Your 2025 Guide to CNA Certification in Illinois: Top Programs, Requirements, Exam & Salary Insights

Quick Summary: Ready to launch a fulfilling healthcare career in the Land of Lincoln? Becoming a Certified Nursing Assistant (CNA) in Illinois is a direct path to making a significant impact in patient care. This comprehensive guide walks you through every essential step: understanding Illinois's specific certification requirements (including mandatory fingerprint-based background checks), finding IDPH-approved Basic Nursing Assistant Training Programs (BNATPs), mastering the SIUC competency exam, and exploring salary expectations across Illinois. We've included real-world scenarios, financial aid information, and crucial tips for career growth and maintaining your active status on the Illinois Health Care Worker Registry. Whether you're new to healthcare or seeking a new direction, this resource is your launchpad for a successful CNA career in Illinois.

Introduction: Your Path to Becoming a CNA in Illinois

Welcome to your comprehensive guide to becoming a Certified Nursing Assistant (CNA) in Illinois! If you're seeking a rewarding career in healthcare where you can provide direct, compassionate care, this is an excellent starting point. This guide is tailored for individuals in Illinois, detailing the process for certification as set by the Illinois Department of Public Health (IDPH). We'll cover everything from understanding the CNA role and meeting state requirements, to finding an approved Basic Nursing Assistant Training Program (BNATP), preparing for the state competency exam administered by Southern Illinois University Carbondale (SIUC), and exploring career opportunities across the Land of Lincoln. Let's begin your journey.

1. What is a Certified Nursing Assistant (CNA) in Illinois?

A Certified Nursing Assistant (CNA) in Illinois is a trained healthcare professional who provides essential hands-on care to patients and residents in various settings. CNAs work under the direction and supervision of licensed nursing staff, such as Registered Nurses (RNs) and Licensed Practical Nurses (LPNs). Their primary focus is on assisting individuals with their basic daily needs, ensuring their comfort, safety, and dignity. Key responsibilities typically include:

Assisting with Activities of Daily Living (ADLs): bathing, dressing, grooming, toileting, and feeding.
Taking and accurately recording vital signs (temperature, pulse, respiration, blood pressure).
Helping with mobility: transferring individuals, assisting with walking, and repositioning to prevent complications.
Observing patients' conditions and reporting any significant changes to the supervising nurse.
Providing emotional support, companionship, and promoting patient/resident rights.
Maintaining a clean, safe, and organized environment.

The CNA role demands physical stamina, empathy, excellent communication skills, and meticulous attention to detail. It offers a deeply rewarding experience and serves as a strong foundation for those wishing to advance their careers in nursing or other healthcare fields.

2. Job Outlook & Demand for CNAs in Illinois

The demand for CNAs in Illinois is consistently strong and is projected to continue growing. This is driven by factors such as Illinois's significant aging population, leading to increased needs in long-term care facilities, hospitals, and home health services. The U.S. Bureau of Labor Statistics (BLS) projects steady national growth for nursing assistants, and Illinois, with its large population and extensive healthcare system, contributes significantly to this demand.

The Illinois Department of Employment Security (IDES) also projects positive growth for Nursing Assistants in the state. Numerous openings arise annually due to both new job creation and the need to replace workers who retire or move to other occupations.

3. Understanding Local CNA Demand Across Illinois

CNA job opportunities are widespread throughout Illinois, with varying concentrations by region:

Chicago Metropolitan Area: Cook County and the surrounding "collar counties" (DuPage, Kane, Lake, McHenry, Will) have the highest concentration of healthcare facilities, including numerous hospitals, skilled nursing facilities (SNFs), and home care agencies, leading to the greatest number of CNA openings.
Other Urban Centers: Cities like Rockford, Peoria, Springfield (the state capital), Champaign–Urbana, and the Metro East area (near St. Louis) also have significant healthcare sectors with consistent demand for CNAs.
Central & Southern Illinois (Rural Areas): While the volume of large facilities might be lower than in major urban centers, there's a steady and often critical need for CNAs in smaller community hospitals, nursing homes, and particularly in home health, serving geographically dispersed populations.

Exploring Illinois-specific job boards (like IllinoisJobLink.com, managed by IDES) and connecting with local healthcare providers and approved training programs can offer insights into regional demand.

