Missouri was once known as the crossroads of the United States, a common traveling place for those heading West. Today, it is considered to be the center of the Midwest and has both the waving prairie grasses of the Plains as well as the rocky, tree-covered cliffs of the Ozarks. The Gateway Arch in St. Louis welcomes people to the state from across the Illinois border. Other top spots include Kansas City, known for its jazz music scene, and Branson, a favorite summer family vacation spot. The 6 million state residents are served by 123 hospitals, 55,106 nursing homes and thousands of CNAs who are in high demand because over 15 percent of the population is older than 65.
– Capital: Jefferson City
– Minimum Wage: $7.65
– Number of Hospitals: 123
– Number of Nursing Homes: 55,106
– Total Population: 6,063,589
– Population (ages 45-64): 1,610,815
– Population (ages 65+): 932,215
– Population (ages 85+): 125,005
– Washington University in St. Louis
– Saint Louis University
– University of Missouri, Columbia
The Missouri Department of Health and Senior Services regulates the state’s CNA training programs and competency testing. The state requires students to complete 175 hours of training altogether, among the highest requirements in the nation. Of these hours, 75 must be spent in the classroom learning theory and 100 must be spent practicing skills on patients under the supervision of a licensed nurse. Classes are provided at vocational schools and nursing homes as well as at some high schools.
Some people may be able to waive state-approved training. This option is available to hospital nursing assistants with at least 12 months of health care experience. In addition, nursing graduates, foreign nurses, and nursing school students who have completed a basic nursing training course may waive training.
CNA students must be at least 18 years old unless they are still in high school and taking a health-oriented class. A high school diploma or GED is not required although it is recommended for future job options. Students will need to undergo both state and federal criminal background checks and have two fingerprint cards completed. They will need to provide social security cards and proof of eligibility to work. In addition, they will need to prove that they are physically able to work by undergoing a doctor’s physical showing that they are in good health without any communicable diseases. Students will also need to provide training providers with proof of up-to-date immunization records as well as recent negative tuberculosis tests.
All Missouri CNA training courses end with a two-part competency examination, which is actually considered to be part of the training course. This examination must be completed within six months of completing training. In addition, those who fail a section must retake and pass that section within 90 days from the day when they first attempted the examination. Those who fail both sections of the examination must retrain. These tests are often offered at the training facilities. Those attending a facility that does not offer the examination can apply to take it at a different vocational school in the state.
As other states do, Missouri requires a two-part test. This test consists of a written section that tests CNA theory and a skills section, often called a practicum, that tests hands-on CNA skills. The cost for both sections is $115.
The written knowledge test has 75 multiple-choice questions that must be answered at least 80 percent correctly. Students must pass this section to be able to take the skills section of the examination. Students will be asked to perform nine CNA skills in front a nurse aide evaluator. The skills must be passed at 100 percent in order for the student to pass the examination. After students pass both parts of the test, the training/testing facility will send the results to the state’s Department of Health and Senior Services and the CNA certifying agency, which will then issue a certificate within 45 days.
Missouri practices reciprocity with CNAs from other states who are moving to Missouri. To be eligible for reciprocity, CNAs must be active in their prior state and must be in good standing with no accusations of patient abuse, neglect or maltreatment. Applicants will need to fill out an application, send a copy of their previous state’s certifications and a copy of their social security cards. They will also need to send in work verification showing that they have worked at least eight hours every two years since they have been certified. Those who are approved for reciprocity will be allowed to challenge the state’s competency examination without training. The fee that applies is the $115 for taking the competency examination.
Missouri CNAs must renew their certifications every 24 months to remain active on the registry. In order to renew, CNAs must have worked for pay performing nursing-related tasks at least eight hours in the past 24 months. Their employers will be required to fill out part of the renewal form for employment verification. In addition, CNAs who work in long-term facilities need to complete 12 hours of in-service continuing education. Renewal is free. CNAs who have not worked the required hours will be considered inactive and will have to retake the competency examination to become active. CNAs who have not worked in the past five years have expired licenses and will be required to retrain and retest.
Missouri Department of Health and Senior Services
P.O. Box 570
Jefferson City, MO 65102-0570
|Barnes-Jewish Hospital/Washington University||1 Barnes-Jewish Hospital Plaza||Saint Louis||MO||63110||314-747-3000||Website|
|St. Luke'S Hospital||4401 Wornall Road||Kansas City||MO||64111||816-932-9886||Website|
|Boone Hospital Center||1600 East Broadway||Columbia||MO||65201||573-815-8000||Website|
|Heartland Regional Medical Center||5325 Faraon Street||Saint Joseph||MO||64506||816-271-6000||Website|
|Coxhealth Hospital||1423 North Jefferson Street||Springfield||MO||65802||417-269-3000||Website|
|Missouri Baptist Medical Center||3015 North Ballas Road||Saint Louis||MO||63131||314-996-5000||Website|
|St. Luke'S Hospital||232 South Woods Mill Road||Chesterfield||MO||63017||314-434-1500||Website|
|Mercy Hospital Springfield||1235 East Cherokee Street||Springfield||MO||65804||417-820-2000||Website|
|University Of Missouri Hospitals And Clinics||One Hospital Drive||Columbia||MO||65212||573-882-4141||Website|
|Audrain Medical Center||620 East Monroe Street||Mexico||MO||65265||573-582-5000||Website|
|Barnes-Jewish West County Hospital||12634 Olive Boulevard||Saint Louis||MO||63141||314-996-8000||Website|
|Barton County Memorial Hospital||29 NW First Lane||Lamar||MO||64759||417-681-5100||Website|
|Bates County Memorial Hospital||615 West Nursery Street||Butler||MO||64730||660-200-7000||Website|
|Belton Regional Medical Center||17065 South 71 Highway||Belton||MO||64012||816-348-1200||Website|
|Black River Medical Center||217 Physicians Park Drive||Poplar Bluff||MO||63901||573-727-9080||Website|
|Bothwell Regional Health Center||601 East 14th Street||Sedalia||MO||65301||660-826-8833||Website|
|Callaway Community Hospital||10 South Hospital Drive||Fulton||MO||65251||573-642-3376||Website|
|Cameron Regional Medical Center||1600 East Evergreen||Cameron||MO||64429||816-632-2101||Website|
|Capital Region Medical Center||1125 Madison Street||Jefferson City||MO||65101||573-632-5000||Website|