville Rd

Austin, TX 78752

Director Contact: Wendy Pickard

(512) 223-7271

Blinn College/Bryan

301 Post Office St.

Bryan, TX 77801

Director Contact: Carolyn Reese

(979) 209-7565

Central Texas Council of Governments/Area Agency

2180 North Main Street

Belton, TX  76513

Director Contact: Sheryl Yauk

(254) 770-2358

Central Texas Nurse Network, Inc

313 E. Rundberg Ln, Ste 208

Austin, TX 78753

Director Contact: Veronique Johnson

(512) 836-3442

Health Training Services, LLC

102 Wonder World Dr, Ste 304

San Marcos, TX 78666

Director Contact: Kathryn Catlett

(512) 754-9647

TB Nurse Aide Training

815 Fisher St.,

Goldthwaite, TX 76844

Director Contact: Vicki Butterfras

(325) 451-0372

Vista College - College Station

2704 Texas Ave, Ste 2

College Station, Texas 77840

Director Contact: Colette Good

(979) 703-1306

Vista College/Killeen

1001 S. Fort Hood St

Killeen, TX 76541

Director Contact: Colette Good

(254) 432-5680

Region 8:

The Healthcare Institute

1822 Fredericksburg Rd

San Antonio, TX 78201

Director Contact: Judy Ferguson

(210) 692-3262

Palo Alto College Continuing Education NATP

1400 W. Villaret

San Antonio, TX 78224

Director Contact: Carmen Choumont

(210) 486-3406

Southwest Texas Junior College-Crystal City H. S.

2401 Garner Field Rd

Uvalde, TX 78801

Director Contact: Belinda Jimenez

(830) 278-4401

Region 9:

Howard College-Lamesa Campus

1001 Birdwell Ln

Big Spring, TX 79720

Director Contact: Vanessa Arista

(432) 264-5070

Nurse Aide for Health Care Organization I

3200 W. Cuthbert

Midland, TX 79701

Director Contact: Wendy Wood-Collins

(432) 681-6364

Odessa College-Cont. Ed

201 W University

Odessa, TX 79764

Director Contact: Marsha Thomas

(432) 335-6539

William Regional Technical Training Center Midland

1309 West IH-10

Ft. Stockton, TX 79735

Director Contact: Denise Ureste

(432) 336-7882

Region 10:

ACE Nursing Education Services

6500 Boeing Suite L208

El Paso, TX 79925

Director Contact: Rachel Lozano

(915) 244-3955

El Paso Community College-Site 1

100 W Rio Grande

El Paso, TX 79902

Director Contact: Paula R. Mitchell

(915) 831-4029

Region 11:

Laredo Community College

W. End Washington St

Laredo, TX 78040

Director Contact: Hilda Cavazos

(956) 721-5255

Laredo Job Corps

1701 Island St

Laredo, TX 78041

Director Contact: Elbert Terry

(956) 727-5147

New Start School

709 N. Main Street

McAllen, TX 78501

Director Contact: Gabriel Tamayo

(956) 682-5670

Six RNs Institute

1018 W. Wisconsin Rd, 

Edinburg, TX  78539

Director Contact: Luz Llasos

(956) 513-1748

South Texas College

1101 E. Vermont

McAllen, TX 78502

Director Contact: Sharon M Rice

(956) 872-3019

South Texas Training Center

213 E. Ferguson

Pharr, TX 78577

Director Contact: Hilda Silva

(956) 782-7100

South Texas Training Center - San Benito

1901 West HWY 77

San Benito, TX 78586

Director Contact: Hilda Silva

(956) 399-9698

Texas State Tech. College

1902 North Loop 499

Harlingen, TX 78550

Director Contact: Jean A. Lashbrook

(956) 364-4797

Victoria College - Cuero

2200 E. Red River

Victoria, TX 77901

Director Contact: Marilyn Powell

(361) 572-6446

Top-Rated Nursing Assistant Programs in Texas


Graham’s Nursing Training

15501 N Fm 620

Austin, TX 78717

Phone number (512) 773-9808

Healthcare Career Centers

1200 E Palm Valley Blvd

Round Rock, TX 78664

Phone number (512) 246-6877


Cornerstone Career Institute

9550 Forest Ln

Dallas, TX 75243

Phone number (214) 779-0070

Texas Career Institute CNA School

9585 Scyene Rd

Dallas, TX 75227

Phone number (214) 275-9600

Fort Worth:

Ce Global Health Education Network Inc

2121 Nw Hwy

Garland, TX 75041

Phone number (972) 698-7792

CPR Done Right

Argyle, TX 76226

Phone number (469) 620-0277


CNA Training Institute

140 Eldridge Rd

Sugar Land, TX 77478

Phone number (832) 766-0929

Smithwood Medical Institute

7100 Regency Square Blvd

Houston, TX 77036

Phone number (713) 975-0971

Avalon Medical Career Academy

10101 Fondren Rd

Houston, TX 77096

Phone number (713) 272-6820

Professional Careers Institute

6666 Harwin Dr

Houston, TX 77036

Phone number (713) 783-3999

Alpha Medical Institute

9207 Country Creek Dr

Houston, TX 77036

Phone number (713) 777-3996

San Antonio:

All About Medical Training

7126 Eckhert Rd

San Antonio, TX 78238

Phone number (210) 777-3915

The Institute of Allied Healthcare

7434 Louis Pasteur Dr

San Antonio, TX 78229

Phone number (210) 616-0880

Gary Job Corp

2800 Airport Hwy 21

San Marcos, TX 78666

Phone number (512) 396-6536