Your 2025 Guide to CNA Certification in North Dakota: Top Programs, State Requirements, Exam & Salary Insights for the Peace Garden State

Quick Summary: Ready to launch a fulfilling healthcare career in the resilient Peace Garden State? Becoming a Certified Nurse Aide (CNA) in North Dakota is a direct pathway to making a significant impact on people's lives, especially in its strong community settings. This in-depth guide walks you through every essential step: understanding North Dakota's specific certification requirements (including criminal background checks and training hours set by the North Dakota Department of Health and Human Services - NDHHS), finding NDHHS-approved training programs, mastering the state competency exam (often administered by Headmaster/D&S Diversified Technologies or an NDHHS-designated vendor), and exploring salary expectations across North Dakota. We've included realistic scenarios, information on financial aid (like WIOA and potential state/tribal grants), and crucial tips for career advancement and maintaining your certification with required work hours. Whether you're new to healthcare or seeking a new vocational direction, this resource is your roadmap for a successful CNA career in North Dakota.

Introduction: Your Path to Becoming a CNA in North Dakota

Welcome to your comprehensive guide to becoming a Certified Nurse Aide (CNA) in the State of North Dakota! If you're seeking a direct entry into the healthcare field, driven by a compassionate spirit and a desire to assist others in the hardworking communities of the Peace Garden State, this is an excellent starting point. This guide is specifically designed for aspiring CNAs in North Dakota, covering everything from understanding the CNA role and the specific requirements set by the North Dakota Department of Health and Human Services (NDHHS), to finding approved training programs, preparing for the state competency exam, and exploring career opportunities throughout North Dakota. Let's embark on your journey to this essential profession.

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

A Certified Nurse Aide (CNA) in North Dakota is a valued and indispensable member of the healthcare team who provides crucial direct care to patients and residents in various settings, under the supervision of licensed nursing staff such as Registered Nurses (RNs) and Licensed Practical Nurses (LPNs). CNAs in North Dakota focus on individuals' basic needs, comfort, and safety, often forming strong, supportive relationships with those they care for, reflecting the state's strong community values. Key responsibilities typically include:

Assisting patients with Activities of Daily Living (ADLs) such as bathing, dressing, grooming, toileting, and eating.
Taking and accurately recording vital signs (temperature, pulse, respiration, blood pressure, and often pain levels).
Helping patients with mobility, including transferring, walking, and repositioning to prevent complications like pressure sores.
Observing patients' physical and mental conditions and promptly reporting any significant changes to the supervising nurse.
Providing companionship, emotional support, and promoting patient rights, dignity, and independence.
Maintaining a clean, safe, and organized environment for patients.

The CNA role in North Dakota demands physical stamina, empathy, excellent communication skills, cultural sensitivity (particularly with tribal communities), and careful attention to detail. It offers a profoundly rewarding experience and serves as a solid foundation for individuals looking to advance their careers in nursing or other healthcare fields within the Peace Garden State.

2. Job Outlook & Demand for CNAs in North Dakota

The demand for CNAs in North Dakota is significant, especially given its rural nature and aging population. This trend is projected to remain steady. Healthcare needs across the state ensure a continuous requirement for direct care providers in long-term care facilities, hospitals, critical access hospitals, assisted living facilities, and home health services. According to the U.S. Bureau of Labor Statistics (BLS), employment for nursing assistants is projected to grow nationwide, and North Dakota's healthcare sector reflects this consistent need.

Job Service North Dakota also projects a positive outlook for nursing assistants, with job openings arising from both new job creation and the need to replace workers who retire or move to other occupations. This ensures a steady demand for qualified and compassionate CNAs in North Dakota.

3. Understanding Local CNA Demand Across North Dakota

CNA job opportunities are available throughout North Dakota, with specific needs and concentrations varying by its larger cities and vast rural areas:

Major Cities (Fargo, Bismarck, Grand Forks, Minot): These urban centers have the highest concentration of hospitals (e.g., Sanford Health, Essentia Health, Altru Health System, Trinity Health), numerous skilled nursing facilities (SNFs), and assisted living communities, leading to a higher volume of CNA openings.
Western North Dakota (Williston, Dickinson): While influenced by the energy sector, these areas also have growing healthcare needs and demand for CNAs in hospitals and long-term care.
Tribal Communities: Healthcare facilities and nursing homes on North Dakota's reservations (Standing Rock, Fort Berthold, Turtle Mountain, Spirit Lake) often have specific needs and opportunities for CNAs, sometimes with programs tailored to tribal members.
Rural & Frontier Communities: Critical Access Hospitals (CAHs) and small nursing homes in North Dakota's many rural towns are vital and consistently need CNAs. These roles often require versatility and a strong community connection.