4. CNA Salary & Benefits in Illinois

Average Compensation

Salaries for CNAs in Illinois are generally competitive. According to the U.S. Bureau of Labor Statistics (BLS) for May 2023, Nursing Assistants in Illinois earned a mean hourly wage of $19.53, translating to an average annual salary of approximately $40,620.

Wages can vary significantly based on region (e.g., higher in the Chicago metro area compared to some southern or rural parts of the state), years of experience, type of facility (hospitals often pay more than some SNFs), and unionization. Entry-level positions might start in the $16–$18/hour range, while experienced CNAs in high-demand areas or specialized roles can earn more.

Pay by Setting (Typical Illinois Estimates)

Setting	Average Hourly Wage Range (IL)
Hospitals (especially Unionized)	$20.00–$26.00+
Skilled Nursing Facilities (SNFs) / Long-Term Care	$18.00–$23.00
Home Health Agencies	$17.00–$22.00 (plus potential mileage)
Assisted Living Facilities	$17.50–$22.50

Note: These are general estimates. Always research specific regions, employers, and union contracts.

Shift Differentials & Overtime

Many Illinois healthcare facilities offer shift differentials (e.g., an extra $1–$3.50/hour) for evening, night, weekend, or holiday shifts. Overtime pay (typically 1.5× the regular rate for hours over 40 per week) can also increase earnings.

Common Benefits Packages

Full-time CNAs in Illinois, particularly in unionized environments or larger institutions, often receive benefits such as:

Health, dental, and vision insurance
Retirement plans (e.g., 401(k), pension plans)
Paid time off (vacation, sick leave, holidays)
Tuition reimbursement programs
Life insurance and disability coverage

5. Illinois CNA Certification Requirements (IDPH)

To become a Certified Nursing Assistant (CNA) in Illinois and be listed on the Illinois Health Care Worker Registry, you must meet specific requirements set by the Illinois Department of Public Health (IDPH):

Age & Education: You must be at least 16 years old. You must be able to read, write, and understand English. A high school diploma or GED is generally required by most training programs and employers, although not always a strict state mandate for training program entry itself.
Complete an IDPH-Approved Training Program: You must successfully complete a Basic Nursing Assistant Training Program (BNATP) approved by the IDPH. This program must consist of a minimum of 120 clock hours, broken down into:
- A minimum of 80 hours of classroom (theory) instruction.
- A minimum of 40 hours of supervised clinical training in an IDPH-approved healthcare facility (typically a skilled nursing facility).
Pass the Competency Examination: After completing training, you must pass the Illinois Nurse Aide Competency Exam. This exam is administered by Southern Illinois University Carbondale (SIUC) Nurse Aide Testing. It includes both a Written examination and a Manual Skills examination.
Criminal History Background Check (Fingerprint-based): You must undergo a fingerprint-based criminal history records check through an IDPH-approved Illinois State Police (ISP) live scan vendor. This is mandated by the Health Care Worker Background Check Act. You cannot be listed on the Health Care Worker Registry or work as a CNA if you have certain disqualifying convictions. This is usually initiated by the training program or employer.
Health Screening: You must have a health examination, including a TB test (PPD skin test or chest X-ray if indicated) and a physical exam, verifying you are in good health and can perform CNA duties. This is usually required before starting clinical training.
Application for Examination: Your BNATP instructor will typically submit your application and eligibility information to SIUC Nurse Aide Testing for exam scheduling.

There are other pathways to eligibility for the exam (e.g., nursing students, foreign nurses, military medical personnel), but completing an Illinois BNATP is the most common route.

Always verify the most current requirements with the IDPH Health Care Worker Registry website and your chosen IDPH-approved training program.

