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CNA Classes in Missouri: 147 State-Approved Programs (2026)

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CNA Classes in Missouri: Programs, Costs, and State Requirements

Published June 18, 2026 · Last updated June 18, 2026

Missouri runs 147 state-approved CNA programs across 92 cities, which puts it 18th of 50 states for the number of training options. From St. Louis, where 20 programs cluster, out to Kansas City, Joplin, and Poplar Bluff, you have real choices close to home. Missouri also asks for 175 training hours, including 100 hours of clinical practice, well above the federal minimum of 75 hours (OBRA ’87), so you finish prepared rather than barely qualified.

Sourced from Missouri DHSS registrySourced from DHSSBLS salary dataBLS dataLast verified Jun 18, 2026Verified Jun 18
Illustration of a certified nursing assistant caring for an elderly patient, CNA classes in Missouri

AT A GLANCE

Your Missouri CNA path

Four steps from interest to certification. Most students complete this in 6–8 weeks.

  1. Step 1.Complete 175 hours of approved training.
  2. Step 2.Finish 100 supervised clinical hours.
  3. Step 3.Pass the D&S Diversified / Headmaster written and skills exam.
  4. Step 4.Get listed with the Missouri Nurse Aide Registry.
See the full How to Become guide →

Key numbers before you compare programs

Typical program length
4–16 weeks
Typical paid program cost
$150–$3,674
Average CNA salary
$37,680/yr (BLS, May 2025)
Reciprocity accepted
Yes, from all states

All 147 state-approved Missouri CNA programs

Sort by cost, length, format, or city. Filter with the chips above the table. Click any row to expand full address, phone, clinical site, and next cohort.

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How this list works. Every program below is state-approved by the Missouri Nurse Aide Registry (MO DHSS). Cost, length, and format come directly from each program’s published materials. Blanks (“N/A”) mean the program hasn’t published that detail yet. Programs with a linked name have a verified profile we maintain. Last verified June 18, 2026.
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Showing 1–25 of 147
ProgramCityFormatLengthTotal CostSponsored

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Showing 1–25 of 147

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Fastest CNA programs in Missouri

Three Rivers College in Poplar Bluff is the quickest clearly-dated path in Missouri, finishing in about 4 weeks, with Taylor Nursing Academy in Grandview close behind near 5 weeks. Most programs run somewhere between 4 and 16 weeks, and a lot of career-center listings simply say “contact school” because their calendar follows a school term. Whatever the pace, every approved program meets the same 175-hour requirement, including 100 clinical hours, and sends you to the same state exam.

ProgramCityLengthTotal CostSponsored

Schedules verified June 18, 2026, sourced from each program’s published calendar.

Is a 4-week CNA program in Missouri long enough?

Here is the honest math behind “fast” in Missouri. Even the 4-week program at Three Rivers College still has to deliver all 175 training hours the state requires, including 100 clinical hours. A shorter calendar does not cut the hours; it packs them into longer or more frequent days.

That tradeoff is real. A 4-week sprint can mean full days, five days a week. A 9-week format like Eldon Career Center spreads the same requirement across a gentler week. Neither is better in the abstract; one fits your life and the other might not.

Because Missouri’s 175-hour bar sits well above the federal minimum of 75 training hours (OBRA ’87 / 42 CFR 483.152), even your fastest option here covers more supervised ground than a minimum-hour course would. Anchor your timeline on the hour requirement, not a marketing promise of speed. For the full step-by-step, see our how to become a CNA in Missouri guide.

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Online, hybrid, weekend & evening CNA programs in Missouri

If your week is already full, Missouri has CNA programs built around that. St. Charles Community College and Cass Career Center in Harrisonville both run hybrid tracks, and the Missouri Association of Nursing Home Administrators in Jefferson City lists a hybrid format too; evening options exist as well. Be clear on what “hybrid” means here, though: the theory coursework can move online or onto your own schedule, but the skills lab and Missouri’s 100 required clinical hours always happen in person at a facility. Online-only CNA training is not offered in Missouri, and cannot be, because the state has to watch you perform bedside skills before it certifies you.

ProgramCityFormatLengthTotal CostSponsored

Format and schedule options verified June 18, 2026. Confirm current online, hybrid, evening, and weekend availability with each program.

