CNA Classes in Tennessee | Certified Nursing Assistant Training Programs
TN Department of Health Approved

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.

75
Training Hours
$110
Exam Fee
$31,200
Median Salary
3-8 Wks
Program Length

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.

Quick Facts
Regulatory Body TN Dept of Health
Exam Provider Prometric
Training Hours 75 minimum
Classroom Hours Varies by program
Clinical Hours Included in 75
Exam Fee $110
Renewal Period 24 months

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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.

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How to Become a CNA in Tennessee

Follow these three steps to earn your CNA certification and join the Tennessee Nurse Aide Registry

1

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.

2

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.

3

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

The timeline to become a CNA in Tennessee typically ranges from 4 to 10 weeks from enrollment to certification. Tennessee requires a minimum of 75 hours of training combining classroom instruction and supervised clinical practice, which meets federal standards while providing comprehensive preparation for professional nursing assistant careers. Full-time accelerated programs at institutions like Nashville State Community College, Southwest Tennessee Community College in Memphis, Pellissippi State in Knoxville, and Chattanooga State can be completed in as little as 3-4 weeks with intensive daily schedules Monday through Friday. Standard programs typically run 4-6 weeks with morning or afternoon sessions. Part-time programs accommodate working students with evening or weekend classes and generally take 6-8 weeks to complete. Many healthcare facilities throughout Tennessee's major cities including Nashville, Memphis, Knoxville, Chattanooga, Clarksville, and Murfreesboro offer employer-sponsored training programs with flexible schedules based on facility needs and employee availability. After completing training, you'll register with Prometric to schedule your competency exam. Testing is available at Prometric centers in Nashville, Memphis, Knoxville, Chattanooga, and other locations throughout Tennessee's three Grand Divisions. Exam results are typically provided immediately after the skills test, with official scores processed within a few business days. Once you pass both components, your name is added to the Tennessee Nurse Aide Registry within 7-10 business days. Most students complete the entire process—from first day of class to active registry status—within 5 to 12 weeks, making Tennessee one of the more efficient states for CNA certification.
CNA training costs in Tennessee are very affordable, typically ranging from free to approximately $1,500 depending on the program type and institution. Community colleges including Nashville State Community College, Southwest Tennessee Community College in Memphis, Pellissimi State in Knoxville, Chattanooga State, Volunteer State in Gallatin, and Roane State in Harriman offer programs ranging from $600 to $1,200 for Tennessee residents. These institutions receive state funding for workforce development programs, making them the most cost-effective options. Tuition at community colleges often includes textbooks, supplies, and materials needed for training. Private vocational schools and healthcare training academies throughout Tennessee typically charge $1,000-$1,500 but often provide accelerated schedules, smaller class sizes, and convenient locations in Nashville, Memphis, Knoxville, and other cities. Many nursing homes and long-term care facilities across Tennessee offer FREE CNA training through employer-sponsored programs in exchange for employment commitments of 6-12 months after certification. This "earn while you learn" model is particularly common in rural areas of Middle Tennessee, East Tennessee, and West Tennessee experiencing healthcare worker shortages. Under federal OBRA regulations, if you're employed by or receive an offer from a Medicare/Medicaid-certified nursing facility, your employer must pay all training and testing costs. In addition to tuition, budget for the $110 Prometric exam fee (covering both written and skills components), required immunizations and health screenings ($100-$200), scrubs and clinical supplies ($50-$100), and CPR/BLS certification if not included in your program ($40-$75). Tennessee residents may qualify for financial assistance through Tennessee Department of Labor and Workforce Development programs, Federal Pell Grants for eligible students, or Tennessee Promise (free community college for eligible high school graduates).
The Tennessee CNA competency exam is administered by Prometric and consists of two mandatory components that comprehensively test your knowledge and practical nursing skills. The Written Knowledge Test contains 60 multiple-choice questions with a 90-minute time limit. You must score at least 70% (42 correct answers) to pass. Questions cover: Basic Nursing Skills (vital signs, positioning, transfers, mobility assistance), Personal Care Procedures (bathing, dressing, grooming, toileting, elimination), Infection Control (handwashing, standard precautions, PPE use, isolation procedures), Safety and Emergency Procedures (fall prevention, fire safety, emergency response, use of restraints), Communication and Interpersonal Skills (therapeutic communication, cultural sensitivity, resident interactions, reporting and documentation), Residents' Rights (privacy, dignity, independence, informed consent, confidentiality), Mental Health and Social Service Needs (emotional support, behavior management, coping with loss, end-of-life care), and Role of the Nurse Aide (scope of practice, legal responsibilities, ethical behavior). The Oral Examination is available upon request in English or Spanish for candidates who prefer auditory testing or have