6. Finding IDPH-Approved CNA Training Programs (BNATPs) in IL

It is essential to select a Basic Nursing Assistant Training Program (BNATP) that is approved by the Illinois Department of Public Health (IDPH). Only graduates of IDPH-approved programs are eligible to take the state competency exam and be listed on the Health Care Worker Registry as a CNA. The IDPH website provides a list or search tool for approved programs. Common providers in Illinois include:

Illinois Community Colleges: Many community colleges across the state offer excellent, affordable, IDPH-approved BNATPs.
Area Career Centers (ACCs) / Regional Offices of Education (ROEs): Some vocational centers run by ROEs or similar entities offer BNATPs.
Private Business and Vocational Schools: Numerous private career colleges and technical institutes in Illinois offer CNA training. Ensure they are IDPH-approved and, if applicable, approved by the Illinois Board of Higher Education (IBHE) Private Business and Vocational Schools division.
Skilled Nursing Facilities (SNFs): Some nursing homes offer their own IDPH-approved BNATPs. These may be free if you commit to working for the facility, as federal law prohibits approved nursing homes from charging for training provided to their prospective employees.
Hospitals or Healthcare Systems: Some larger healthcare systems may conduct approved BNATPs.
American Red Cross: Some Red Cross chapters in Illinois offer IDPH-approved CNA training.

When choosing a program in Illinois, consider:

IDPH Approval: This is mandatory. Verify on the IDPH website.
Cost & Financial Aid: Inquire about tuition, fees (for background checks, books, uniform, physical exam, state exam), and available aid (Illinois workNet WIOA funding, scholarships, payment plans).
Schedule & Duration: Programs range from intensive full-time (e.g., 4–8 weeks for a 120-hour program) to part-time options.
Location & Clinical Sites: Factor in commute times.
State Exam Pass Rates: Ask the program about their graduates' success on the SIUC CNA exam.
Job Placement Assistance: Some programs offer help with resume writing and job searching.

You can search for approved programs via the IDPH Approved CNA Training Programs list.

7. What to Expect from Your Illinois CNA Program Structure & Duration

All Illinois Department of Public Health (IDPH)-approved Basic Nursing Assistant Training Programs (BNATPs) must provide a minimum of 120 total clock hours of instruction and training. This is structured as follows:

Classroom (Theory) Instruction (minimum 80 hours):
- Introduction to the role of the CNA, healthcare settings, ethics, and resident rights.
- Communication and interpersonal skills.
- Infection control and safety/emergency procedures.
- Basic anatomy, physiology, and medical terminology.
- Personal care skills (hygiene, grooming, bathing, dressing).
- Nutrition, hydration, and elimination needs.
- Vital signs measurement and observation skills.
- Care of residents with common conditions, including cognitive impairments like dementia/Alzheimer's (mandated minimum 12 hours).
- Restorative care and promoting independence.
Supervised Clinical Training (minimum 40 hours):
- This hands-on portion must be conducted in an IDPH-approved clinical setting, predominantly a skilled nursing facility (SNF) or other long-term care facility. Students apply their learned skills providing direct care to residents under the close supervision of an IDPH-approved instructor (typically an RN with specific qualifications).

Program Duration (for a 120-hour program):

Full-Time Programs: Can often be completed in 4–8 weeks, depending on the daily schedule intensity.
Part-Time Programs (Evenings/Weekends): May take 8–16 weeks or longer to complete.

Regardless of the format, all approved programs are designed to prepare students thoroughly for the Illinois Nurse Aide Competency Exam and for competent practice.

8. The Illinois CNA Competency Exam (SIUC): What You Need to Know

After successfully completing your IDPH-approved BNATP, you must pass the Illinois Nurse Aide Competency Examination to be eligible for placement on the Illinois Health Care Worker Registry as a CNA. This exam is administered by Southern Illinois University Carbondale (SIUC) Nurse Aide Testing project. The exam consists of two parts, both of which must be passed:

1. Written (or Oral) Examination

Consists of multiple-choice questions (typically 75–85 questions; confirm current number with SIUC’s Candidate Handbook).
Tests your knowledge on topics covered in your training program, such as resident safety, infection control, resident rights, basic nursing skills, and communication.
You will have a specific time limit (usually 90 minutes) to complete this examination.
An oral version (questions read aloud) is available in English if requested in advance during application.

2. Manual Skills Examination

You will be asked to perform five randomly selected nursing assistant skills.
One skill will always be Hand Hygiene. The other four are randomly selected from the official Illinois skills list (e.g., taking a blood pressure, assisting with a bedpan, catheter care, ambulation).
A Nurse Evaluator will observe and score your performance based on critical steps. You must perform all critical steps correctly to pass each skill.
You will have a specific time limit (typically around 25–35 minutes) to complete all five skills.

