Your 2025 Guide to Becoming a Certified Nurse Aide (CNA) in Missouri: Top Programs, Requirements, Exam & Salary Insights

Quick Summary: Eager to launch a rewarding healthcare career in the Show-Me State? Becoming a Certified Nurse Aide (CNA) in Missouri is a direct pathway to making a vital impact on patient well-being. This all-inclusive guide details every crucial step: understanding Missouri's specific certification requirements set by the Department of Health and Senior Services (DHSS), locating DHSS-approved Nurse Aide Training Programs (NATPs), mastering the Missouri Nurse Aide Competency Examination administered by TMU/Identico, and exploring salary expectations across Missouri. We've included insights on criminal background checks (Family Care Safety Registry), financial aid information like Fast Track and WIOA, essential tips for career advancement, and how to maintain your active status on the Missouri Nurse Aide Registry. Whether you're new to healthcare or seeking a meaningful career change, this resource is your blueprint for a successful CNA career in Missouri.

Introduction: Your Path to Becoming a Certified Nurse Aide in Missouri

Welcome to your definitive guide to becoming a Certified Nurse Aide (CNA) in Missouri! If you aspire to a hands-on healthcare role where you provide essential, compassionate care, this is an excellent place to start. This guide is specifically tailored for individuals in Missouri, outlining the steps to certification as mandated by the Missouri Department of Health and Senior Services (DHSS). We'll navigate everything from understanding the CNA's role and meeting state requirements, to finding an approved training program, preparing for the state competency exam administered by TestMaster Universe (TMU) via Identico, and exploring career opportunities across the Show-Me State. Let's embark on your journey.

1. What is a Certified Nurse Aide (CNA) in Missouri?

In Missouri, a Certified Nurse Aide (CNA) is a crucial healthcare professional who delivers fundamental hands-on care to patients and residents in a variety of settings. CNAs work under the direct supervision of licensed nursing staff, such as Registered Nurses (RNs) and Licensed Practical Nurses (LPNs). Their primary role is to assist individuals with their basic daily living 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 like pressure sores.
• Observing patients' conditions and reporting any significant changes to the supervising nurse promptly.
• Providing emotional support, companionship, and actively promoting patient/resident rights.
• Maintaining a clean, safe, and organized environment for patients/residents.
• Following infection control procedures diligently.

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

2. Job Outlook & Demand for CNAs in Missouri

The demand for Certified Nurse Aides in Missouri is consistently robust and expected to grow. This is largely due to Missouri's significant aging population, leading to increased needs in long-term care facilities (nursing homes), hospitals, assisted living facilities, and home health services. The U.S. Bureau of Labor Statistics (BLS) projects sustained national growth for nursing assistants, and Missouri, with its extensive healthcare infrastructure, reflects this trend.

MoJobs, the state's workforce development portal, often lists Nursing Assistants as an in-demand occupation. Openings arise frequently due to new job creation and the need to replace workers who retire or transition to other roles.

3. Understanding Local CNA Demand Across Missouri

CNA job opportunities are abundant throughout Missouri, with varying concentrations by region:

• Major Metropolitan Areas: St. Louis City and County, Kansas City metropolitan area (including Jackson, Clay, and Platte counties), Springfield (Greene County), and Columbia (Boone County) have the highest concentration of hospitals, large skilled nursing facilities (SNFs), and home care agencies, resulting in significant demand for CNAs.
• Other Urban Centers: Cities like Jefferson City, Joplin, Cape Girardeau, and St. Joseph also have substantial healthcare sectors with consistent demand for CNAs in various settings.
• Rural Missouri (e.g., Ozarks, Bootheel, Northern Missouri): 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 MoJobs.mo.gov, major healthcare system career pages, and connecting with local DHSS-approved training programs can offer more specific insights into regional demand.

4. CNA Salary & Benefits in Missouri

Average Compensation

Salaries for CNAs in Missouri are generally competitive for the Midwest region. According to the U.S. Bureau of Labor Statistics (BLS) for May 2023, Nursing Assistants in Missouri earned a mean hourly wage of $16.52, translating to an average annual salary of approximately $34,370.

Wages can vary based on location within MO (e.g., higher in St. Louis or Kansas City metro areas compared to some rural parts), years of experience, type of facility (hospitals and specialized units may offer higher pay), and unionization (less prevalent for CNAs in MO). Entry-level CNA positions might start in the $13-$15/hour range, while experienced CNAs or those in high-demand settings can earn more.