Exploring North Dakota-specific job boards (like JobServiceND.com) and connecting with local healthcare providers, tribal health departments, and training programs can provide insights into regional demand.

4. CNA Salary & Benefits in North Dakota

Average Compensation

CNA salaries in North Dakota are generally competitive, often higher than the national average, influenced by the state's strong economy and demand for workers. According to the U.S. Bureau of Labor Statistics (BLS) for May 2023, Nursing Assistants in North Dakota earned a mean hourly wage of $21.27, which translates to an average annual salary of approximately $44,240.

Salaries can vary by location within North Dakota (areas with higher costs of living or more acute labor shortages, like some western ND cities, may offer higher wages), years of experience, and facility type (hospitals often pay more). Entry-level positions might start in the $18-$20/hour range, while experienced CNAs in high-demand settings or specialized roles could earn $24/hour or more.

Pay by Setting (Typical North Dakota Estimates)

Setting	Average Hourly Wage Range (ND)
Hospitals / Critical Access Hospitals	$20.00 – $26.00+
Skilled Nursing Facilities (SNFs) / Long-Term Care	$19.00 – $24.00
Home Health Agencies / Assisted Living	$18.50 – $23.00 (plus potential mileage if applicable)

Note: These are general estimates. Always research specific employers and regions within North Dakota. Some rural or tribal facilities may offer incentives.

Shift Differentials & Overtime

Many North Dakota healthcare facilities offer shift differentials (e.g., an extra $1.50-$4.00/hour) for evening, night, weekend, or holiday shifts. Overtime pay (typically 1.5 times the regular rate for hours over 40 in a week, as per North Dakota and federal labor law) can also significantly increase earnings.

Common Benefits Packages

Full-time CNAs in North Dakota, particularly in larger institutions or state/tribal facilities, often receive benefits packages that may include:

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

5. North Dakota CNA Certification Requirements

To become a Certified Nurse Aide (CNA) in North Dakota and be listed on the North Dakota Nurse Aide Registry, you must meet specific requirements set by the North Dakota Department of Health and Human Services (NDHHS), Health Facilities Section. Key requirements include:

Age: You must generally be at least 16 years old to enroll in a CNA course and take the exam. Employment in some facilities may require you to be 18.
Complete an NDHHS-Approved Training Program: You must successfully complete a Nurse Aide Training Program (NATP) approved by NDHHS. This involves a minimum of 75 total clock hours, which includes:
- Classroom instruction covering theory and laboratory practice. Federal regulations require at least 16 of these hours to cover specific foundational topics *before* any direct resident contact.
- Supervised clinical training in an NDHHS-approved healthcare facility (typically a skilled nursing facility). The NDHHS curriculum outlines the specific breakdown of these hours.
Pass the Competency Evaluation Examination: After completing training, you must pass the North Dakota Nurse Aide Competency Exam. This exam is often administered by Headmaster/D&S Diversified Technologies (HDMaster) or another NDHHS-designated testing vendor and includes both a Written (or Oral) examination and a Skills demonstration.
Criminal Background Check: You must undergo and pass a criminal history background check. This typically involves a check through the North Dakota Bureau of Criminal Investigation (BCI) and may include fingerprinting for an FBI check, especially for employment in facilities participating in Medicare/Medicaid or those caring for vulnerable populations.
Health Screening: Proof of a negative TB test (tuberculosis screening) is generally required before beginning clinical training and for employment. A physical exam may also be required by the training program or employer.
Application for Examination & Registry: You will apply to take the competency exam through the designated testing entity (e.g., Headmaster), often facilitated by your training program. Successful completion of training, the exam, and clearance of background checks lead to NDHHS placing your name on the North Dakota Nurse Aide Registry.
Social Security Number: A valid U.S. Social Security Number is required for testing and registry purposes.

