CNA Classes in Missouri (Top Schools)

Missouri map

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)

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 NameAddress
Appleton City ManorAppleton City, MO 64724
Ashland HealthcareAshland, MO 65010
Bethany Care CenterBethany, MO 64424
Life Care Center of BridgetonBridgeton, MO 63044
Life Care Center of BrookfieldBrookfield, MO 64628
The California Care CenterCalifornia, MO 65018
Camdenton Windsor EstatesCamdenton, MO 65020
Fountainbleau LodgeCape Girardeau, MO 63701
Life Care Center of Cape GirardeauCape Girardeau, MO 63703
Friendship Village ChesterfieldChesterfield, MO 63017
The Delmar Gardens FamilyChesterfield, MO 63017
Parkside ManorColumbia, MO 65202
Mineral Area Regional Medical CenterFarmington, MO 63640
Camelot Nursing and Rehabilitation CenterFarmington, MO 63640
Bent-Wood Nursing and Rehabilitation CenterFlorissant, MO 63031
Jefferson City Manor Care CenterJefferson City, MO 65109
Twin Pines Adult Care CenterKirksville, MO 63501
Village Care CenterMaryville , MO , 64468
Scotland County Care CenterMemphis, MO 63555
SSM Health St. Mary’s Hospital – AudrainMexico, MO 65265
New Florence Nursing and Care CenterNew Florence, MO 63363
Oakdale Care CenterPoplar Bluff, MO 63901-2650
Riverside Nursing and Rehabilitation Center, LLCRiverside, MO 64150
Laverna Village Nursing Home and ApartmentsSavannah, MO 64485
Glenwood HealthcareSeymour, MO 65746
Miner Nursing CenterSikeston, MO 63801
Oxford HealthCare SpringfieldSpringfield, MO 65807
Carriage Square Health Care CenterSt. Joseph MO 64506
Missouri Baptist Medical CenterSt. Louis, MO 63131
Golden Age Living CenterStover, MO 65078
Life Care Center of SullivanSullivan, MO 63080
Maries ManorVienna, 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

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 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 NameSalary
Kansas City$31,107
St. Louis$31,199
St. Joseph$30,812
Lee's Summit$30,989
St. Charles$31,030
St. Peters$30,963
* Salary information based on the May 2022 Occupational Employment Statistics (OES) Survey for Nursing Assistants, OCC Code 31-1131, BLS.
* Employment conditions in your area may vary.

Regional Salary

RegionEmployedAvg. Annual SalaryAvg. Hourly PayTop 10% Annual SalaryBottom 10% Annual Salary
Cape Girardeau, MO-IL740$30,000$14.42$35,450$24,060
Columbia, MO1,330$32,670$15.71$38,520$28,530
Jefferson City, MO630$31,760$15.27$37,860$24,240
Joplin, MO930$31,360$15.08$36,510$24,670
Kansas City, MO-KS11,630$36,050$17.33$44,180$29,620
St. Joseph, MO-KS490$33,750$16.23$41,260$28,530
St. Louis, MO-IL12,870$34,140$16.41$38,450$28,630
Springfield, MO2,420$31,290$15.04$35,520$24,300
* Salary information based on the May 2022 Occupational Employment Statistics (OES) Survey for Nursing Assistants, OCC Code 31-1131, BLS.
* Employment conditions in your area may vary.

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