Pay by Setting (Typical Missouri Estimates for CNA)

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

Shift Differentials & Overtime

Many Missouri healthcare facilities offer shift differentials (e.g., an extra $0.75-$3.00/hour) for evening, night, weekend, or holiday shifts. Overtime pay (typically 1.5 times the regular rate for hours worked over 40 in a week) can also substantially increase earnings.

Common Benefits Packages

Full-time CNAs in Missouri, particularly in larger institutions, often receive comprehensive benefits packages, which may include:

• Health, dental, and vision insurance
• Retirement plans (e.g., 401(k), MOSERS for some state employees)
• Paid time off (vacation, sick leave, holidays)
• Tuition reimbursement programs for career advancement
• Life insurance and disability coverage

5. Missouri CNA Certification Requirements (DHSS)

To become a Certified Nurse Aide (CNA) in Missouri and be listed on the Missouri Nurse Aide Registry, you must meet specific requirements set by the Missouri Department of Health and Senior Services (DHSS), Section for Health Standards and Licensure:

• Age & Education: You must be at least 18 years old. While a high school diploma or GED is not explicitly required by DHSS for certification, it is generally required or preferred by most training programs and employers. You must be able to read, write, and speak English proficiently.
• Complete a DHSS-Approved Training Program: You must successfully complete a state-approved Nurse Aide Training Program (NATP). This program must consist of a minimum of 175 clock hours, which includes:
  • A minimum of 75 hours of classroom instruction.
  • A minimum of 100 hours of supervised on-the-job clinical training (OJT) in a DHSS-approved long-term care facility. At least 16 hours of classroom training on specific topics (communication, infection control, safety, resident rights, basic care) must be completed before direct resident contact.
• Pass the Competency Examination: After completing training, you must pass both parts of the Missouri Nurse Aide Competency Examination. This exam is administered by TestMaster Universe (TMU) through Identico. It includes a Written (or Oral) examination and a Practical Skills Evaluation.
• Criminal History Background Check (Family Care Safety Registry - FCSR): Missouri law requires individuals working in direct care positions (including CNAs) to be registered with the Family Care Safety Registry (FCSR), which involves background screenings (including state criminal history, sex offender registry, child abuse/neglect records, and Employee Disqualification List). You must register with the FCSR before employment. Certain findings can disqualify an individual. This is often done during or immediately after training.
• Health Screening: You must have a health examination, including a TB test (PPD skin test or chest X-ray if indicated), verifying you are in good health, free from communicable diseases, and can perform CNA duties. This is usually required before starting clinical training.
• Application for Examination: Your NATP instructor or coordinator will typically provide guidance on applying for the TMU/Identico exam once all prerequisites are met.

Alternative pathways to exam eligibility exist (e.g., certain nursing students, out-of-state CNAs seeking reciprocity, individuals with lapsed Missouri certification under specific conditions), but completing a Missouri NATP is the most common route.

Always verify the most current requirements with the DHSS CNA Registry website and your chosen DHSS-approved training program.

6. Finding DHSS-Approved Nurse Aide Training Programs (NATPs) in MO

It is crucial to select a Nurse Aide Training Program (NATP) that is approved by the Missouri Department of Health and Senior Services (DHSS). Only graduates of these approved programs are eligible to take the state competency exam and be listed on the Missouri Nurse Aide Registry. The DHSS website provides a list of approved programs. Common providers in Missouri include:

• Missouri Community Colleges & Area Career Centers: Many community colleges and area career/technical centers across MO offer excellent, DHSS-approved NATPs. These are often eligible for state financial aid.
• Private Career Schools & Vocational Institutes: Numerous private career colleges and technical institutes in Missouri offer Nurse Aide training. Ensure they are DHSS-approved and licensed by the Missouri Department of Higher Education & Workforce Development (MDHEWD) if applicable.
• Long-Term Care Facilities (Nursing Homes): Many nursing homes offer their own DHSS-approved NATPs. 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 or current employees if they work for them.
• High Schools with Health Occupations Programs: Some Missouri high schools offer Nurse Aide training as part of their Career and Technical Education (CTE) pathways.
• American Red Cross: Some Red Cross chapters in Missouri may offer DHSS-approved Nurse Aide training.