Always verify the most current and detailed requirements with your chosen NDHHS-approved training program and the North Dakota Department of Health and Human Services (NDHHS) Nurse Aide Registry page, and the website of the current testing vendor (e.g., Headmaster for North Dakota).

6. Finding NDHHS-Approved CNA Training Programs in ND

It is absolutely essential to select a Nurse Aide Training Program (NATP) that is approved by the North Dakota Department of Health and Human Services (NDHHS). Only graduates of NDHHS-approved programs are eligible to take the state competency exam and become certified. The NDHHS maintains a list of approved programs, often accessible on their website. Common providers in North Dakota include:

North Dakota University System Colleges: Several colleges within the NDUS offer NDHHS-approved CNA programs, including community colleges and two-year colleges (e.g., Bismarck State College, Lake Region State College, Williston State College, Dakota College at Bottineau, North Dakota State College of Science).
Tribal Colleges: North Dakota's tribal colleges often offer NDHHS-approved CNA programs tailored to their communities (e.g., United Tribes Technical College, Nueta Hidatsa Sahnish College, Cankdeska Cikana Community College, Turtle Mountain Community College).
Private Postsecondary Vocational Schools & Career Institutes: Some private schools in North Dakota may offer NDHHS-approved CNA training. Ensure you verify their approval status carefully.
Healthcare Facilities (Skilled Nursing Facilities - SNFs & Critical Access Hospitals - CAHs): Many SNFs and some CAHs offer their own NDHHS-approved NATPs, sometimes at a reduced cost or free with an employment commitment, which is common in rural North Dakota.
High Schools with Health Career Programs: Some North Dakota high schools offer NDHHS-approved CNA training as part of their career and technical education curriculum.

When choosing a program in North Dakota, consider:

NDHHS Approval: This is non-negotiable. Verify directly with NDHHS or through their online list of approved programs.
Cost & Financial Aid: Inquire about tuition, fees for background check, TB test, books, uniform, state exam fee, and available aid (Pell Grants, WIOA via Job Service ND, tribal grants/scholarships, employer sponsorship).
Schedule & Duration: Programs vary from intensive full-time (e.g., 3-6 weeks) to part-time evening/weekend options, which may be more common in rural areas.
Location & Clinical Sites: Factor in commute times, which can be significant in North Dakota.
State Exam Pass Rates: Ask the program about their graduates' success rates on the competency exam.
Job Placement Assistance: Some programs offer support with resume writing and connecting with North Dakota employers, especially in areas with high need.

You can find the official list of NDHHS-approved CNA training programs on the NDHHS website (PDF list).

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

All NDHHS-approved Nurse Aide Training Programs (NATPs) in North Dakota must provide a minimum of 75 total clock hours of instruction and training. This is generally structured as follows:

Classroom Instruction and Laboratory Practice: This portion covers theoretical knowledge and hands-on skills practice in a simulated lab setting. Federal regulations (42 CFR §483.152) require that at least 16 hours of this instruction, covering specific foundational topics like communication, infection control, safety, resident rights, and basic care, must be completed *before* students have any direct contact with residents. The NDHHS provides specific curriculum guidelines that programs must follow. Topics generally include:
- Introduction to resident care, the CNA role in North Dakota, ethics, legal aspects, resident rights (including considerations for diverse populations), and prevention of abuse and neglect.
- Communication and interpersonal skills with residents, families, and the healthcare team.
- Infection control, standard precautions, and safety/emergency procedures.
- Basic human anatomy, physiology, and body mechanics.
- Personal care skills (bathing, hygiene, grooming, dressing, toileting).
- Nutrition, hydration, and elimination needs.
- Vital signs measurement and recording.
- Care for residents with cognitive impairments (e.g., dementia/Alzheimer's) and mental health needs.
- Restorative care and promoting resident independence and well-being.
Supervised Clinical Training (minimum 16 hours as part of the 75 total): This hands-on portion must be conducted in an NDHHS-approved clinical setting, usually a skilled nursing facility (long-term care facility) or critical access hospital. Students apply their learned skills under the direct supervision of an NDHHS-approved instructor (typically an RN or LPN with specific qualifications). The clinical hours must be sufficient to demonstrate competency in all required skills.