Attempts & Retakes: You generally have up to three attempts to pass both parts within 12 months of completing your training. If you fail one part, you only need to retake that part. Failing both parts three times or exceeding 12 months requires completing a new BNATP.

On Exam Day: Arrive on time with two forms of current, valid, signature-bearing ID (one government-issued photo ID). Wear appropriate attire (scrubs, flat non-skid shoes) and a watch with a second hand.

Always refer to the latest SIUC Nurse Aide Testing Candidate Handbook for current exam policies, procedures, skill lists, fees, and testing site information.

9. Getting Certified & Listed on the IL Health Care Worker Registry

Initial Registry Placement

Once you pass both exam components and your fingerprint-based background check is cleared, SIUC transmits your results to IDPH. If all requirements are met, IDPH adds your name to the official Illinois Health Care Worker Registry with “active” CNA status. No physical certificate is mailed; your registry status is the proof. Employers verify your status online before hiring.

Maintaining Your Active Status

Your active status remains valid for 24 months from your last qualifying employment.

Work Requirement: You must have verifiable paid CNA employment under nurse supervision during the 24-month period. IDPH does not set a minimum hour count, but employment must be documented.
No State CEUs Required: IDPH does not mandate CEUs for renewal, though federal law requires nursing facilities to provide ≥12 hours of in-service training annually.
Renewal Process: Status is updated through employer verification. If you change jobs, ensure your new employer reports your employment. Lapses beyond 24 months without work require re-examination.

Reciprocity (Out-of-State CNAs)

If you hold active, good-standing CNA certification from another state, apply for reciprocity via the IDPH HCWR portal using the Out-of-State Nurse Aide Application, verification of your out-of-state credentials, and an Illinois fingerprint background check. Successful review grants you active status without re-examination.

10. Real Stories: CNA Journeys in Illinois

Maria’s Start in Chicago

Maria, from Pilsen, enrolled in a community college BNATP. She completed her fingerprint background check and clinicals at a nursing home, then passed her SIUC exams. Now employed at a major hospital in the Illinois Medical District, she credits her instructors: “The training was tough, but the support was outstanding.”

David’s Career Change in Peoria

After a manufacturing layoff, David joined a private vocational school’s accelerated program. He now works at a skilled nursing facility in Peoria County and values the personal connections he’s made.

Sarah’s Rural Opportunity

Sarah attended a BNATP offered through a regional healthcare provider near Carbondale. She now cares for residents in her hometown, appreciating the stability and community impact.

11. A Day in the Life of an Illinois CNA

Whether in a busy Chicago hospital or a Springfield nursing home, CNAs focus on direct, compassionate care:

Shift Start:
- Clock in, receive report, gather supplies, and check assignments.
Morning Routine:
- Assist with ADLs, serve meals, record intake/output, and take vital signs.
- Maintain room cleanliness, ensure safety, and reposition residents.
Throughout Shift:
- Respond to call lights, observe for changes, document care, and follow infection control.
Shift End:
- Ensure resident comfort, complete charting, and hand off to next shift.

Illinois CNAs must be observant, adaptable, and committed to person-centered care.

12. Frequently Asked Questions (FAQs) for Aspiring Illinois CNAs

Is a fingerprint-based background check mandatory to become a CNA in Illinois?

Yes. The Illinois Health Care Worker Background Check Act requires a fingerprint-based criminal history records check for all CNAs and other healthcare workers. You cannot be listed on the Health Care Worker Registry or employed as a CNA if you have certain disqualifying convictions.

Are Continuing Education Units (CEUs) required to renew my Illinois CNA registration?

No, IDPH does not mandate CEUs for CNA registry renewal. Renewal relies on verifiable paid CNA employment within the 24-month period. However, nursing facilities must provide at least 12 hours of in-service training annually under federal law.

Can I work as a CNA while awaiting exam results or background check clearance?

After completing an IDPH-approved BNATP, you may work up to 120 days as a “nursing assistant trainee” while awaiting exam results or background check clearance. You cannot practice as a Certified Nursing Assistant until you pass the exam, clear the background check, and are listed as active on the HCWR.

What if my Illinois CNA registration becomes inactive?