When choosing a program in Missouri, consider:

• DHSS Approval: This is mandatory. Verify on the DHSS website's list of approved training sites.
• Cost & Financial Aid: Inquire about tuition, fees (for FCSR registration, books, uniform, physical exam, state exam fee – TMU/Identico's fee), and available aid (Fast Track Workforce Incentive Grant, WIOA funding through Missouri Job Centers, Pell Grants, scholarships, payment plans).
• Schedule & Duration: Programs range from intensive full-time (e.g., 6-10 weeks for a 175-hour program) to part-time evening/weekend options.
• Location & Clinical Sites: Factor in commute times for both classroom and clinical portions.
• State Exam Pass Rates: Ask the program about their graduates' success on the TMU/Identico CNA Examination.
• Job Placement Assistance: Some programs offer help with resume writing, interview skills, and connecting with local employers.
• FCSR Registration: Understand how the program assists with or requires FCSR registration.

You can find a list of approved programs on the DHSS website (PDF list of approved training sites) or by contacting the CNA Registry.

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

All Missouri Department of Health and Senior Services (DHSS)-approved Nurse Aide Training Programs (NATPs) must provide a minimum of 175 total clock hours of instruction and training. This is typically structured as follows:

• Classroom Instruction (minimum 75 hours): This portion covers theoretical knowledge and lab practice. Topics generally include:
  • Introduction to the role of the CNA, healthcare settings, ethics, patient rights, and legal responsibilities.
  • Communication and interpersonal skills with patients, families, and healthcare team members.
  • Infection prevention and control, safety measures, and emergency procedures.
  • Basic human anatomy, physiology, and common health conditions.
  • Personal care skills (hygiene, grooming, bathing, dressing, elimination needs).
  • Nutrition, hydration, and assisting with feeding.
  • Vital signs measurement (temperature, pulse, respiration, blood pressure) and observation skills.
  • Care of residents with cognitive impairments (e.g., Alzheimer's, dementia).
  • Restorative care, promoting independence, and preventing complications of immobility.
  • Basic emergency care and CPR (often included or required as a co-requisite).
  At least 16 hours of this classroom training must be completed before any direct resident contact in the clinical setting.
• Supervised On-the-Job Clinical Training (OJT) (minimum 100 hours): This extensive hands-on portion must be conducted in a DHSS-approved long-term care facility. Students apply their learned skills providing direct care to residents under the close supervision of a DHSS-approved instructor (typically an RN or LPN with specific qualifications).

Program Duration (for a 175-hour program):

• Full-Time Programs: Can often be completed in as little as 5-8 weeks, depending on the daily schedule intensity.
• Part-Time Programs (Evenings/Weekends): May take 10-16 weeks or longer to complete.

Regardless of the format, all approved programs are designed to prepare students thoroughly for the Missouri Nurse Aide Competency Examination (TMU/Identico) and for competent, compassionate practice as a CNA.

8. The Missouri Nurse Aide Competency Examination (TMU/Identico): What You Need to Know

After successfully completing your DHSS-approved NATP, you must pass the Missouri Nurse Aide Competency Examination to be eligible for certification and listing on the Missouri Nurse Aide Registry. This exam is administered in Missouri by TestMaster Universe (TMU) through its testing arm, Identico. The exam consists of two parts, both of which must be passed:

1. Written Examination (or Oral Examination option)

• Consists of 60 multiple-choice questions.
• Tests your knowledge on topics covered in your training program, aligned with federal requirements.
• You will have 90 minutes (1.5 hours) to complete this examination.
• An oral version (audio recording of the questions via headphones) is available in English if requested in advance during the application process.

2. Practical Skills Evaluation

• You will be asked to perform five randomly selected nursing assistant skills from a list of critical skills.
• One of the skills will always be Hand Hygiene (Hand Washing). Another skill will involve recording a measurement.
• A Nurse Aide Evaluator will observe and score your performance based on critical steps for each skill. You must perform all critical steps correctly and achieve a satisfactory overall score on each skill to pass.
• You will have a specific time limit (check the TMU/Identico Candidate Handbook, typically around 30-40 minutes depending on the skills assigned) to complete all five skills.