Program Duration:

Full-Time Programs: Can often be completed in as little as 3 to 6 weeks, depending on the daily hours.
Part-Time Programs (Evenings/Weekends): May take 1 to 3 months or longer to complete, particularly in areas where programs are offered less frequently.

Regardless of the format, all approved programs are designed to thoroughly prepare students for the North Dakota Nurse Aide Competency Exam and for safe, effective, and compassionate practice as a CNA in the Peace Garden State.

8. The North Dakota CNA Competency Exam (Headmaster/Vendor): What You Need to Know

After successfully completing your NDHHS-approved NATP, you must pass the North Dakota Nurse Aide Competency Evaluation Examination to become certified. This exam is often administered by Headmaster/D&S Diversified Technologies (HDMaster) or another NDHHS-designated testing vendor on behalf of NDHHS. It consists of two parts, both of which must be passed:

1. Written (or Oral) Examination

Consists of a set number of multiple-choice questions (e.g., Headmaster typically uses 75 questions for their standard test).
Tests your knowledge on topics covered in your training program, such as safety, infection control, resident rights, basic nursing skills, and communication.
You will have a specific time limit (e.g., 90 minutes) to complete this examination.
An oral (audio) version is available in English if requested in advance during the application process.

2. Skills Evaluation

You will be asked to perform five randomly selected nursing assistant skills.
One of the skills will always be Hand Hygiene. The other four are randomly selected from the official North Dakota skills list provided by the testing vendor.
A Nurse Evaluator will observe and score your performance based on critical steps for each skill. You must pass all five skills.
You will have a specific time limit (check the Candidate Handbook, typically around 30-40 minutes depending on selected skills) to complete all five skills.

Attempts & Retakes: In North Dakota, you generally have up to three attempts to pass both parts of the exam within 24 months (two years) from completing your training program (or as specified by NDHHS/testing vendor). 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 must complete a new NDHHS-approved 75-hour training program.

On Exam Day: Arrive on time. You MUST bring two forms of current, signature-bearing identification (one must be a government-issued photo ID, e.g., driver's license, state ID, passport, tribal ID). Names must match exactly. A signed Social Security card is often required. Wear appropriate attire (usually scrubs, flat non-skid enclosed shoes) and a watch with a second hand.

Always refer to the latest North Dakota Nurse Aide Candidate Handbook from the NDHHS-designated testing vendor (e.g., Headmaster) for the most current exam policies, procedures, skill lists, fees, and testing site information specific to North Dakota.

9. Getting Certified & Listed on the ND Nurse Aide Registry

Initial Certification & Registry Listing

Once you successfully pass both the Written (or Oral) Examination and the Skills Evaluation administered by the NDHHS-designated testing vendor, and your criminal background check is cleared, the testing vendor will report your successful exam completion to the North Dakota Department of Health and Human Services (NDHHS). The NDHHS will then place your name on the official North Dakota Nurse Aide Registry. Employers in North Dakota are required by law to verify your active certification status through this registry before hiring you as a CNA. You can check your status online via the North Dakota Nurse Aide Registry search portal on the NDHHS website or the testing vendor's site (e.g., Headmaster).

Maintaining Your Certification: Renewal

Your North Dakota CNA certificate is valid for two years (24 months) and must be renewed to remain active.

Work Requirement: You must have worked for pay, performing nursing or nursing-related services under the supervision of a licensed nurse, for at least eight (8) hours within your most recent 24-month certification period.
No Continuing Education Units (CEUs) Required (for basic CNA): North Dakota does not currently require state-mandated CEUs for basic CNA renewal if the work requirement is met. However, employers are required to provide 12 hours of in-service training annually.
Renewal Process: The North Dakota Nurse Aide Registry (often managed through the testing vendor like Headmaster on behalf of NDHHS) will typically send a renewal notice to your address of record before your certificate expires. It is your responsibility to keep your address updated. You will need to complete and submit the renewal application and attest to meeting the work requirement. This is often done online.

If you do not meet the work requirement, your certificate will lapse. To reinstate a lapsed certificate, you will generally need to retake and pass both parts of the North Dakota Nurse Aide Competency Exam. If it has been lapsed for an extended period, NDHHS may have additional requirements.

