
How to Become a CNA: Training, Certification, and Programs Near You (Texas Edition)
If you’re looking to build a rewarding career in healthcare without spending years in school, becoming a Certified Nurse Aide (CNA) in Texas is a great option. CNAs are vital members of the healthcare team, offering hands-on care and emotional support to patients in hospitals, nursing homes, and long-term care facilities. In this guide, we’ll walk you through the complete process of how to become a Certified Nurse Aide in Texas—from eligibility and training to exams, certification, and employment opportunities. Who is a Certified Nurse Aide (CNA)? A Certified Nurse Aide (often called a nursing assistant or nurse’s aide) helps patients with daily activities such as bathing, dressing, eating, and mobility. CNAs also monitor vital signs, report patient conditions, and ensure comfort and cleanliness. In Texas, they work under the supervision of a Registered Nurse (RN) or Licensed Vocational Nurse (LVN). Why Become a CNA in Texas? ✅ High Demand With an aging population and expanding healthcare services, CNAs are in high demand across Texas. ✅ Quick Certification You can become certified in as little as 4 to 12 weeks depending on the program. ✅ Affordable Training Most CNA training programs in Texas are affordable, and some are even covered by employers or government assistance. ✅ Job Flexibility CNA roles are available in various settings like hospitals, assisted living centers, home health agencies, and rehabilitation facilities. Step-by-Step Process to Become a CNA in Texas Step 1: Meet the Basic Eligibility Criteria To enroll in a CNA training program in Texas, you must: Be at least 18 years old (some programs allow 16+ with parental consent) Have a high school diploma or GED (varies by institution) Pass a criminal background check Be physically fit and able to lift patients if necessary Provide immunization records (especially TB test and COVID-19 vaccination) Have a valid ID and Social Security number Step 2: Enroll in a State-Approved CNA Training Program In Texas, CNA training programs must be approved by the Texas Health and Human Services (HHS). These programs typically include: 60 hours of classroom instruction 40 hours of hands-on clinical training Topics covered include: Basic nursing skills Infection control Emergency procedures Patient rights Communication and interpersonal skills Safety protocols Where to Find CNA Training Programs in Texas: Community colleges Vocational schools Private healthcare institutes Long-term care facilities (some offer free training with job commitment) 💡 Tip: Choose a program that prepares you for the state competency exam and provides clinical experience in a real healthcare setting. Step 3: Pass the Texas Nurse Aide Competency Exam After completing your training, you must pass the Texas Nurse Aide Competency Evaluation, administered by Pearson VUE on behalf of the state. The exam has two parts: Written (or Oral) Exam – 70 multiple-choice questions Skills Evaluation – Demonstrate 5 randomly selected nursing assistant skills (like handwashing, measuring vital signs, patient positioning, etc.) You must pass both parts to be added to the Texas Nurse Aide Registry. Exam Tips: Practice all core skills until you’re confident Stay calm and professional during the clinical demonstration Review mock test questions and use official CNA exam prep books or online tools Step 4: Get Listed in the Texas Nurse Aide Registry Once you pass the competency exam, your name will be added to the Texas Nurse Aide Registry. This registry is maintained by the Texas Health and Human Services Commission and verifies that you’re legally eligible to work as a CNA in Texas. You will then officially be a Certified Nurse Aide and can start applying for jobs. Step 5: Start Applying for CNA Jobs in Texas Texas offers a wide variety of employment options for CNAs. Popular workplaces include: Hospitals (e.g., Texas Health, Baylor Scott & White) Long-term care and nursing homes Home healthcare agencies Hospice centers Rehabilitation clinics CNA Job Titles May Include: Nursing Assistant Patient Care Technician Health Aide Caregiver Direct Support Professional 💼 Tip: Tailor your resume to highlight your CNA certification, clinical training experience, and soft skills like empathy, patience, and communication. How to Renew Your CNA Certification in Texas CNA certifications in Texas must be renewed every 2 years. To be eligible for renewal: You must have worked at least 24 hours as a paid CNA during the past 2 years Your employer must verify your work hours No additional training is required unless your certification has expired If your certificate has expired, you may need to retake the competency exam or training, depending on how long it’s been inactive. How Much Does a CNA Earn in Texas? As of 2025, the average salary for CNAs in Texas is around $32,000 to $38,000 per year, depending on location, experience, and employer. Top-paying cities for CNAs in Texas include: Houston Dallas Austin San Antonio Fort Worth You may also earn extra pay for night shifts, weekend work, or working in specialized units like ICU or hospice care. Career Advancement Opportunities Being a CNA can be a stepping stone to other healthcare roles. With additional education and experience, CNAs often go on to become: Licensed Vocational Nurses (LVNs) Registered Nurses (RNs) Medical Assistants Physical Therapy Aides Healthcare Administrators Some employers even offer tuition assistance or scholarships to CNAs who want to continue their education. Conclusion Becoming a Certified Nurse Aide in Texas is a fast and fulfilling path into the healthcare field. Whether you’re just starting out, switching careers, or want to make a difference in people’s lives, the CNA role is a fantastic starting point. By following the steps above—meeting the requirements, completing a state-approved program, passing your exams, and getting listed in the Nurse Aide Registry—you’ll be well on your way to a meaningful and stable career in Texas healthcare.