Which flexible format is right for working adults?

The “online CNA classes” you see advertised in Missouri are really hybrid programs like the one at St. Charles Community College: the lecture and reading move online, while the hands-on portion stays at a clinical site. That split genuinely helps if you work days, because you can study infection control at night and save your scheduled in-person time for the skills that need a lab.

The format is not limited to one metro. Cass Career Center in Harrisonville runs a hybrid track, and the Missouri Association of Nursing Home Administrators in Jefferson City lists one too, so you can often find the split-delivery option within driving distance of a mid-size Missouri city.

Evening and hybrid formats solve a scheduling problem, not an hours problem. You still owe Missouri the full 175 training hours, including 100 clinical hours, no matter how the theory reaches you, and the clinical hours are in person, on a set schedule. A hybrid program bends the classroom half around your life and the clinical half barely at all, so check the clinical calendar before you assume the whole thing flexes.

If a Missouri program sells itself as online-only, treat that as a warning sign. Brush up on what the in-person portion actually involves with our CNA skills test walkthroughs so the lab days do not catch you off guard.

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Cheapest CNA programs in Missouri

Missouri’s lowest sticker prices barely register. Franklin Technology Center in Joplin lists its CNA course at $0, and Three Rivers College in Poplar Bluff and the St. Joseph Youth Alliance run no-cost seats too. Across the state, 12 programs sit at or near $0. If you are paying out of pocket, the cheapest paid course is Pemiscot County Career & Technical Center in Hayti, which starts around $150. Price, though, is one input, not the whole decision.

ProgramCityLengthTotal CostSponsored

Costs verified June 18, 2026, sourced from each program’s published tuition materials.

Is the cheapest CNA program always the best value in Missouri?

A $0 seat at Franklin Technology Center and the $150 course at Pemiscot County in Hayti both meet the same 175-hour requirement, including 100 clinical hours, and sit for the same state exam. “Free” here does not mean “shorter” or “lighter,” and that is the first thing worth checking before you enroll.

What the price tag hides is schedule and seat availability. Many of Missouri’s no-cost seats run through high schools, career centers, and workforce programs like the St. Joseph Youth Alliance, which means fixed cohorts rather than open enrollment. A $150 program in Hayti you can start soon sometimes beats a $0 seat that has no opening until the next school term.

Look at total cost, too. A no-tuition seat still carries the $135 exam fee through D&S Diversified, and extra costs like supplies and a background check can apply, so ask each program for the all-in figure. Read the fine print so a “free” program is genuinely free for your situation, not just free on the tuition line.

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Free & employer-sponsored CNA training in Missouri

Missouri has 14 CNA programs funded through government grants and scholarships, genuine no-tuition routes that cost you nothing for the course itself. A separate handful of programs are employer-sponsored, where a facility covers your training. Both are real ways to skip tuition, but they work differently and carry different conditions, so it pays to know which is which before you count on one.

Free programs you can enroll in directly

ProgramCityLengthTotal CostSponsored

Government-funded & scholarship-eligible programs

Funding sourceEligible programsEligibility notesApply
Missouri Medicaid Nurse Assistant Training and Competency Evaluation reimbursementApply →

One Missouri-specific catch: the state’s Medicaid training reimbursement only pays back money you actually spent, so it fits a paid program rather than a seat that already cost you nothing. Pick the single funding route that fits your situation, then confirm the terms with the Missouri Nurse Aide Registry before you count on it.

What’s the catch with free CNA training in Missouri?

Start with the 14 government-funded and scholarship seats, like the no-cost course at Three Rivers College in Poplar Bluff. Because these are funded routes, they usually carry their own eligibility rules, so check each program. You apply to the funding source as well as the school, and approval can take time, so start the paperwork early.

Employer-sponsored training works on a different model. Here a facility funds your CNA course in exchange for a commitment to work there after you certify. That can be a fair arrangement if you already want to work for that employer, but it ties your start to them, so read the agreement, including how long the commitment runs, before you sign anything.

Missouri also runs a Medicaid Nurse Assistant Training and Competency Evaluation reimbursement program, which can pay back training costs for eligible aides; the Missouri Nurse Aide Registry has the current eligibility rules. Because it refunds money you actually spent, it fits a paid program rather than a seat that already cost you nothing.