Out-of-State CNAs: Reciprocity (Interstate Endorsement)

If you are a CNA certified in another state and your certification is active and in good standing (no findings of abuse, neglect, or misappropriation of resident property), you can apply for North Dakota certification by "Interstate Endorsement" (Reciprocity). You'll need to complete an application for endorsement through the NDHHS or its designated vendor, provide verification from your original state(s) of certification, and undergo a North Dakota criminal background check. If your training met or exceeded North Dakota's minimum 75-hour requirement and you meet all other criteria, you may be granted North Dakota certification without retaking the competency exam.

10. Real Stories: CNA Journeys in North Dakota

Liam's Start in Fargo

Liam, living in Fargo, was eager to begin a healthcare career with direct patient interaction. He enrolled in an NDHHS-approved CNA program at a local technical college. The background check was processed through his program. After diligently studying and passing his Headmaster exams, Liam was hired by Sanford Health in Fargo. "The program emphasized compassionate care and the importance of NDHHS regulations. It's fulfilling to be part of a team that helps people heal," he shares. He ensures his work hours are documented for his bi-annual renewal.

Ava's Career Change in Bismarck

Ava, a resident of Bismarck, decided to switch from an office job to healthcare for more stability and personal fulfillment. She found an NDHHS-approved program offered by Bismarck State College. "The instructors were excellent in preparing us for the skills exam, especially focusing on accuracy and all critical steps for the Headmaster exam," Ava notes. She now works at a skilled nursing facility in Bismarck and appreciates the difference she makes in residents' daily lives.

Noah's Path on a Tribal Reservation

Noah, wanting to serve his community on the Turtle Mountain Reservation, completed a CNA training program offered through Cankdeska Cikana Community College. "The hands-on clinical experience in our local nursing home was invaluable. Learning to care for our elders with cultural understanding and respect was a core part of the training," he explains. He now works at the tribal health clinic, valuing the close-knit community and the ability to make a direct impact.

11. A Day in the Life of a North Dakota CNA

The daily routine of a CNA in North Dakota, whether in a Fargo hospital, a rural nursing home, or providing care in a tribal community, centers around providing direct, compassionate, and skilled patient care:

Beginning of Shift (e.g., 0600 / 1400 / 2200):
- Clock in, receive report from the off-going shift about resident assignments, conditions, care plan updates, and any specific needs or instructions.
- Make initial rounds, greet residents, and assess immediate needs and safety.
Morning/Daytime Care:
- Assist with ADLs: bathing, dressing, oral hygiene, grooming, toileting, ensuring resident choice and dignity are respected.
- Serve meal trays, assist with feeding if necessary, monitor food/fluid intake, provide fresh water and snacks as per care plan.
- Take and record vital signs (temperature, pulse, respirations, blood pressure, pain level) accurately.
- Change bed linens, maintain room cleanliness and organization, ensure call lights are accessible and safety precautions are in place.
- Assist with mobility: ambulation, transfers using proper body mechanics and assistive devices, range-of-motion exercises, repositioning to prevent skin breakdown.
Throughout the Shift:
- Respond promptly and courteously to call lights and resident requests.
- Observe residents for any changes in condition (physical, mental, emotional, behavioral) and report findings to the licensed nurse immediately.
- Provide emotional support, active listening, and opportunities for social interaction. Document significant interactions.
- Accurately document all care provided, observations, and intake/output according to facility policy and NDHHS regulations.
- Follow infection control protocols strictly (e.g., hand hygiene, use of PPE).
End of Shift:
- Ensure residents are comfortable, safe, and their needs are met before leaving.
- Complete all charting thoroughly, accurately, and in a timely manner.
- Provide a comprehensive, factual report to the oncoming CNA/shift.
- Clean and restock supplies as needed.

North Dakota CNAs play a vital role, requiring compassion, strong observational skills, adaptability (especially in remote settings), adherence to state and federal regulations, and a dedication to person-centered care.

12. Frequently Asked Questions (FAQs) for Aspiring North Dakota CNAs

Is a criminal background check mandatory for CNA certification and employment in North Dakota?

