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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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.
Alabama
Alaska
Arizona
Arkansas
California
Connecticut
Delaware
District of Columbia
Florida
Georgia
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New York
North Carolina
North Dakota
Ohio
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Washington
Washington DC
West Virginia
Wisconsin
Frequently 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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