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

Quick Summary: Ready to start a fulfilling healthcare career? Becoming a Certified Nursing Assistant (CNA) in Massachusetts is a quick and rewarding path. This comprehensive guide walks you through every step: understanding Massachusetts' specific requirements, finding top DPH-approved training programs, acing your competency exam, and exploring salary expectations. We've also included real-world insights, details on financial aid, and tips for career growth. Whether you're new to healthcare or seeking advancement, this is your go-to resource for launching a successful CNA career in the Commonwealth.

Introduction: Your Path to Becoming a CNA in Massachusetts

Welcome! If you're considering a career as a Certified Nursing Assistant (CNA) in Massachusetts, you've come to the right place. This guide is designed for everyone – whether you're just finishing high school, looking for a meaningful career change, or re-entering the workforce. We'll provide clear, step-by-step information on everything from choosing a state-approved training program to understanding job prospects, salary potential, and opportunities for career advancement in the Bay State. Let's embark on this exciting journey together!

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

A Certified Nursing Assistant (CNA) is a vital member of the healthcare team, providing essential hands-on care to patients under the guidance of Registered Nurses (RNs) and Licensed Practical Nurses (LPNs). CNAs focus on patients' basic needs, comfort, safety, and overall well-being. Your day-to-day responsibilities will often involve:

• Assisting patients with activities of daily living (ADLs), such as bathing, dressing, grooming, toileting, and eating.
• Measuring and accurately recording vital signs, including blood pressure, pulse rate, respiration rate, and temperature.
• Helping patients with mobility, such as transferring them between beds and wheelchairs, and repositioning them to prevent skin breakdown.
• Observing patients' physical, mental, and emotional conditions and reporting any changes to the nursing staff.
• Providing companionship, emotional support, and a listening ear to patients and their families.
• Maintaining a clean, safe, and organized environment for patients, including making beds, restocking supplies, and adhering to infection control protocols.

The role of a CNA is both physically active and deeply rewarding. It demands excellent communication skills, empathy, meticulous attention to detail, and the ability to follow care plans precisely. Starting as a CNA offers invaluable hands-on clinical experience and patient interaction, building a strong foundation for future nursing roles.

2. Job Outlook & Demand for CNAs in Massachusetts

The demand for CNAs is robust, both nationally and within Massachusetts. Driven largely by the healthcare needs of an aging population, the U.S. Bureau of Labor Statistics now projects employment of nursing assistants to grow 4 % between 2024 and 2034. In Massachusetts—where healthcare remains one of the Commonwealth’s largest employment sectors—openings are especially strong in long‑term care facilities and home‑health agencies.

The BLS projects about 177,900 openings for nursing assistants and orderlies each year, on average, over the decade nationally. Massachusetts contributes significantly to this demand due to its extensive healthcare infrastructure. Many facilities offer on-the-job mentoring for new CNAs, making it an accessible entry point into the healthcare field.

3. Understanding Local CNA Demand Across Massachusetts

CNA job opportunities are plentiful across Massachusetts, though demand can vary by region and setting. Generally, you'll find:

• High Demand in Urban Centers: Metropolitan areas like Greater Boston (including Suffolk and Middlesex counties), Worcester, and Springfield consistently have a high volume of CNA openings in hospitals, nursing homes, and rehabilitation centers.
• Strong Need in Long-Term Care: Nursing homes and assisted living facilities throughout the state are major employers of CNAs.
• Growing Home Health Sector: There's an increasing demand for CNAs in home health care, providing personalized support to clients in their own residences. This is prevalent across various regions, including suburban and some rural areas.
• Seasonal Opportunities: Areas like Cape Cod and the Islands may see increased demand for healthcare support, including CNAs, during peak tourist seasons.
• Steady Need in Western Massachusetts: Counties like Berkshire and Hampden also offer consistent opportunities, particularly in community hospitals and long-term care.