Yes. You must undergo and pass a criminal history background check—including state (BCI) and federal (FBI) checks—to be eligible for CNA certification and employment in most North Dakota healthcare settings, as required by the North Dakota Department of Health and Human Services (NDHHS).

How many work hours are needed to renew my North Dakota CNA certificate? Are CEUs required?

For renewal in North Dakota, you need proof of at least 8 hours of paid employment performing nursing-related services under licensed nurse supervision within your 24-month certification period. North Dakota does not require state-mandated Continuing Education Units (CEUs) for basic CNA renewal if this work requirement is met, though employers must provide annual in-service training.

Can I work as a CNA in North Dakota while waiting for my exam results or background check clearance?

You cannot work as a Certified Nursing Assistant until you have passed the state competency exam, cleared the required background check, and are listed as active on the North Dakota Nurse Aide Registry. Federal law allows facilities to employ individuals who have completed training for up to 120 days while they work toward passing the exam, but they are not yet certified.

What happens if I let my North Dakota CNA certificate lapse?

If your certificate lapses because you didn’t meet the 8-hour work requirement, you cannot work as a CNA. To reinstate, you must reapply and pass both the written and skills portions of the state competency examination. Extended lapses may incur additional NDHHS requirements.

How do I transfer my out-of-state CNA certification to North Dakota (Reciprocity/Interstate Endorsement)?

Apply for Interstate Endorsement with NDHHS or its designated vendor (e.g., Headmaster) by submitting the endorsement application, verification of your active, good-standing out-of-state certification, proof your training met North Dakota’s 75-hour minimum, and completing the North Dakota criminal background check. If your credentials meet state standards, you may be certified without re-testing. See the NDHHS website for details.

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

Master the State Skills List: Practice every skill meticulously according to the official North Dakota Candidate Handbook (e.g., Headmaster skills). Pay close attention to critical steps, measurements, and verbal cues.
Complete Background Check Promptly: Cooperate fully with your training program or employer to complete the required checks.
Attendance is Key: NDHHS-approved programs have strict attendance policies for the 75 required hours. Be present, punctual, and engaged.
Study Consistently: Review class material regularly. Form study groups and utilize practice questions for the written exam.
Professionalism & Reliability: North Dakota employers value a strong work ethic and dependability. Punctuality, appropriate attire, respectful communication, and a positive attitude are essential.
Track Work Hours Diligently for Renewal: Keep accurate records (e.g., pay stubs, employer verification) of your 8 qualifying work hours for renewal with the North Dakota Nurse Aide Registry.
Stay Updated with NDHHS: Keep your contact information current with the North Dakota Nurse Aide Registry and regularly check the NDHHS website for any updates to regulations or renewal processes.
Prioritize Resident Safety & Rights: These are fundamental aspects of CNA practice in North Dakota and are heavily emphasized in training, NDHHS regulations, and on the exam.

14. Advancing Your Career: Paths Beyond CNA in North Dakota

Your North Dakota CNA certification is an excellent launching pad, especially in a state with diverse healthcare needs. Many CNAs in North Dakota pursue further education and advance to other healthcare roles:

Licensed Practical Nurse (LPN): A common next step. LPN programs in North Dakota (e.g., at several NDUS colleges) typically take 10-12 months. The North Dakota Board of Nursing regulates LPNs.
Registered Nurse (RN): Pursue an Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from a North Dakota Board of Nursing-approved program (e.g., University of North Dakota, North Dakota State University, University of Mary, various NDUS colleges).
Medication Assistant III (MA-III): North Dakota has a specific registration for Medication Assistants. Experienced CNAs can complete additional NDHHS-approved training (typically 80 hours) and pass a state exam to become registered to administer certain medications in specific settings (primarily nursing homes and basic care facilities) under nurse supervision.
Medical Assistant (MA): With additional training from an accredited program, CNAs can transition to MA roles in clinics and physician offices throughout North Dakota.
Patient Care Technician (PCT) / Hospital Technician: North Dakota hospitals, especially larger ones, often hire CNAs and provide specialized on-the-job training for them to become PCTs, performing a broader range of skills.
Healthcare Administration or Education: With experience and additional education, CNAs can move into supervisory roles, staff development, or teaching in NATPs, which are vital in training North Dakota's healthcare workforce.