reading difficulties. The Clinical Skills Evaluation requires you to demonstrate five randomly selected nursing assistant skills in front of a trained evaluator with approximately 30 minutes to complete all skills. The mandatory skill is handwashing/hand hygiene, plus four additional skills randomly selected from the approved skills list. Common skills include measuring blood pressure, pulse, respiration, or temperature; assisting with ambulation or transfers using proper body mechanics and safety equipment; performing range of motion exercises; providing perineal care; catheter care; feeding assistance; positioning in bed; or making an occupied bed. You must perform each skill competently according to the standardized checklist focusing on safety, infection control, patient dignity, and proper technique. Testing centers are located throughout Tennessee including Nashville, Memphis, Knoxville, Chattanooga, Johnson City, Jackson, and other communities.
Tennessee accepts CNA certifications from other states through reciprocity, allowing you to transfer your credentials without retraining or retesting if you meet specific eligibility requirements. To qualify for reciprocity, you must hold a current, active CNA certification in good standing from another state's nurse aide registry, have no findings of abuse, neglect, or misappropriation of resident property on any state registry, have completed a training program that meets or exceeds federal requirements (minimum 75 hours with both classroom and clinical components), and your out-of-state certification must not have been expired for more than 24 months. To apply for reciprocity, contact the Tennessee Department of Health, Health Related Boards. You can find the reciprocity application form on the Tennessee Department of Health website at tn.gov/health. Submit the completed application along with verification of your current CNA certification from your state's registry (most states can send this electronically), proof of completion of a state-approved training program if required (diploma, certificate, or official transcript), and payment for any applicable processing fees. Tennessee requires a criminal background check as part of the reciprocity process, which you can complete through approved vendors including the Tennessee Bureau of Investigation (TBI) background check system. Processing time typically takes 3-6 weeks from receipt of all required documentation. Once approved, you'll be added to the Tennessee Nurse Aide Registry and can begin working immediately at Tennessee healthcare facilities including hospitals, nursing homes, assisted living facilities, and home health agencies across all three Grand Divisions of the state. For questions about reciprocity or to verify the status of your application, contact the Tennessee Department of Health at (615) 532-5171 or check the Tennessee Nurse Aide Registry online. Tennessee's straightforward reciprocity process makes it relatively easy for out-of-state CNAs to transfer their credentials, particularly for those relocating from neighboring states like Kentucky, Virginia, North Carolina, Georgia, Alabama, Mississippi, Arkansas, or Missouri.
Tennessee offers diverse employment opportunities for CNAs across its major healthcare systems and numerous community facilities. HCA Healthcare—the nation's largest healthcare company—is headquartered in Nashville and operates TriStar Health with facilities throughout Middle Tennessee including TriStar Centennial Medical Center, TriStar Summit Medical Center, and numerous hospitals in the Nashville metro area. Vanderbilt University Medical Center in Nashville is one of the nation's premier academic medical centers with over 1,000 beds offering comprehensive services and exceptional advancement opportunities for CNAs. In East Tennessee, University of Tennessee Medical Center in Knoxville (581 beds) and Covenant Health (operating 10 hospitals including Fort Sanders Regional and Parkwest Medical Center) provide excellent employment. Chattanooga's healthcare sector includes Erlanger Health System (the region's only Level I Trauma Center) and CHI Memorial. West Tennessee is served by Regional One Health in Memphis (the Mid-South's only Level I Trauma Center), Methodist Le Bonheur Healthcare, and Baptist Memorial Health Care with facilities throughout the Memphis area and West Tennessee. Other significant employers include Ballad Health serving Northeast Tennessee and Southwest Virginia, Ascension Saint Thomas Health in Middle Tennessee, and numerous skilled nursing facilities and assisted living communities statewide. The highest-paying areas include Nashville (the state's capital and largest city), Memphis, and Knoxville. Tennessee CNAs earn a median salary of $31,200 annually ($15/hour). With the state's cost of living 10% below the national average—particularly affordable housing in cities outside Nashville—CNAs achieve strong purchasing power and comfortable living standards while building rewarding healthcare careers in communities known for music, history, natural beauty, and no state income tax.

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.

Renewal Requirements
  • 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.

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Prometric Testing

Schedule your Tennessee CNA competency exam and access test preparation resources.

Schedule Exam

Registry Search

Verify CNA certification status on the Tennessee Nurse Aide Registry online.

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Nashville State Community College

Approved CNA training programs in Nashville with flexible schedules and affordable tuition.

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TN DOH Contact

Health Related Boards
665 Mainstream Dr
Nashville, TN 37243

Call: (615) 532-5171

Prometric Support

Questions about testing, scheduling, or exam preparation? Contact Prometric customer service.

Call: 1-800-274-1996