How to Start a CNA School: State-by-State Requirements Guide
The complete guide to starting a Certified Nursing Assistant (CNA) training program in any U.S. state. Find official state applications, approving bodies, licensing requirements, and step-by-step resources for launching your healthcare training school in 2025.
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Get Our Complete Startup PackageWhat You Need to Know Before Starting a CNA Training Program
State Approval Required
Every state requires CNA training programs to be approved by a designated regulatory body—typically the Department of Health or Board of Nursing.
75+ Hour Minimum
Federal law requires a minimum of 75 hours of training (16 hours clinical), but most states require 80-180 hours for CNA certification.
Clinical Site Needed
You'll need a partnership with a skilled nursing facility or healthcare setting for students to complete their clinical training hours.
Qualified Instructors
CNA instructors must be licensed nurses (RN or LPN) with recent long-term care experience—requirements vary by state.
A
Alaska
Arkansas
C
Colorado
Book a CallConnecticut
D
Delaware
District of Columbia
F
G
Georgia
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Hawaii
Book a CallI
Idaho
Illinois
Iowa
K
Kansas
Kentucky
L
Louisiana
M
Maine
Massachusetts
Michigan
Minnesota
Book a CallMississippi
Missouri
N
Nebraska
Nevada
New Hampshire
New Jersey
North Carolina
O
Ohio
Oklahoma
Book a CallOregon
Book a CallP
R
Rhode Island
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South Carolina
South Dakota
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U
Utah
Book a CallV
Virginia
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Washington
Washington DC
West Virginia
Wyoming
Book a CallFrequently Asked Questions About Starting a CNA School
How long does it take to get state approval for a CNA program?
The approval timeline varies by state, typically ranging from 2-6 months. Some states like Texas and California have longer processing times due to higher application volumes. We recommend starting the application process at least 6 months before your planned launch date.
How much does it cost to start a CNA training school?
Startup costs typically range from $15,000 to $75,000 depending on your state, facility requirements, and whether you need to purchase equipment. Major expenses include state licensing fees ($500-$5,000), curriculum development, training supplies, and instructor salaries.
Do I need to be a nurse to open a CNA school?
No, you don't need to be a nurse to own a CNA school. However, your instructors must be licensed nurses (RN or LPN) with recent long-term care experience. Many successful CNA school owners partner with qualified nursing professionals for instruction.
What are the federal requirements for CNA training programs?
Federal law (OBRA 1987) requires a minimum of 75 hours of training, including at least 16 hours of supervised clinical experience. However, most states exceed these minimums, requiring 80-180 hours of total training.
Can I offer online CNA training?
Some states allow hybrid programs where theory portions can be completed online, but clinical/hands-on skills training must be done in person. States like Alabama, California, Illinois, Massachusetts, and Virginia currently allow online theory components.
How do I find a clinical site for my CNA program?
Contact local skilled nursing facilities, hospitals, and long-term care centers. Many facilities welcome partnerships because it creates a pipeline of trained CNAs. Your state's approving body may also have a list of approved clinical sites.
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