Exploring job boards specific to Massachusetts and networking with local healthcare providers can give you a clearer picture of current openings in your preferred area.

4. CNA Salary & Benefits in Massachusetts

Average Compensation

Massachusetts offers competitive wages for CNAs. As of May 2023, the U.S. Bureau of Labor Statistics reported that Nursing Assistants in Massachusetts earned a mean hourly wage of $21.25, translating to an average annual salary of approximately $44,750. This is notably higher than the national median hourly wage of $18.36 for CNAs. Entry-level positions typically start in the $18-$20 per hour range, while experienced CNAs, especially those with specialized skills or working in high-demand settings, can earn $25 per hour or more.

Pay by Setting (Typical Ranges)

Setting	Average Hourly Wage Range (MA)
Hospitals	$22.00 – $26.00+
Long-Term Care Facilities / Nursing Homes	$21.00 – $24.00
Home Health Agencies	$20.00 – $23.00 (plus potential mileage reimbursement)

Note: These are general estimates. Actual wages can vary based on location, experience, facility, and certifications.

Shift Differentials & Overtime

Many healthcare facilities offer shift differentials, typically an extra $1–$3 per hour, for working evenings, nights, weekends, or holidays. Overtime work (exceeding 40 hours per week) is compensated at 1.5 times your regular hourly rate, providing an opportunity to increase earnings.

Common Benefits Packages

Full-time CNAs often receive a benefits package that may include:

• Health, dental, and vision insurance
• Retirement savings plans (e.g., 401(k) or 403(b)), sometimes with employer contributions
• Paid time off (sick leave, vacation days, holidays)
• Tuition reimbursement or assistance for continuing education (e.g., LPN or RN programs)
• Life insurance and disability insurance options
• Employee assistance programs (EAP) for wellness and support

5. Massachusetts CNA Certification Requirements

To become a Certified Nursing Assistant in Massachusetts and be listed on the Massachusetts Nurse Aide Registry (MANAR), you must meet specific state and federal requirements. Here’s what you’ll generally need:

• Age & Education: You must be at least 16 years old. While a high school diploma or GED is often preferred or required by training programs, some programs may accept currently enrolled high school students.
• Complete a State-Approved Training Program: You must successfully complete a Nurse Aide Training Program approved by the Massachusetts Department of Public Health (DPH). These programs include at least 100 hours of training (a minimum of 75 hours of classroom/lab instruction and 25 hours of supervised clinical experience).
• Pass the Competency Evaluation Exam: After completing your training, you must pass the state-administered CNA competency exam, which includes both a written (or oral) knowledge test and a clinical skills test.
• Background Check: You will need to undergo a Criminal Offender Record Information (CORI) check. Some healthcare facilities may also require a national fingerprint-based background check.
• Health & Immunization Records: Training programs and employers typically require proof of immunizations (e.g., MMR, Varicella, Hepatitis B series) and a recent TB test (skin test or chest X-ray). COVID-19 vaccination policies vary by program and facility, so verify current requirements.
• CPR Certification: A current Basic Life Support (BLS) for Healthcare Providers certification from an organization like the American Heart Association is often required before starting clinical training or employment.
• Additional Program-Specific Requirements: Individual training programs may have their own prerequisites, such as an entrance exam, an interview, or specific uniform/equipment needs (e.g., scrubs, watch with a second hand, non-slip shoes). Always confirm these with your chosen program.
• Reciprocity (for Out-of-State CNAs): If you are already certified as a CNA in another state and your certification is current and in good standing, you may be eligible for certification in Massachusetts through reciprocity. You'll need to apply via D&S Diversified Technologies (the state's exam contractor) and meet MA's criteria.

It's crucial to verify the most current and specific requirements with the Massachusetts DPH and your chosen training program.

