Certified Nurse Assistant (CNA)

CNA Program Information

The certified nurse assistant (CNA) training program is required by the Omnibus Nursing Home Act and Section 198.082, RSMo, 1994.

The CNA training program prepares individuals for employment in a long-term care facility. The program teaches skills in resident care under the direct supervision of a licensed nurse.

The state approved course requires the individual to complete 75 hours of classroom training, 100 hours of on-the-job training and successfully complete a two part final examination. The two part final examination includes a written (or oral) and practicum examination. Some of the topics covered include: basic nursing skills; fire safety; disaster training; resident safety and rights; and social and psychological problems of residents and the methods of caring for the mentally confused residents, such as those with Alzheimer's disease.

Some individuals may be allowed to challenge and take just the final exam (written and practical) without completing the entire course only when the individual meets special circumstances and has approval of the state agency.

Active Status

Missouri Registry Active CNA Status means that the CNA has met all the requirements for training and testing in Federal regulation 483.152 and State regulation 19 CSR 30-84.010. This individual is eligible to be employed as a CNA in a long-term care facility if there has been no finding of abuse, neglect or misappropriation of property. The employer must check to see that the individual does not have a Federal Indicator or is not listed on the Missouri Employee Disqualification List (EDL) before employing the individual.

Inactive Status

Missouri Registry Inactive CNA Status means that the DHSS records show the CNA did not perform paid nursing services of at least one (1) day in a twenty-four (24) consecutive month period of time. The CNA may not work as a Certified Nurse Assistant in a Long-Term Care (LTC) facility when listed as Inactive.

Your status may be changed from inactive to active if you have received paid employment in the provision of nursing services. You must submit a copy of your social security card, proof of employment, return address, and daytime telephone number. Proof of employment may include: (1) a letter from your employer on official letterhead verifying dates of employment, position held, and job duties; (2) copy of W-2 form; (3) copy of pay stubs; or (4) Social Security employment statement. Submit the above information to: Department of Health and Senior Services, Attn: Health Education Unit, P.O. Box 570, Jefferson City, MO 65102.

If you cannot show proof of paid employment in the provision of nursing services for a two-year period of time you may request to challenge the examination by submitting a copy of your social security card, return address and a daytime telephone number to the above address.

All employment documentation will be verified. The DHSS will notify the individual in writing within seven (7) to ten (10) working days regarding the request.

If the individual has a Certified Medication Technician (CMT) certificate or Insulin Administration (IA) certificate, these certifications are also inactive. When the individual has regained Active CNA status, the CMT and IA certifications will also be considered Active.

Expired Status

Missouri Registry Expired CNA Status means that the DHSS records show the CNA did not perform paid nursing services in five (5) consecutive years. The CNA cannot work as a Certified Nurse Assistant in a Long-Term Care (LTC) facility when listed as Expired.

The CNA must submit proof of paid nursing service employment or take the entire CNA course. Proof of employment may include: (1) a letter from your employer on official letterhead verifying dates of employment, position held, and job duties; (2) copy of W-2 form; (3) copy of pay stubs; or (4) Social Security employment statement. Submit the above information to: Department of Health and Senior Services, Attn: Health Education Unit, P. O. Box 570, Jefferson City, MO 65102.

All employment documentation will be verified. The DHSS will notify the individual in writing within seven (7) to ten (10) working days regarding the request.

If the individual has a Certified Medication Technician (CMT) certificate or Insulin Administration (IA) certificate, these certifications are also expired. When the individual has regained Active CNA status, the CMT and IA certifications will also be considered Active.

Federal Indicator Status

Federal Regulation 42 CFR 483.75 requires the Registry to document any findings against a CNA of Abuse, Neglect, or Misappropriation of Property. Any individual who is a CNA, employed in a certified facility and found guilty of Abuse, Neglect, or Misappropriation of Property will receive a Federal Indicator on the Missouri State Registry.

Certified long-term care facilities and the long-term care wing of a hospital are prohibited from allowing a person to work or volunteer, in any capacity, whose name appears on the Registry with a Federal Indicator. These providers are required to check the Registry before allowing the individual to work or volunteer and they must not continue to employ a person whose name appears on the Registry with a Federal Indicator.

CNA Registry verification is required of employers before allowing an individual to serve as a Certified Nurse Assistant. The employer must seek Registry verification from all states the facility believes will have information on the individual.

CNA Challenge

Receiving approval to challenge means that individuals who meet special criteria (listed below) are not required to take the entire certified nurse assistant course but rather will be allowed to take just the final examination (written and practical) to become a CNA in Missouri

Individuals meeting any of the above requirements must submit a written request to the DHSS at the address listed in the right bar. Each request must include a clear copy of the individual's social security card; return address, a daytime telephone number and all additional documentation.