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

Quick Summary: Ready to embark on a fulfilling healthcare career in the Palmetto State? Becoming a Certified Nurse Aide (CNA) in South Carolina is a direct path to making a significant impact in patient care. This comprehensive guide walks you through every essential step: understanding South Carolina's specific certification requirements set by the Department of Health and Human Services (SCDHHS), finding SCDHHS-approved Nurse Aide Training Programs (NATPs), mastering the National Nurse Aide Assessment Program (NNAAP®) Examination administered by Credentia, and exploring salary expectations across South Carolina. We've included details on criminal background checks (SLED checks), financial aid opportunities like SC WINS and SC Works, and crucial tips for career growth and maintaining your active status on the South Carolina Nurse Aide Registry. Whether you're new to healthcare or seeking a new direction, this resource is your launchpad for a successful CNA career in South Carolina.

Introduction: Your Path to Becoming a Certified Nurse Aide in South Carolina

Welcome to your comprehensive guide to becoming a Certified Nurse Aide (CNA) in South Carolina! If you're looking for a rewarding career in healthcare where you can provide direct, compassionate care to those in need, this is an excellent starting point. This guide is specifically tailored for individuals in South Carolina, detailing the steps to certification as set by the South Carolina Department of Health and Human Services (SCDHHS). We'll cover everything from understanding the CNA role and meeting state requirements, to finding an approved Nurse Aide Training Program (NATP), preparing for the state competency exam administered by Credentia, and exploring career opportunities across the Palmetto State. Let's begin your journey.

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

In South Carolina, a Certified Nurse Aide (CNA) is a valued healthcare professional who provides essential hands-on care to patients and residents in various settings, under the supervision of licensed nursing staff like Registered Nurses (RNs) and Licensed Practical Nurses (LPNs). Their primary focus is on assisting individuals with their basic daily needs, ensuring their comfort, safety, and dignity. Key responsibilities typically include:

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

2. Job Outlook & Demand for CNAs in South Carolina

The demand for Certified Nurse Aides in South Carolina is consistently strong and projected to grow. This is driven by factors such as South Carolina's growing and aging population, leading to increased needs in long-term care facilities, hospitals, assisted living facilities, and home health services. The U.S. Bureau of Labor Statistics (BLS) projects steady national growth for nursing assistants, and South Carolina, with its expanding healthcare sector, contributes significantly to this demand.

SC Works, South Carolina's workforce development system, also highlights Nursing Assistants as an in-demand occupation. Numerous openings arise annually due to both new job creation and the need to replace workers who retire or move to other occupations.

3. Understanding Local CNA Demand Across South Carolina

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

Exploring the SC Works Online Services (SCWOS) job board and connecting with local healthcare providers and SCDHHS-approved training programs can offer insights into regional demand.

4. CNA Salary & Benefits in South Carolina

Average Compensation

Salaries for CNAs in South Carolina are generally competitive for the Southeastern region. According to the U.S. Bureau of Labor Statistics (BLS) for May 2023, Nursing Assistants in South Carolina earned a mean hourly wage of $16.28, translating to an average annual salary of approximately $33,870.

Wages can vary significantly based on region (e.g., higher in Charleston or Columbia compared to some rural areas), years of experience, type of facility (hospitals often pay more than some SNFs), and additional certifications. Entry-level CNA positions might start in the $13-$15/hour range, while experienced CNAs or those in high-demand areas can earn more.

Pay by Setting (Typical South Carolina Estimates for CNA)

Setting Average Hourly Wage Range (SC)
Hospitals $15.00 – $20.00+
Skilled Nursing Facilities (SNFs) / Long-Term Care $14.00 – $19.00
Home Health Agencies $13.50 – $18.00 (plus potential mileage)
Assisted Living Facilities / Community Residential Care Facilities $14.00 – $18.50

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

Shift Differentials & Overtime

Many South Carolina 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 over 40 in a week) can also increase earnings.

Common Benefits Packages

Full-time CNAs in South Carolina, particularly in larger institutions, often receive benefits such as:

5. South Carolina CNA Certification Requirements (SCDHHS)

To become a Certified Nurse Aide (CNA) in South Carolina and be placed on the South Carolina Nurse Aide Registry, you must meet specific requirements set by the South Carolina Department of Health and Human Services (SCDHHS), Division of Community and Facility Services:

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

Always verify the most current requirements with the SCDHHS Nurse Aide Registry page and your chosen SCDHHS-approved training program.

6. Finding SCDHHS-Approved Nurse Aide Training Programs (NATPs) in SC

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

When choosing a program in South Carolina, consider:

You can search for approved programs via the SCDHHS Approved Nurse Aide Training Program Search.