Many larger healthcare employers in North Dakota offer tuition assistance or reimbursement programs to support employees in advancing their education.

15. CNA Training Costs & Financial Aid in North Dakota

CNA training costs in North Dakota can vary depending on the program provider, but several state and federal initiatives can help offset these costs:

Program Type	Typical Tuition Range (ND)	Additional Fees (Background Check, Books, Uniform, Exam, Supplies, etc. Estimate)	Common Financial Aid Options
North Dakota University System (NDUS) Colleges	$700 – $1,500 (Non-credit, short-term certificate costs vary)	$150 – $400	WIOA (via Job Service ND), Pell Grants (if part of a larger eligible program), college-specific scholarships, tribal education grants, ND Career Builders Scholarship.
Tribal Colleges	Varies (Often lower cost or specific aid for tribal members)	$100 – $350	Tribal scholarships/grants, BIE grants, WIOA, Pell Grants.
Facility-Based (SNF/CAH) Training	Often Free or Low Cost (if offered by an approved facility to prospective employees, sometimes with an employment commitment. May be reimbursed by facility after employment per federal law if facility is Medicare/Medicaid certified).	Minimal or covered by facility	Employer-sponsored/reimbursed.

Key North Dakota Financial Aid & Cost-Saving Tips:

WIOA (Workforce Innovation and Opportunity Act): Contact your local Job Service North Dakota office for information on training grants for in-demand occupations like CNA.
ND Career Builders Scholarship & Loan Repayment Program: Check eligibility for this program, which supports students and workers in high-demand occupations in North Dakota.
Tribal Education Departments/Scholarships: If you are an enrolled member of a tribe, contact your tribal education department for specific financial aid opportunities.
Employer Reimbursement/Sponsorship: Federal law requires Medicare/Medicaid certified nursing homes to pay for or reimburse CNA training and testing costs for individuals they employ or offer employment to within 120 days of employment or 4 months of starting training. Always ask potential employers about this.
FAFSA (Free Application for Federal Student Aid): Complete this if your CNA program is part of a larger, Pell-eligible program at a college.
College Financial Aid Offices: Inquire directly with training programs about any institutional scholarships or grants they offer.

Always request a detailed breakdown of ALL costs before enrolling: tuition, fees for the background check, textbooks, uniform, necessary supplies, physical exam/TB testing, CPR certification (if not included), and the state exam fee.

Conclusion: Start Your CNA Journey in North Dakota Today!

Becoming a Certified Nursing Assistant in North Dakota offers a direct and accessible route to a rewarding healthcare career, providing opportunities for personal and professional growth while making a tangible difference in the lives of North Dakotans. The Peace Garden State has a consistent and growing demand for skilled, compassionate CNAs. By thoroughly understanding North Dakota's specific certification requirements, selecting a quality NDHHS-approved training program, preparing diligently for the state competency exam, and committing to the renewal process by meeting work requirements, you will be well-positioned for a successful and fulfilling career.

Your journey begins with taking that first step. We encourage you to use the resources outlined in this guide to research programs in your area of North Dakota and start the process of becoming an invaluable member of North Dakota's dedicated healthcare workforce.

Visit the North Dakota Department of Health and Human Services (NDHHS) Nurse Aide Registry page for official program information, registry access, and links to current testing vendor information (such as Headmaster). An essential role in North Dakota's healthcare system is waiting for you!

References & Further Reading (North Dakota)

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 North Dakota - 31-1131 Nursing Assistants" — www.bls.gov/oes/current/oes_nd.htm#31-1131
North Dakota Department of Health and Human Services (NDHHS) - Nurse Aide Registry — NDHHS Nurse Aide Registry (Official regulatory body)
NDHHS - Approved Nurse Aide Training Programs (PDF) — NDHHS Approved NATP List
Headmaster/D&S Diversified Technologies (Common ND Testing Vendor) — (Search "Headmaster North Dakota Nurse Aide" for current link)
Job Service North Dakota — www.jobservicehd.com/
North Dakota Career Builders Scholarship & Loan Repayment Program — ND Career Builders
North Dakota Board of Nursing (for LPN/RN/Medication Assistant III information) — www.ndbon.org/