Attempts & Retakes: In Missouri, you generally have up to three attempts to pass both parts of the exam within 90 days of completing your training program if employed by a nursing home, or within a reasonable timeframe if not yet employed (verify current specific time limits with DHSS/TMU). If you fail one part, you only need to retake that part. If you do not pass both parts within the allowed attempts or timeframe, you may be required to complete another DHSS-approved NATP.

On Exam Day: Arrive on time (usually 30 minutes prior to your scheduled exam). You MUST bring two forms of current, valid (not expired), signature-bearing identification. One ID must be a U.S. government-issued photo ID (e.g., driver's license, state ID, passport). The second ID must also be signed. Both names must match exactly what was submitted on your application. Wear appropriate attire (flat, non-skid, closed-toe shoes; scrubs are often recommended/required) and a watch with a second hand.

Always refer to the latest Missouri Nurse Aide Candidate Handbook available on the TMU/Identico website for the most current exam policies, procedures, skill lists, fees, and testing site information.

9. Getting Certified and Listed on the MO Nurse Aide Registry

Initial Certification and Registry Listing

Once you successfully pass both the Written (or Oral) Examination and the Practical Skills Evaluation administered by TMU/Identico, TMU will transmit your results to the Missouri Department of Health and Senior Services (DHSS). If you have met all requirements (including being registered and in good standing with the Family Care Safety Registry), DHSS will place your name on the official Missouri Nurse Aide Registry with an "active" status. No separate physical certificate is typically mailed by DHSS; your active status on the online registry serves as proof of your certification. Employers are required by law to verify your active status on this registry before hiring you as a CNA. You can check your status online via the DHSS CNA Registry search portal.

Maintaining Your Active Certification on the Registry: Renewal

Your active Nurse Aide certification in Missouri is valid for 24 months (two years) from the date of your last recorded qualifying employment or initial certification date.

• Work Requirement: To renew your active certification, you must have worked for monetary compensation as a Nurse Aide, performing nursing or nursing-related services, for at least eight (8) hours under the supervision of a licensed nurse (RN or LPN) within your most recent 24-month certification period. This work must be verifiable.
• No State-Mandated CEUs for Registry Renewal: The DHSS does not currently require specific Continuing Education Units (CEUs) for CNA certification renewal itself. However, federal regulations require nursing facilities to provide at least 12 hours of in-service education annually to their CNAs. So, if you are employed in such a facility, you will receive this ongoing training.
• Renewal Process: The DHSS typically mails a renewal reminder. However, it is your responsibility to ensure your certification is renewed. This usually involves the employer verifying employment or the CNA submitting an Employment Verification form. Ensure your contact information with the DHSS is always current.

If you do not meet the work requirement within a 24-month period, your certification will expire. To be recertified after expiration, you will generally need to re-apply for and pass both parts of the TMU/Identico CNA Competency Examination again. If your certification has been expired for an extended period (e.g., more than 24 months without working as a CNA), you may be required to complete a new DHSS-approved NATP.

Out-of-State CNAs: Reciprocity/Endorsement

If you are a Nurse Aide certified in another state and your certification is active and in good standing (no findings of abuse, neglect, or misappropriation of property), you can apply for Missouri CNA certification through "reciprocity." You'll need to complete the "Application for Reciprocity" (available on the DHSS website) and submit it with required documentation, including verification from your original state of certification. You must also register with the Family Care Safety Registry. If your credentials meet Missouri's standards, you may be added to the Missouri Nurse Aide Registry without retaking the exam.

10. Real Stories: CNA Journeys in Missouri

Brianna's Start in St. Louis

Brianna, a recent high school graduate from St. Louis County, was eager to enter the healthcare field. She enrolled in a DHSS-approved NATP offered by a local career center. "The 175 hours, especially the 100 hours of OJT, really prepared me for the real world," she says. After passing her TMU exams and registering with FCSR, Brianna was hired by a large hospital in St. Louis and is enjoying the fast-paced environment.

Kevin's Career Change in Kansas City

Kevin, after years in the food service industry in Kansas City, sought a more personally fulfilling profession. He chose a part-time evening NATP at a community college, utilizing the Fast Track grant. "The flexible schedule allowed me to keep working. Mastering the skills for the practical exam was my focus," Kevin notes. He now works at a skilled nursing facility in Jackson County and finds deep satisfaction in assisting residents.

