CNA Classes in Tennessee
Start your healthcare career in the Volunteer State. Tennessee offers affordable training, a cost of living 10% below the national average, and competitive CNA wages averaging $31,000 annually across Nashville, Memphis, Knoxville, and communities statewide.
Become a CNA in Tennessee
Tennessee's thriving healthcare sector offers excellent opportunities for Certified Nursing Assistants throughout the Volunteer State. From the major medical centers of Nashville, Memphis, and Knoxville to healthcare facilities in Chattanooga, Clarksville, Murfreesboro, and communities across all three Grand Divisions, CNAs play essential roles in hospitals, long-term care facilities, assisted living centers, and home health agencies. Tennessee's growing population and expanding healthcare infrastructure create consistent demand for qualified nursing assistants statewide.
The Tennessee Department of Health regulates CNA certification through the Tennessee Nurse Aide Registry, with testing administered by Prometric. Tennessee requires a minimum of 75 hours of training—meeting federal standards—including classroom instruction and supervised clinical practice. Training programs are available at community colleges including Nashville State Community College, Southwest Tennessee Community College in Memphis, Chattanooga State Community College, Pellissippi State in Knoxville, and numerous healthcare facilities offering employer-sponsored programs. Tennessee CNAs earn a median salary of $31,200 annually ($15/hour), with the state's cost of living 10% below the national average providing strong purchasing power. Major employers include HCA Healthcare (headquartered in Nashville), Vanderbilt University Medical Center, UT Medical Center in Knoxville, Regional One Health in Memphis, and Erlanger Health System in Chattanooga.
Find TN Department of Health-Approved CNA Programs
Compare training programs across Tennessee, from Nashville and Memphis to Knoxville, Chattanooga, and communities throughout the state. Review costs, schedules, and start your certification journey.
Browse CNA SchoolsHow to Become a CNA in Tennessee
Follow these three steps to earn your CNA certification and join the Tennessee Nurse Aide Registry
Complete State-Approved Training
Enroll in a nurse aide training program approved by the Tennessee Department of Health. Programs must include at least 75 hours of instruction combining classroom theory and supervised clinical practice at a licensed healthcare facility. The curriculum covers essential topics including basic nursing skills, personal care procedures, infection control, safety and emergency procedures, communication and interpersonal skills, residents' rights, mental health awareness, and nutrition. Training programs are available at community colleges including Nashville State Community College, Southwest Tennessee Community College in Memphis, Chattanooga State Community College, Pellissippi State Community College in Knoxville, and Volunteer State Community College in Gallatin, as well as technical schools, private training centers, and numerous healthcare facilities throughout Tennessee offering employer-sponsored training. Programs in major cities like Nashville, Memphis, Knoxville, and Chattanooga typically offer both accelerated and part-time options. You must be at least 18 years old to enroll in most Tennessee programs. Tennessee does not require a high school diploma for training, though individual programs may have their own prerequisites. Full-time programs complete in 3-4 weeks with intensive daily schedules, while part-time options accommodate working students over 6-8 weeks with evening or weekend classes. Upon completion, your training facility will provide documentation verifying your hours and eligibility to test.
Pass the Prometric Competency Exam
After completing training, register for the Tennessee CNA competency exam through Prometric. The exam fee is $110 for both components. The exam consists of two mandatory parts: the Written (or Oral) Knowledge Test with 60 multiple-choice questions covering basic nursing skills, personal care, infection control, safety procedures, communication, and residents' rights (90-minute time limit, minimum 70% score required to pass), and the Clinical Skills Evaluation where you demonstrate five randomly selected nursing assistant skills from the approved list including mandatory handwashing plus four additional skills. Skills may include measuring vital signs (blood pressure, pulse, respiration, temperature), assisting with ambulation and transfers, positioning patients, performing range of motion exercises, providing personal care including bathing and grooming, catheter care, feeding assistance, or making occupied beds. The oral exam is available in English and Spanish upon request. You must pass both components to earn certification. If you fail either section, you may retake only the failed portion up to two additional times. Tennessee allows three total testing attempts within two years of training completion; if you fail all three, you must complete a new approved training program. Testing is available at Prometric centers in Nashville, Memphis, Knoxville, Chattanooga, and other Tennessee locations throughout the year. Under federal OBRA regulations, if you're employed by or receive an offer from a Medicare/Medicaid-certified facility, your employer must pay all testing and retesting fees.