6. Finding DPH-Approved CNA Training Programs in MA

The Massachusetts Department of Public Health (DPH) maintains an official list of approved Nurse Aide Training Programs. It's essential to choose a DPH-approved program to be eligible for the state competency exam and certification. Here are some examples of the types of institutions offering these programs:

• Community Colleges: Many community colleges across Massachusetts, such as Middlesex Community College, North Shore Community College, Quincy College, Springfield Technical Community College, and Bristol Community College, offer excellent DPH-approved CNA programs. These often provide strong academic support and clear pathways to further nursing education.
• Vocational & Technical High Schools: Some vocational high schools offer CNA training as part of their health assisting programs.
• Private Career Schools: Numerous private schools specialize in healthcare training, including CNA certification. Ensure they are DPH-approved.
• Healthcare Facilities: Some nursing homes or hospitals may offer their own DPH-approved training programs, sometimes with the potential for employment upon successful completion.
• Non-Profit Organizations: Organizations like JVS Boston sometimes offer CNA training, often with a focus on workforce development and support services, potentially at low or no cost to eligible individuals.
• Job Corps Centers: Federal Job Corps centers (e.g., in Westover and Shriver) provide free career training, including CNA programs, for eligible young adults (typically 16-24), often including housing and other support.

When choosing a program, consider:

• DPH Approval: This is non-negotiable.
• Cost & Financial Aid: Inquire about tuition, fees for books/uniforms/exam, and available financial aid options.
• Schedule & Duration: Programs can be full-time, part-time, evenings, or weekends, ranging from a few weeks (accelerated) to several months.
• Location & Clinical Placements: Consider the commute to classes and clinical sites.
• Exam Pass Rates: While not always published, you can ask programs about their students' success rates on the state exam.
• Instructor Experience & Support Services: Look for experienced instructors and resources like tutoring or job placement assistance.

Always refer to the official Massachusetts DPH list for the most up-to-date directory of approved programs.

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

All DPH-approved CNA training programs in Massachusetts must provide a minimum of 100 hours of instruction. This is broken down into:

• Classroom and Lab Instruction (at least 75 hours): This portion covers theoretical knowledge and hands-on skills practice. Topics include:
  • Anatomy and physiology basics
  • Infection control and safety procedures
  • Patient rights, ethics, and communication skills
  • Nutrition and hydration
  • Personal care skills (bathing, dressing, grooming)
  • Vital signs measurement
  • Mobility assistance and proper body mechanics
  • Care for patients with common conditions (e.g., dementia)
  • Emergency procedures
  Skills are practiced in a lab setting, often using manikins and medical equipment, before working with actual patients.
• Supervised Clinical Practicum (at least 25 hours): This involves direct patient care in a healthcare facility, such as a nursing home or hospital, under the supervision of a licensed nurse instructor. This is where you apply what you've learned in a real-world setting.

Program formats and durations can vary significantly to accommodate different needs:

• Traditional In-Person Programs: These typically meet several times a week and might take 8 to 14 weeks to complete.
• Accelerated Programs: Intensive, full-time programs can sometimes be completed in as little as 4 to 7 weeks.
• Hybrid Programs: Some programs may offer a portion of the classroom theory online, with in-person attendance required for skills labs and clinical practicum.
• Evening & Weekend Programs: Designed for working adults, these programs can extend over 3 to 5 months.
• Residential Programs: Job Corps, for example, offers an immersive training environment where students live on-site.

No matter the format, all approved programs prepare you for the state competency exam and equip you with the fundamental skills needed to be an effective CNA.

8. The Massachusetts CNA Competency Exam: What You Need to Know

After successfully completing your DPH-approved CNA training program, the final step to certification is passing the Nurse Aide Competency Evaluation Program (NACEP) exam. In Massachusetts, this exam is administered by D&S Diversified Technologies LLP (also known as Headmaster or HDMaster). The exam has two parts:

Knowledge Test (Written or Oral)

• Consists of 60 multiple-choice questions.
• Covers topics learned in your training, such as patient rights, safety, infection control, basic nursing skills, and communication.
• You have 90 minutes to complete the test.
• The written test is offered in English. An oral (audio) version is available in English and Spanish if requested in advance.
• You generally have up to four attempts to pass this part of the exam within 24 months of completing your training.