The practical takeaway: a “no-cost” label can mean very different things in Missouri. One route asks you to qualify, another asks for a work commitment, and a third refunds you later. Confirm the terms of any route before you rely on it to carry the bill.

CNA salary in Missouri

BLS wage data for Missouri and its top 3 metros.

Missouri CNAs earn a median of $18.11 an hour, about $37,680 a year, according to BLS OEWS data from May 2025. That runs roughly 10.4% below the national median of $20.21, which places Missouri 41st of 50 states for CNA pay. The lowest-paid tenth earn near $15.07 an hour, while the highest-paid tenth reach about $21.76. Those are the real numbers to plan your budget around.

Entry-level (10th)
$15.07/hr
$31,346/yr
Median (50th)
$18.11/hr
$37,680/yr
Top end (90th)
$21.76/hr
$45,261/yr

Pay by setting in Missouri

SettingMedian hourlyNotes
Hospitals$19.02/hrEstimated from the state wage distribution
Skilled nursing / SNF$18.11/hrEstimated
Assisted living / residential$16.84/hrEstimated

Setting figures are estimated from the verified Missouri wage distribution (U.S. Bureau of Labor Statistics, OEWS (Nursing Assistants, 31-1131), Missouri, May 2025); actual pay varies by employer.

Where you work moves the number in Missouri. Hospitals pay CNAs a median of $19.02 an hour, skilled nursing facilities about $18.11, and assisted living closer to $16.84, so the setting is worth weighing as you compare programs and employers. The other half of the picture is reach. St. Louis alone lists 20 approved programs and Kansas City 9, with Joplin, Jefferson City, and Bolivar each carrying 4, so the bigger metros hand you the widest choice of where to train. If you are thinking past the CNA role, our CNA-to-LPN bridge guide and CNA-to-RN bridge guide lay out the next steps.

Sources: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (May 2025), occupation 31-1131. Cost-of-living differential: Bureau of Economic Analysis Regional Price Parities (2024).

NEXT STEP

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Missouri SNAPSHOT

What makes CNA training in Missouri different

State-specific context (hours, exam vendor, and funding density) now that you’ve seen the options.

TRAINING HOURS

175 hours (100 clinical)

Missouri requires 175 training hours including 100 clinical, which is 2.3 times the federal 75-hour minimum (OBRA '87).

EXAM VENDOR

D&S Diversified, $135

A 75-question knowledge exam plus a separate 30-minute skills test, offered in English and Spanish.

PROGRAM COUNT

147 approved programs

Spread across 92 cities, with course costs running from $0 to $3,674 depending on the program.

Above-floor training hours
Programs in 92 cities
Spanish exam available

175 training hours, well above the federal minimum of 75

Missouri sets its CNA minimum at 175 training hours, including 100 clinical hours. That total is 2.3 times the federal floor of 75 training hours, and the 100 clinical hours are 6.2 times the 16 clinical hours those federal rules require (OBRA '87 / 42 CFR 483.152). Every approved program meets this same standard, whether you pay $0 or $3,674, finish in 4 weeks or 16. The payoff is more supervised, hands-on practice before you reach the exam.

D&S Diversified runs the exam in English and Spanish

Missouri uses D&S Diversified Technologies / Headmaster for the Missouri Nurse Aide Competency Exam. It has two parts: a 75-question knowledge test, available as a standard or audio exam, and a separate 30-minute skills test where an evaluator watches you perform hands-on tasks. The full exam costs $135, and it is offered in English and Spanish.

Honest pay, with options in every metro

Missouri pays CNAs a median of $18.11 an hour, about 10.4% below the national $20.21, which places it 41st of 50 states for pay. Setting matters: hospitals pay a median of $19.02 an hour against $16.84 in assisted living. The breadth is the brighter side, with 147 programs across 92 cities, led by St. Louis at 20 and Kansas City at 9.

Bottom line for Missouri students

Missouri gives you 147 programs across 92 cities and trains you well above the federal minimum, so pick a format you can finish and target the higher-paying hospital settings.