Get Listed on the Registry
Once you pass both exam components, Prometric reports your results to the Tennessee Department of Health, and your name is added to the Tennessee Nurse Aide Registry within 7-10 business days. You can verify your certification status online through the Tennessee Department of Health website. Tennessee does not issue a physical license card—certification status is verified electronically through the registry. Your certification is valid for 24 months and allows you to work as a CNA in nursing homes, hospitals, assisted living facilities, rehabilitation centers, and home health agencies throughout Tennessee. To maintain active status, you must work at least 8 hours of paid nursing or nursing-related services for compensation within each 24-month period. Tennessee offers reciprocity for CNAs certified in other states—if you hold a current, active CNA certification from another state and are in good standing on that state's registry, you may apply for Tennessee certification by endorsement without retraining or retesting. The endorsement process requires submitting verification of your out-of-state certification and completing a Tennessee background check. Important: Before beginning work, you must complete a criminal background check as required by Tennessee healthcare employers. Many facilities also require TB testing, immunization records, and CPR certification before employment begins.
Frequently Asked Questions
Get answers to common questions about CNA certification in Tennessee
CNA Certification Renewal in Tennessee
Tennessee CNA certification must be renewed every 24 months to remain active on the Tennessee Nurse Aide Registry. To maintain active status, you must work at least 8 hours of paid nursing or nursing-related services for compensation within each 24-month certification period. This work requirement ensures that CNAs remain engaged in healthcare practice and maintain current clinical skills. The work must be performed under the supervision of a licensed nurse (RN or LPN) in an approved healthcare setting such as a nursing home, hospital, assisted living facility, or home health agency.
Tennessee does not require formal continuing education units (CEUs) for basic CNA renewal—the employment requirement is the primary qualification. However, many employers provide ongoing in-service training and education as part of their employee development programs, which can enhance your skills and career advancement opportunities. Renewal can be processed through the Tennessee Department of Health. If your certification expires but you completed the 8-hour work requirement within the previous 24 months, you may be eligible for reinstatement. However, if your certification has been expired for more than 24 months or you did not meet the work requirement, you must complete a new state-approved 75-hour training program and pass both the written and clinical skills examinations again. To verify your renewal status and ensure your certification remains active, check the Tennessee Nurse Aide Registry online through the Tennessee Department of Health website at tn.gov/health. For questions about renewal procedures or requirements, contact the Tennessee Department of Health, Health Related Boards at (615) 532-5171.
- Work at least 8 hours of paid nursing services within 24 months
- Renewal period: Every 24 months from certification date
- No formal CEU requirement for basic renewal
- Work must be under RN or LPN supervision in approved setting
- Expired under 24 months with work requirement met: May reinstate
- Expired over 24 months: Must retrain (75 hours) and retest
Career Outlook in Tennessee
Tennessee offers affordable living, no state income tax, and growing healthcare opportunities statewide
Competitive Wages & No State Tax
Tennessee CNAs earn a median salary of $31,200/year ($15/hour). With a cost of living 10% below the national average and NO state income tax, take-home pay is excellent. Nashville, Memphis, and Knoxville offer the highest wages and most opportunities.
Major Healthcare Systems
Work at leading institutions including HCA Healthcare/TriStar Health, Vanderbilt University Medical Center, UT Medical Center, Erlanger Health, Regional One Health in Memphis, Methodist Le Bonheur, and Baptist Memorial facilities statewide.
Strong Job Growth
CNA employment in Tennessee projected to grow 10-12% through 2030. Growing population, healthcare expansion in major cities, and aging demographics create consistent demand in hospitals, long-term care, assisted living, and home health agencies.
CNA Requirements in Neighboring States
Explore certification requirements in nearby states
Official Resources
Access official links and contact information for Tennessee CNA certification
TN Department of Health
Official state agency managing the Tennessee Nurse Aide Registry and certification oversight.
Visit WebsitePrometric Testing
Schedule your Tennessee CNA competency exam and access test preparation resources.
Schedule ExamRegistry Search
Verify CNA certification status on the Tennessee Nurse Aide Registry online.
Search RegistryNashville State Community College
Approved CNA training programs in Nashville with flexible schedules and affordable tuition.
View ProgramsPrometric Support
Questions about testing, scheduling, or exam preparation? Contact Prometric customer service.
Call: 1-800-274-1996