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

All South Carolina Department of Health and Human Services (SCDHHS)-approved Nurse Aide Training Programs (NATPs) must provide a minimum of 100 total clock hours of instruction and training. This is typically structured as follows:

Program Duration (for a 100-hour program):

Regardless of the format, all approved programs are designed to prepare students thoroughly for the South Carolina NNAAP® Examination and for competent practice as a CNA.

8. The South Carolina NNAAP® Examination (Credentia): What You Need to Know

After successfully completing your SCDHHS-approved NATP, you must pass the National Nurse Aide Assessment Program (NNAAP®) Examination to be eligible for listing on the SC Nurse Aide Registry. This exam is administered in South Carolina by Credentia. The exam consists of two parts, both of which must be passed:

1. Written (or Oral) Examination

2. Skills Evaluation

Attempts & Retakes: In South Carolina, you generally have up to three attempts to pass both parts of the exam within 24 months (two years) from the date you completed your training program. If you fail one part, you only need to retake that part. If you do not pass both parts within the three attempts or the two-year timeframe, you must complete another SCDHHS-approved NATP.

On Exam Day: Arrive on time. 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 (usually scrubs, flat non-skid enclosed shoes) and a watch with a second hand.

Always refer to the latest South Carolina Nurse Aide Candidate Handbook from Credentia for the most current exam policies, procedures, skill lists, fees, and testing site information.

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

Initial Registry Listing

Once you successfully pass both the Written (or Oral) Examination and the Skills Evaluation administered by Credentia, Credentia will transmit your results to the South Carolina Department of Health and Human Services (SCDHHS). If you have met all requirements, SCDHHS will place your name on the official South Carolina Nurse Aide Registry with an "active" status. No separate physical certificate is typically mailed by SCDHHS; 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 SCDHHS Nurse Aide Registry search portal.

Maintaining Your Active Listing on the Registry: Renewal

Your active Nurse Aide listing on the South Carolina Registry is valid for 24 months (two years) from the date of your last recorded qualifying employment or initial certification date.

If you do not meet the work requirement within a 24-month period, your listing on the registry will expire. To be relisted after expiration, you will generally need to re-apply for and pass both parts of the Credentia NNAAP® Examination again. If your listing has been expired for more than 24 months, you may be required to complete a new SCDHHS-approved NATP.

Out-of-State Nurse Aides: 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 listing on the South Carolina Nurse Aide Registry through "reciprocity" (endorsement). You'll need to complete the "Interstate Endorsement Application" (available on the SCDHHS website) and submit it with required documentation, including verification from your original state of certification. If your credentials meet South Carolina's standards, you may be granted active listing on the SC Nurse Aide Registry without retaking the exam. Employment will still require South Carolina-compliant SLED background checks.

10. Real Stories: CNA Journeys in South Carolina

Jasmine's Start in Columbia

Jasmine, a recent high school graduate from Columbia, utilized the SC WINS scholarship to attend an SCDHHS-approved NATP at a local technical college. "The 100-hour program felt very thorough, especially the clinicals at a Richland County nursing home," she says. After passing her Credentia exams, Jasmine was hired by a large hospital system in Columbia and is excited about her future in healthcare.

David's Career Shift in Charleston

David, after working in the service industry for several years in Charleston, decided he wanted a career with more stability and meaning. He attended an NATP offered by a private vocational school with evening classes. "The instructors were very focused on preparing us for the NNAAP skills," David notes. He now works at a skilled nursing facility in Charleston County and enjoys the patient interaction.

Maria's Opportunity in the Upstate

Maria, from a town near Greenville, found an NATP offered by a local healthcare training center. "Living in the Upstate, I knew there were many healthcare opportunities. The program was quick and got me ready for the exam," she shares. After certification, she was quickly hired by a home health agency, providing care to clients across several counties.

11. A Day in the Life of a South Carolina CNA

A typical day for a CNA in South Carolina, whether in a bustling Charleston hospital or a nursing home in the Pee Dee region, is centered on providing compassionate and competent direct care:

South Carolina CNAs are crucial members of the healthcare team, requiring diligence, keen observational skills, and a strong commitment to resident-centered care.

12. Frequently Asked Questions (FAQs) for Aspiring South Carolina CNAs

Are criminal background checks mandatory to become a CNA in South Carolina?

Yes. Healthcare facilities in South Carolina are required by law to conduct SLED (South Carolina Law Enforcement Division) criminal background checks on employees who provide direct patient care. Employers typically initiate these checks before hiring. Certain convictions can prevent employment and affect your registry status.

Are Continuing Education Units (CEUs) required to renew my South Carolina CNA Registry listing?