Clinical Skills Test

• You will be asked to perform five nursing assistant skills.
• One skill will always be Hand Hygiene. The other four skills will be randomly selected from a list of critical CNA tasks (e.g., measuring blood pressure, assisting with a bedpan, transferring a patient, performing range of motion exercises).
• You will be evaluated by a Nurse Aide Evaluator on your ability to perform these skills correctly and safely, following critical steps.
• This portion typically takes about 30-40 minutes.
• You generally have up to three attempts to pass this part of the exam within 24 months of completing your training.

On Exam Day, Be Prepared: You'll typically need to bring a valid photo ID, your Social Security card, your training program completion certificate (if required), wear non-skid shoes and a watch with a second hand, and possibly scrubs (check your admission letter).

You must pass both parts of the exam to become certified. Exam results are usually available online through the D&S/Headmaster system within a few business days. If you do not pass all required parts within the allowed attempts or timeframe, you will need to re-enroll and complete an entire DPH-approved training program again.

Always refer to the latest Massachusetts Nurse Aide Candidate Handbook from D&S/Headmaster for the most current exam policies, procedures, and skill listings.

9. Getting Listed on the MA Nurse Aide Registry & Licensing

Initial Listing on MANAR

Once you successfully pass both the Knowledge Test and the Clinical Skills Test, and all your documentation is processed, your name will be added to the Massachusetts Nurse Aide Registry (MANAR). This registry is maintained by the DPH and is the official record of certified nurse aides in the state. Employers are required to verify your certification status through this online registry. As of August 2022, Massachusetts no longer issues paper certificates; your online registry status is your proof of certification.

Maintaining Your Certification: Renewal Requirements

• Your Massachusetts CNA certification is valid for 24 months (2 years).
• To renew your certification, you must have worked as a nurse aide, for pay, providing nursing or nursing-related services, for at least 8 hours within the previous 24-month certification period. This work must have been supervised by a licensed nurse.
• You will receive a renewal notice from D&S Diversified Technologies/Headmaster before your certification expires. It's crucial to renew on time (typically recommended at least 30 days before expiration) to avoid a lapse in your certification.
• Renewal is typically done online through the D&S/Headmaster portal.

If you do not meet the paid work requirement, your certification will lapse. To become certified again, you will need to retake and pass both parts of the CNA competency exam.

Out-of-State CNAs: Reciprocity

If you are a CNA certified in another state and your certification is current and in good standing (meaning no findings of abuse, neglect, or misappropriation of property), you can apply for certification in Massachusetts through reciprocity. This process, managed by D&S/Headmaster, allows you to be added to the MANAR without needing to retake a full training program or the MA exam, provided your credentials meet Massachusetts' requirements.

10. Real Stories: CNA Journeys in Massachusetts

Maria’s Career Change in Worcester

After years in retail, Maria felt a calling to help others, inspired by the compassionate care her grandfather received. She enrolled in an evening CNA program at a local community college in Worcester. Balancing classes with her day job was challenging, but her dedication paid off. Maria passed her exams on the first try and quickly found a position at a respected nursing home. "It's hard work, but knowing I make a difference in residents' lives every day is incredibly rewarding," she shares. She now earns a competitive wage with benefits and is considering an LPN program.

Jamal’s Fast Track on the South Shore

Jamal, a recent high school graduate from Quincy, wanted a quick entry into healthcare. He chose an accelerated hybrid CNA program that combined online learning with in-person skills labs. He completed the program in just six weeks and passed his competency exam shortly after. Jamal now works for a home health agency on the South Shore, enjoying the variety of clients and the flexibility of his schedule. "The training was intense but thorough," Jamal says. "I love helping people stay comfortable in their own homes."