Maria's Path in the Ozarks

Maria, from a small town in the Ozarks, saw CNA certification as a key step to serving her community. She found an NATP offered by a local nursing home. "Living in a rural area, healthcare workers are so important. The on-the-job training was invaluable," she shares. After certification, she continued working at the same nursing home.

11. A Day in the Life of a Missouri CNA

A typical day for a CNA in Missouri, whether in a busy St. Louis hospital, a long-term care facility in Springfield, or a home care setting in a rural town, is dynamic and patient-focused:

• Beginning of Shift:
  • Clock in, attend report/huddle to receive assignments, updates on patient/resident conditions, and specific care instructions from the outgoing shift or charge nurse.
  • Gather necessary supplies (linens, personal care items, etc.) for assigned individuals.
  • Make initial rounds to greet individuals, assess immediate needs, and ensure safety.
• Morning/Daytime Routine (can vary by shift):
  • Assist with Activities of Daily Living (ADLs): helping residents with bathing, dressing, oral hygiene, grooming, and toileting, always ensuring privacy, dignity, and promoting as much independence as possible.
  • Serve meal trays, assist with feeding if necessary, encourage fluid intake, and accurately record food and fluid intake/output as per facility policy.
  • Take and record vital signs (temperature, pulse, respirations, blood pressure, pain assessment) as scheduled or directed by the care plan or nurse.
  • Change bed linens, tidy rooms, and maintain a clean and safe environment (e.g., ensuring call bell is within reach, bed in low/locked position, pathways clear).
  • Assist with mobility: ambulation (walking with or without assistive devices), transfers (e.g., bed to chair, using a gait belt or mechanical lift per training), range-of-motion exercises, and frequent repositioning to prevent skin breakdown and contractures.
• Throughout the Shift:
  • Respond promptly and courteously to call lights and individual requests for assistance.
  • Carefully observe individuals for any changes in condition (physical, mental, emotional, behavioral) and report these observations immediately and accurately to the supervising licensed nurse.
  • Provide emotional support, active listening, and engage in appropriate social interaction, recognizing cultural diversity.
  • Accurately and timely document all care provided, observations, and any incidents according to facility policy and state/federal regulations. This is often done via Electronic Health Records (EHR).
  • Adhere strictly to infection control protocols (e.g., proper handwashing, use of Personal Protective Equipment - PPE as required).
• End of Shift:
  • Ensure individuals are comfortable, safe, and their immediate needs are addressed before the next shift arrives.
  • Complete all charting thoroughly and accurately.
  • Provide a comprehensive, factual, and organized report to the oncoming CNA/shift or charge nurse.

Missouri CNAs are vital members of the healthcare team, requiring diligence, keen observational skills, excellent communication, cultural sensitivity, and a strong commitment to person-centered care.

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

• Master the TMU/Identico Skills: Missouri uses the TMU/Identico exam. Practice every skill meticulously according to the official Candidate Handbook's skills checklist, paying close attention to all critical steps.
• Register with FCSR Early: The Family Care Safety Registry check is mandatory. Complete this process as soon as your training program advises to avoid delays in clinical placement or employment.
• Complete All 175 Training Hours: DHSS-approved programs have strict attendance policies. Be present, punctual, and actively participate in all classroom and OJT clinical sessions.
• Study for the Written/Oral Exam: Use practice questions from the TMU bulletin, review your training materials thoroughly, and understand core concepts like patient rights, safety, infection control, and basic nursing procedures.
• Professionalism is Paramount: Maintain a professional demeanor, appropriate attire (especially non-skid, closed-toe shoes), respectful communication with patients, families, and staff, and a consistently positive and empathetic attitude.
• Document Diligently for Renewal: Keep accurate records of your employment (facility name, address, dates worked, supervisor) to easily complete your renewal application and prove the 8-hour work requirement. Keep the DHSS updated with any address changes.
• Stay Informed: Periodically check the DHSS and TMU/Identico (MO) websites for any updates to regulations, forms, or procedures relevant to Missouri CNAs.