No, the South Carolina Department of Health and Human Services (SCDHHS) does not mandate specific CEUs for CNA registry renewal. Renewal depends on meeting the work requirement (at least 8 hours of paid CNA work under licensed nurse supervision within the preceding 24 months). However, federal law requires nursing facilities to provide at least 12 hours of in-service education annually.

Can I work as a CNA in South Carolina while waiting for my exam results?

After completing an SCDHHS-approved Nurse Aide Training Program (NATP), you may work up to 120 days as a “nurse aide trainee” in a nursing facility while pursuing certification. You cannot work as a Certified Nurse Aide or count toward staffing ratios until you pass the exam and are active on the South Carolina Nurse Aide Registry. Employment is also contingent on clearing the SLED background check.

What if my South Carolina CNA Registry listing expires?

If your listing expires because you didn’t meet the work requirement, you cannot work as a CNA. To be relisted, you must reapply and pass both parts of the Credentia NNAAP® examination again. Listings expired over 24 months may require completing a new SCDHHS-approved NATP.

How do I transfer my out-of-state CNA certification to South Carolina (reciprocity)?

Apply for certification by endorsement with SCDHHS by submitting the “Interstate Endorsement Application,” verification of your active, good-standing out-of-state certification, and meeting South Carolina’s requirements. If approved, you may be added to the South Carolina Nurse Aide Registry without re-testing. Employer-required SLED background checks will still apply.

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

14. Advancing Your Career: Paths Beyond CNA in South Carolina

Your South Carolina CNA certification is an excellent starting point. Many CNAs in SC advance to other roles:

Many South Carolina healthcare employers, especially larger hospital systems and technical colleges, offer tuition assistance or pathways for employees pursuing further education.

15. CNA Training Costs & Financial Aid in South Carolina

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

Program Type Typical Tuition Range (SC) Additional Fees (SLED Check, Books, Uniform, Exam, etc. Estimate) Common Financial Aid Options
South Carolina Technical College $800 – $1,800 (often eligible for SC WINS) $150 – $350 (Credentia exam fee ~$130, SLED check ~$25-50, books, uniform) SC WINS, Pell Grants (if eligible), SC Works WIOA, scholarships.
Private Vocational School $1,000 – $2,500+ $200 – $450 School payment plans, WIOA, some scholarships, private loans.
Facility-Based (SNF) Training Often Free (if offered by an approved nursing facility to prospective or current employees, by federal law) Minimal or covered by facility. SLED check fee might still apply initially. Employer-sponsored.

Key South Carolina Financial Aid & Cost-Saving Tips:

Always get a detailed breakdown of ALL costs before enrolling: tuition, SLED background check fee, textbook, uniform, equipment, physical exam/TB test, CPR certification (if required separately), and the Credentia NNAAP® exam fee.

Conclusion: Start Your CNA Journey in South Carolina Today!

Becoming a Certified Nurse Aide in South Carolina is a significant and rewarding step towards a career in the healthcare field. The Palmetto State offers numerous opportunities for dedicated individuals committed to providing quality, compassionate care. By understanding South Carolina's specific requirements through SCDHHS, choosing a quality SCDHHS-approved training program, successfully navigating background check processes and the Credentia NNAAP® Examination, and committing to professional conduct, you will be well-prepared for a successful and fulfilling career.

Your journey to making a difference begins with your initiative. Use the resources in this guide to research programs in your area of South Carolina and take that important first step.

Visit the South Carolina Department of Health and Human Services (SCDHHS) Nurse Aide Registry page and the Credentia South Carolina Nurse Aide page for official program information, forms, exam details, and to embark on your path. A vital role in South Carolina's healthcare system awaits you!

References & Further Reading (South Carolina)

  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 South Carolina - 31-1131 Nursing Assistants" — www.bls.gov/oes/current/oes_sc.htm#31-1131
  3. South Carolina Department of Health and Human Services (SCDHHS) - Nurse Aide Registry — www.scdhhs.gov/service/certified-nurse-aide-registry
  4. SCDHHS - Approved Nurse Aide Training Program Search — apps.scdhhs.gov/NursingAideRegistry/TrainingProgramSearch.aspx
  5. Credentia - South Carolina Nurse Aide NNAAP® Examination — credentia.com/test-takers/sc (Access Candidate Handbook here)
  6. SC Works (for WIOA and job/training resources) — scworks.org/
  7. South Carolina Technical College System - SC WINS — www.sctechsystem.edu/students/sc-wins-scholarship.html
  8. South Carolina Board of Nursing (LLR) (for LPN, RN info) — llr.sc.gov/nurse/
  9. SLED CATCH (Citizens Access to Criminal Histories) — catch.sled.sc.gov/ (for individual background checks)