Elena’s Path to Advancement in Springfield

Elena, a single mother from Springfield, utilized a workforce development grant to attend a CNA program at a technical college. The program offered childcare assistance, which was crucial for her. After gaining her CNA certification, Elena worked diligently at a local hospital for two years, gaining valuable experience. Her employer, impressed by her skills and commitment, is now offering tuition assistance for her to pursue her RN degree. "Becoming a CNA was the best first step I could have taken," Elena reflects. "It opened doors I never thought possible."

11. A Day in the Life of a Massachusetts CNA

While every day can be different, a typical shift for a CNA in a long-term care facility or hospital might include these kinds of activities:

• Morning (e.g., 7:00 AM - 11:00 AM):
  • Clock in, receive report from the outgoing shift on patient status and needs.
  • Make rounds, greet patients, and begin assisting with morning care: toileting, bathing, dressing, oral hygiene.
  • Help serve breakfast trays and assist patients who need help eating.
  • Measure and record vital signs (temperature, pulse, respirations, blood pressure).
  • Change bed linens and tidy patient rooms.
• Mid-day (e.g., 11:00 AM - 3:00 PM):
  • Assist with patient mobility: transferring to wheelchairs, ambulating in hallways, repositioning in bed to prevent pressure sores.
  • Help serve lunch and assist with feeding if needed. Record food and fluid intake.
  • Respond to call lights promptly.
  • Engage patients in activities or conversation, providing emotional support.
  • Document care provided and observations in patient charts.
• Afternoon/Evening (e.g., 3:00 PM - 7:00 PM):
  • Assist with afternoon snacks or hydration.
  • Continue with mobility and toileting assistance as needed.
  • Prepare patients for dinner or evening routines.
  • Record final vital signs for the shift.
  • Report any changes in patient condition or concerns to the charge nurse.
  • Give a thorough report to the incoming CNA shift.
  • Complete all documentation before clocking out.

Beyond these tasks, CNAs are crucial observers, often being the first to notice subtle changes in a patient's condition. The work requires patience, compassion, physical stamina, and strong communication skills. Each interaction is an opportunity to provide comfort, dignity, and high-quality care.

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

Can I start working as a CNA in Massachusetts before I pass the state exam?

In some cases, after completing your training program, you may work up to 120 days in a nursing home as a “Nurse Aide Trainee” under direct supervision while awaiting exam results. However, to work fully as a Certified Nursing Assistant and be listed on the Massachusetts Nurse Aide Registry (MANAR), you must pass both parts of the competency exam. Check with employers and current DPH regulations.

What are the typical pass rates for the CNA exam in Massachusetts?

Pass rates vary by program and preparation, but reputable training providers often report 80–90% first-time pass rates due to thorough instruction and exam prep. Ask programs about their success rates. D&S Diversified Technologies may also publish aggregate data.

What financial aid options are available for CNA training in MA?

Options include Federal Pell Grants at community colleges, state workforce grants via MassHire Career Centers, scholarships from schools or private organizations, and programs like JVS Boston or Job Corps. Some healthcare employers offer tuition reimbursement in exchange for employment commitments.

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

This is called “reciprocity.” Apply through D&S Diversified Technologies/Headmaster. They verify your active, good-standing out-of-state certification and ensure you meet Massachusetts requirements. If approved, you’re added to MANAR without re-training or re-testing.

Are there CNA training programs offered only on weekends or in the evenings?

Yes. Many community colleges and private schools in Massachusetts offer part-time programs with evening and/or weekend classes. These take longer to complete than full-time accelerated options but accommodate work and other commitments.

Can I specialize in a particular area after getting my CNA certification?

Yes. You can pursue on-the-job training or short courses to become a Restorative Aide, Hospice Aide, Geriatric Aide, Home Health Aide, or Medication Aide/Technician (the latter requires additional state-approved training).

Is ongoing CPR certification required for CNAs in Massachusetts?

Most Massachusetts employers require CNAs to maintain current BLS for Healthcare Providers certification (e.g., American Heart Association). It’s often a condition of employment and may be required by some agencies, though not explicitly for state registry renewal.