CNA classes by city in Missouri

St. Louis leads Missouri with 20 approved programs, and Kansas City follows with 9. You do not have to be in a big metro, though: Bolivar, Joplin, and Jefferson City each carry 4, and Columbia, West Plains, and Lee’s Summit 3 apiece.

Top 10 Missouri metros by program count

  • St. Louis20 programs
  • Kansas City9 programs
  • Bolivar4 programs
  • Joplin4 programs
  • Jefferson City4 programs
  • Columbia3 programs
  • West Plains3 programs
  • Lee's Summit3 programs
  • Raytown2 programs
  • Blue Springs2 programs

Missouri Nurse Aide Registry: contacts & reference

The Missouri Nurse Aide Registry, run by the Missouri Department of Health and Senior Services, handles your certification and renewals, on a 24-month cycle with a $20 renewal fee.

Managing agencyMissouri Department of Health and Senior Services
Phone(573) 526-5686
Websitehealth.mo.gov
Typical processingN/A
Renewal windowEvery 24 months
Fee structureNo separate initial registry fee published; CNA renewal fee is $20.00

Always verify with the registry directly before enrolling. Approved-program lists update periodically.

Frequently asked questions

Quick, straight answers to common questions from Missouri CNA students, covering renewal, reciprocity, felony eligibility, and the Nurse Aide Competency Exam.

How do I renew my CNA license in Missouri?
You renew your Missouri CNA certification every 24 months through the Missouri Nurse Aide Registry, and the renewal fee is $20. The registry is run by the Missouri Department of Health and Senior Services. Because the exact steps and any work-hour requirement can change, confirm the current renewal process directly with the Missouri Nurse Aide Registry before your listing comes due.
Can I transfer my CNA license to Missouri?
Yes. Missouri accepts CNA reciprocity from all states through the Missouri Nurse Aide Registry. You apply to be added to the registry based on your current out-of-state certification rather than retaking Missouri’s 175 hours of training. Because the exact documents and conditions can change, confirm the current reciprocity requirements with the Missouri Nurse Aide Registry before you apply.
How to transfer CNA from Missouri to Kansas?
Moving your certification from Missouri to Kansas is handled by the destination state’s registry, not the Missouri Nurse Aide Registry. What Missouri can do is verify that you are in good standing on its registry, which is the piece the receiving state will ask for. For Missouri’s part of the process, contact the Missouri Nurse Aide Registry, and check the receiving state’s registry for its current reciprocity requirements before you rely on the transfer.
Can you be a CNA with a felony in Missouri?
It depends, and our verified data does not spell out how a felony affects CNA eligibility in Missouri. What we can say is that the Missouri Nurse Aide Registry (Missouri Department of Health and Senior Services) reviews eligibility, so confirm your specific situation with them before you pay for training or the $135 exam.
How many questions are on the Missouri CNA test?
The Missouri Nurse Aide Competency Exam has a 75-question knowledge portion, offered as a standard or audio exam, plus a separate 30-minute skills test. It is administered by D&S Diversified Technologies / Headmaster and offered in English and Spanish, and the full exam costs $135. Confirm the current question count and format with the testing vendor before your test date.
What is the passing score for the CNA written exam in Missouri?
Missouri does not publish an official passing score for the written portion of the Missouri Nurse Aide Competency Exam in our verified data, so plan to confirm it with the testing vendor, D&S Diversified Technologies / Headmaster. The knowledge test has 75 questions and is paired with a 30-minute skills test, and the full exam costs $135. Verify the current passing standard with the vendor before you test.
Can I challenge the CNA exam in Missouri?
Whether you can sit the Missouri Nurse Aide Competency Exam without completing an approved course is not spelled out in our verified data, so it is a question for the Missouri Nurse Aide Registry. Standard certification in Missouri requires 175 training hours, including 100 clinical hours. Confirm any challenge or equivalency option directly with the Missouri Nurse Aide Registry before you count on it.
What happens if your CNA license expires in Missouri?
If your Missouri CNA certification lapses, the steps to return to active status are set by the Missouri Nurse Aide Registry, and our verified data does not spell them out. What we can confirm is that Missouri uses a 24-month renewal cycle with a $20 renewal fee. Contact the Missouri Nurse Aide Registry (Missouri Department of Health and Senior Services) for the current reinstatement process before assuming you can keep working.
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