If your status becomes inactive due to not meeting the work requirement, you cannot work as a CNA. To reactivate, you must reapply and pass both exam components. Registrations expired over 24 months without work require completing a new BNATP.

How do I transfer my out-of-state CNA certification to Illinois?

Submit the Out-of-State Nurse Aide Application, verification of your active out-of-state certification, and complete an Illinois fingerprint background check. Upon approval, you’ll be added to the HCWR without re-examination.

13. Tips for Success in Your CNA Training and Career in IL

Master the SIUC Skills: Practice every skill per the official checklist, focusing on all critical steps.
Start Your Background Check Early: Delays affect exam scheduling and registry placement.
Maintain Perfect Attendance: IDPH-approved BNATPs require strict attendance for all 120 hours.
Study Consistently: Use practice questions and review materials, especially on resident rights, safety, and infection control.
Project Professionalism: Dress appropriately, communicate respectfully, and maintain a positive attitude.
Verify Employment for Renewal: Ensure qualifying work is properly documented to keep your status active.
Stay Updated: Check IDPH and SIUC sites regularly for changes to regulations or procedures.

14. Advancing Your Career: Paths Beyond CNA in Illinois

Your Illinois CNA certification is a strong launching pad. Common next steps include:

Licensed Practical Nurse (LPN): 12–18 month programs regulated by the Illinois Department of Financial and Professional Regulation (IDFPR).
Registered Nurse (RN): ADN or BSN programs regulated by IDFPR.
Restorative Aide / Hospice Aide: Specialized roles building on CNA skills.
Developmental Disabilities Aide (DD Aide): Separate certification for working with individuals with developmental disabilities.
Healthcare Education or Administration: With further licensure (LPN/RN) and experience, CNAs can become BNATP instructors or move into leadership roles.

15. CNA Training Costs & Financial Aid in Illinois

The cost of CNA training (BNATP) in Illinois can vary:

Program Type	Typical Tuition Range (IL)	Additional Fees (Background Check, Books, Uniform, Exam)	Common Financial Aid Options
Illinois Community College	$800–$1,800	$200–$400	Pell Grants, MAP Grant, WIOA via Illinois workNet, scholarships
Area Career Center / ROE Program	$700–$1,500	$150–$350	WIOA funding, local grants, payment plans
Private Vocational School	$1,000–$2,500+	$250–$500	Payment plans, WIOA, scholarships
Facility-Based (SNF) Training	Often Free (employer-sponsored under federal law)	Minimal	Employer-sponsored

Financial Aid & Cost-Saving Tips:

FAFSA: For federal Pell Grants if in eligible college programs.
MAP Grant: For eligible Illinois residents attending approved colleges.
WIOA: Contact Illinois workNet Centers for training grants.
Employer Training: Nursing homes must provide free training if you commit to employment.
DRS Funding: Division of Rehabilitation Services may assist eligible persons with disabilities.

Conclusion: Start Your CNA Journey in Illinois Today!

Becoming a Certified Nursing Assistant in Illinois is a significant, rewarding step toward a healthcare career. By understanding state requirements, selecting a quality IDPH-approved program, navigating the background check and exam process, and maintaining professional standards, you’ll be well-prepared for success. Use this guide and the resources below to begin your journey.

Visit the IDPH Health Care Worker Registry and SIUC Nurse Aide Testing for official information, forms, and to get started.

References & Further Reading (Illinois)

U.S. Bureau of Labor Statistics, Occupational Outlook Handbook, "Nursing Assistants and Orderlies" — www.bls.gov/ooh/healthcare/nursing-assistants.htm
U.S. Bureau of Labor Statistics, Occupational Employment Statistics, "May 2023 State Occupational Employment and Wage Estimates Illinois - 31-1131 Nursing Assistants" — www.bls.gov/oes/current/oes_il.htm#31-1131
Illinois Department of Public Health (IDPH) – Health Care Worker Registry — dph.illinois.gov/topics-services/health-care-regulation/health-care-worker-registry.html
IDPH Approved CNA Training Programs — hcwrpub.dph.illinois.gov/Programs.aspx
SIUC Nurse Aide Testing — www.nurseaidetesting.com
Illinois workNet — www.illinoisworknet.com
Illinois Department of Financial and Professional Regulation (IDFPR) — idfpr.illinois.gov