14. Advancing Your Career: Paths Beyond CNA in Missouri

Your Missouri CNA certification is an excellent launching pad. Many CNAs in MO advance to other rewarding healthcare roles:

• Certified Medication Technician (CMT): CNAs with at least six months of experience and additional DHSS-approved training (minimum 60 classroom hours + 8-hour insulin admin module, plus clinicals) and passing a state exam can become CMTs, allowing them to administer certain medications in long-term care facilities under RN/LPN supervision.
• Licensed Practical Nurse (LPN): A very common next step. LPN programs in Missouri typically take 12-18 months. The Missouri State Board of Nursing regulates LPNs.
• Registered Nurse (RN): Pursue an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from a Missouri State Board of Nursing-approved program. Many MO community colleges and universities offer these programs.
• Specialized Roles: With experience, CNAs can specialize in areas like hospice/palliative care, restorative care, dementia/memory care, or activities coordination.
• Healthcare Administration or Education: With further education and experience, CNAs can move into management, staff development, or become NATP instructors (requires RN/LPN licensure and specific DHSS qualifications).

Many Missouri healthcare employers, especially larger hospital systems, and community colleges offer tuition assistance, scholarships, or career ladder programs for employees pursuing further education and certifications.

15. CNA Training Costs & Financial Aid in Missouri

The cost of Nurse Aide Training Programs (NATPs) in Missouri can vary:

Key Missouri Financial Aid & Cost-Saving Tips:

• Fast Track Workforce Incentive Grant: For eligible Missouri residents pursuing credentials in high-demand fields (CNA often qualifies), covering tuition and fees after other aid.
• FAFSA (Free Application for Federal Student Aid): Complete for federal Pell Grants if attending an eligible college program.
• Missouri Job Centers (WIOA): Contact your local Missouri Job Center for information on WIOA (Workforce Innovation and Opportunity Act) training grants and other support services for eligible individuals.
• Employer-Sponsored Training: Inquire with local nursing homes about free DHSS-approved NATPs for prospective employees. Federal law mandates that if a nursing home offers the training and you work for them (or have an offer), they cannot charge you for any portion of that training or the competency exam.

Always get a detailed, itemized breakdown of ALL costs before enrolling: tuition, Family Care Safety Registry fee, textbook, uniform, equipment, physical exam/TB test, CPR certification (if required separately), and the TMU/Identico CNA exam fee.

Conclusion: Start Your CNA Journey in Missouri Today!

Becoming a Certified Nurse Aide in Missouri is a significant and rewarding step towards a stable and fulfilling career in the ever-growing healthcare field. The Show-Me State offers numerous opportunities for dedicated, compassionate individuals committed to providing quality care. By thoroughly understanding Missouri's specific requirements through DHSS, choosing a quality DHSS-approved training program, successfully navigating the Family Care Safety Registry and the TMU/Identico CNA Examination, and committing to professionalism and continuous learning, you will be well-prepared for a successful career.

Your journey to making a profound difference in people's lives begins with your initiative. Use the resources in this guide to research programs in your area of Missouri and take that important first step.

Visit the Missouri Department of Health and Senior Services (DHSS) CNA Registry page and the TMU/Identico Missouri Nurse Aide page for official program information, forms, candidate handbooks, exam details, and to embark on your path. A vital role in Missouri's healthcare system awaits you!

References & Further Reading (Missouri)

1. U.S. Bureau of Labor Statistics, Occupational Outlook Handbook, "Nursing Assistants and Orderlies" — www.bls.gov/ooh/healthcare/nursing-assistants.htm
2. U.S. Bureau of Labor Statistics, Occupational Employment Statistics, "May 2023 State Occupational Employment and Wage Estimates Missouri - 31-1131 Nursing Assistants" — www.bls.gov/oes/current/oes_mo.htm#31-1131
3. Missouri Department of Health and Senior Services (DHSS) - CNA Registry Program — health.mo.gov/safety/cnaregistry/
4. DHSS - Approved Nurse Aide Training Programs List (PDF) — health.mo.gov/safety/cnaregistry/pdf/moaprotrainingsites.pdf
5. TestMaster Universe (TMU) / Identico - Missouri Nurse Aide Examination Program — mo.tmutest.com/ (Access Candidate Handbook here)
6. Missouri Family Care Safety Registry (FCSR) — health.mo.gov/safety/fcsr/
7. MoJobs (Missouri Job Centers - for WIOA and job/training resources) — jobs.mo.gov/
8. Missouri Department of Higher Education & Workforce Development (MDHEWD) - Fast Track Workforce Incentive Grant — dhewd.mo.gov/initiatives/fasttrack.php
9. Missouri State Board of Nursing (for LPN, RN, CMT info) — pr.mo.gov/nursing.asp