13. Tips for Success in Your CNA Training and Career

• Be Present and Punctual: CNA programs often have strict attendance policies. Consistent attendance is key to absorbing all the material and completing clinical hours.
• Practice, Practice, Practice: Regularly practice the clinical skills you learn. Use lab time effectively, and if possible, practice with classmates, family members (with their consent and for non-invasive skills), or even a skills mannequin.
• Form Study Groups: Collaborating with peers can help reinforce learning. Quiz each other on terminology, procedures, and patient care scenarios.
• Utilize Practice Exams: Many programs and online resources offer practice tests for the written exam. This helps you get familiar with the format and identify areas needing more study.
• Master Clinical Skills Checklists: Pay close attention to the critical steps for each skill evaluated on the clinical exam. The MA Candidate Handbook outlines these.
• Ask Questions: Don't hesitate to ask your instructors for clarification if you're unsure about any concept or skill. It's better to learn correctly from the start.
• Develop Strong Time Management: Balance your study time, work (if applicable), and personal life. Create a study schedule and stick to it.
• Prioritize Self-Care: Being a CNA can be demanding. Ensure you get enough rest, eat well, and find healthy ways to manage stress.
• Embrace Continuous Learning: Healthcare is always evolving. Stay curious, be open to learning new things, and consider continuing education opportunities.

14. Advancing Your Career: Paths Beyond CNA

Your CNA certification is an excellent starting point for a long and rewarding career in healthcare. Many CNAs use their experience as a stepping stone to further education and more advanced roles. Some common career advancement paths include:

• Medication Technician (Med Tech) or Certified Medication Aide (CMA): With additional state-approved training and certification, CNAs in some settings (like assisted living) can become qualified to administer routine medications. This typically involves a pay increase, with average wages potentially ranging from $23-$27 per hour.
• Licensed Practical Nurse (LPN): Many CNAs pursue LPN programs, which typically take 12-18 months to complete. LPNs have a broader scope of practice, including administering medications, performing more complex nursing tasks, and supervising CNAs. Average LPN salaries in Massachusetts are significantly higher than CNA salaries.
• Registered Nurse (RN): This is a popular goal for many CNAs. You can pursue an Associate Degree in Nursing (ADN), typically 2 years, or a Bachelor of Science in Nursing (BSN), typically 4 years. RNs have extensive responsibilities in patient assessment, care planning, and treatment. RN salaries in Massachusetts are very competitive.
• Specialized Aide Roles: You can gain specialized experience or certifications in areas like:
  • Hospice Aide: Providing compassionate end-of-life care.
  • Geriatric Aide: Specializing in the care of elderly patients.
  • Restorative Aide: Helping patients regain independence through rehabilitative exercises.
  • Home Health Aide (HHA): While HHA training has some overlap with CNA, some agencies may require distinct HHA certification or provide additional training for CNAs transitioning to home care.
• Healthcare Administration or Management: With experience and further education, CNAs can move into supervisory roles, staff scheduling, or other administrative positions within healthcare facilities.

To explore these paths, talk to your supervisors, seek mentorship, research educational programs, and take advantage of any tuition assistance benefits your employer may offer. Professional organizations, like the Massachusetts Senior Care Association, can also provide valuable networking and development opportunities.

15. CNA Training Costs & Financial Aid in Massachusetts

The cost of CNA training in Massachusetts can vary considerably depending on the type of program and institution. Here’s a general idea of what to expect and how to fund your education:

Program Type	Typical Tuition Range	Additional Fees (Estimate for Books, Uniforms, Exam, etc.)	Common Financial Aid Options
Community College	$1,200 – $1,800	$150 – $300	Pell Grants, state grants, scholarships, payment plans
Private Career School	$1,500 – $2,500+	$200 – $400	School-specific scholarships, payment plans, private loans, WIOA funding
Job Corps	Free for eligible youth (16-24)	Usually included	Federally funded program
Workforce Development Programs (e.g., MassHire) / Non-Profits (e.g., JVS Boston)	Free or significantly reduced cost for eligible individuals	Often minimal or covered	State/federal workforce grants, philanthropic funding
Facility-Based Training (e.g., some nursing homes)	May be free or low cost, sometimes with a work commitment	May be covered	Employer-sponsored

Key Financial Aid & Cost-Saving Strategies:

• FAFSA: If considering a community college, complete the Free Application for Federal Student Aid (FAFSA) to see if you qualify for Pell Grants or other federal aid.
• MassHire Career Centers: Contact your local MassHire Career Center to inquire about WIOA (Workforce Innovation and Opportunity Act) grants or other state-funded training assistance.
• Scholarships: Search for scholarships offered by the training institution, local community organizations, or healthcare foundations.
• Employer Tuition Reimbursement: Some healthcare facilities offer tuition assistance or reimbursement for CNA training, especially if you agree to work for them for a certain period after certification.
• Payment Plans: Many schools offer payment plans to help spread out the cost of tuition.

Always ask for a detailed breakdown of all costs (tuition, books, uniforms, lab fees, CPR certification, background check fees, state exam fees) before enrolling in any program.

Conclusion: Start Your CNA Journey in Massachusetts Today!

Becoming a Certified Nursing Assistant in Massachusetts is a fantastic way to enter the healthcare field, offering job stability, personal fulfillment, and numerous pathways for career growth. By understanding the requirements, choosing a quality DPH-approved training program, dedicating yourself to your studies and clinical practice, and successfully passing your competency exam, you'll be well-equipped to provide essential care and make a real difference in people's lives.

The demand for compassionate and skilled CNAs in the Commonwealth is strong. Your journey starts with taking that first step. We encourage you to explore the resources linked in this guide, research training programs in your area, and connect with those already working in the field.

Ready to launch your healthcare career? Visit the Massachusetts Department of Public Health website and the D&S Diversified Technologies (Headmaster) MA CNA page to find approved programs, learn more about the exam, and begin your application process. Your rewarding career as a CNA awaits!

References & Further Reading

1. U.S. Bureau of Labor Statistics, Occupational Outlook Handbook, "Nursing Assistants and Orderlies" — www.bls.gov/ooh/healthcare/nursing-assistants.htm (Check for latest data)
2. U.S. Bureau of Labor Statistics, Occupational Employment Statistics, "May 2023 State Occupational Employment and Wage Estimates Massachusetts - 31-1131 Nursing Assistants" — www.bls.gov/oes/current/oes_ma.htm#31-1131
3. Massachusetts Department of Public Health, "Nurse Aide Registry Program" — www.mass.gov/nurse-aide-registry-program
4. Massachusetts Department of Public Health, "Learn how to become a certified nurse aide (CNA) in Massachusetts" — www.mass.gov/info-details/learn-how-to-become-a-certified-nurse-aide-cna-in-massachusetts
5. Massachusetts Department of Public Health, "Renewal Information for Massachusetts Certified Nurse Aides (CNAs)" — www.mass.gov/info-details/renewal-information-for-massachusetts-certified-nurse-aides-cnas
6. Massachusetts Department of Public Health, "105 CMR 156.000: The Training of Nurses’ Aides in Long-Term Care Facilities" (Regulations) — www.mass.gov/doc/105-cmr-156-the-training-of-nurses-aides-in-long-term-care-facilities/download
7. D&S Diversified Technologies LLP / Headmaster, "Massachusetts Nurse Aide Testing" (Candidate Handbook and Information) — www.hdmaster.com/testing/cnatesting/massachusetts/MA_CNA_Home.htm (The specific Candidate Handbook PDF for 2025 was previously linked: MA NA Candidate Handbook Jan 2025)
8. MassHire Career Centers — www.mass.gov/orgs/masshire-department-of-career-services