How to Become a Certified Nursing Assistant in Texas (2026)
Texas employs about 88,680 certified nursing assistants earning a median $37,500 a year (BLS OEWS, May 2025). Training as a Certified Nursing Assistant here means completing state-approved CNA training of typically several weeks, the state competency exam, and listing on the nurse aide registry, then applying through Texas Health and Human Services - Nurse Aide Registry.
Texas employs approximately 88,680 certified nursing assistants according to the Bureau of Labor Statistics, with a median annual wage of $37,500 1. Nationally, certified nursing assistant employment is projected to grow 2.3% from 2024 to 2034, with about 204,100 openings per year 2. This page covers how to become a Certified Nursing Assistant in Texas, including licensing requirements, training programs, and salary data.
At a Glance
- Training paths: state-approved CNA / nurse aide training (find programs)
- Typical timeline: state-approved CNA training of typically several weeks, the state competency exam, and listing on the nurse aide registry
- Licensing authority: Texas Health and Human Services - Nurse Aide Registry
- Exam: state nurse aide competency exam (written or oral plus skills)
- Median wage (Texas): $37,500 per year 1
Quick Answers About How to Become a Certified Nursing Assistant in Texas
How to become a Certified Nursing Assistant in Texas? Complete state-approved CNA training of typically several weeks, the state competency exam, and listing on the nurse aide registry. Apply through Texas Health and Human Services - Nurse Aide Registry.
How long does it take? Most people finish state-approved CNA training of typically several weeks, the state competency exam, and listing on the nurse aide registry. Confirm current hour totals with the training program and Texas Health and Human Services - Nurse Aide Registry.
Do I need a license in Texas? Yes. Texas lists certified nursing assistants on the nurse aide registry through Texas Health and Human Services - Nurse Aide Registry 3. See the licensing section below.
What do certified nursing assistants earn in Texas? The median annual wage for certified nursing assistants in Texas is $37,500 according to BLS data. Entry-level wages start around $30,620 and experienced professionals can earn $47,500 or more 1.
How to Become a Certified Nursing Assistant in Texas
- Meet program entry rules. Most Texas CNA programs expect a high school diploma or GED. Confirm current age, immunization, TB, and background-check rules with the training program.
- Complete state-approved CNA training. Finish a state-approved nurse aide training program in Texas. Training is typically several weeks of classroom work plus supervised clinical practice at a community college, vocational school, or nursing facility. This is not a registered apprenticeship.
- Pass the competency exam. Pass the Texas nurse aide competency exam: a written or oral knowledge test and a skills demonstration. The exam vendor is chosen by the state; confirm current scheduling with Texas Health and Human Services - Nurse Aide Registry.
- Get listed on the Texas Nurse Aide Registry. Apply through Texas Health and Human Services - Nurse Aide Registry. You cannot work as a CNA in a nursing home until that listing is current. Renewal and in-service rules are state-specific; confirm them with the registry.
Steps and hour totals vary by credential level; confirm current requirements with the state board before you apply.
Certified Nursing Assistant License Requirements in Texas
The Texas Health and Human Services - Nurse Aide Registry maintains the nurse aide registry in Texas 3. Certified nursing assistants complete a state-approved training program, pass a competency exam, and get listed on that registry.
Typical CNA path
- Meet the training program’s entry rules.
- Complete state-approved CNA training (typically several weeks).
- Pass the written or oral exam and the skills demonstration.
- Get listed on the Texas Nurse Aide Registry before working as a CNA in a nursing home.
Hour totals, fees, and reciprocity rules change and vary by state. Confirm current requirements with the Texas nurse aide registry before you enroll. Do not apply to the board of nursing for a CNA listing unless that board also runs the nurse aide registry.
Certified Nursing Assistant Wages by Metro Area in Texas
Nursing Assistants Wages by Metro Area in Texas
According to the Bureau of Labor Statistics ( OES data), nursing assistants wages in Texas vary by metro area.
| Metro Area | Employment | Median Annual Wage | Avg. Annual Wage | Entry Level (10th pctile) | Experienced (90th pctile) |
|---|---|---|---|---|---|
| Dallas-Fort Worth-Arlington | 23,420 | $38,530 | $40,700 | $35,850 | $49,090 |
| Houston-Pasadena-The Woodlands | 19,230 | $37,970 | $40,430 | $32,610 | $47,350 |
| San Antonio-New Braunfels | 7,080 | $36,800 | $38,460 | $30,800 | $46,110 |
| Austin-Round Rock-San Marcos | 5,600 | $38,550 | $41,300 | $35,740 | $48,100 |
| El Paso | 2,310 | $35,170 | $35,490 | $29,070 | $42,970 |
| McAllen-Edinburg-Mission | 2,140 | $33,990 | $34,390 | $28,250 | $42,380 |
| Tyler | 1,610 | $35,300 | $35,560 | $29,990 | $43,070 |
| Corpus Christi | 1,550 | $35,300 | $35,590 | $30,670 | $42,520 |
| Lubbock | 1,490 | $34,300 | $34,170 | $28,500 | $41,900 |
| Killeen-Temple | 1,480 | $36,120 | $39,070 | $30,900 | $46,450 |
| Waco | 1,480 | $37,290 | $38,790 | $30,310 | $46,540 |
| Beaumont-Port Arthur | 1,200 | $35,110 | $35,570 | $30,320 | $42,920 |
| Brownsville-Harlingen | 1,070 | $32,110 | $33,330 | $28,240 | $40,850 |
| Longview | 1,050 | $34,510 | $34,490 | $29,780 | $39,930 |
| Amarillo | 1,000 | $36,700 | $38,210 | $31,050 | $48,360 |
| Wichita Falls | 950 | $37,870 | $39,540 | $30,310 | $47,760 |
| College Station-Bryan | 940 | $35,610 | $35,960 | $30,940 | $43,300 |
| Texarkana | 820 | $32,880 | $32,650 | $24,620 | $40,970 |
| Abilene | 800 | $37,460 | $36,310 | $28,870 | $43,050 |
| San Angelo | 610 | $35,390 | $35,950 | $30,160 | $44,490 |
| Sherman-Denison | 610 | $35,970 | $36,230 | $30,720 | $43,000 |
| Midland | 580 | $35,970 | $38,520 | $35,970 | $46,080 |
| Laredo | 510 | $35,120 | $33,610 | $27,760 | $42,470 |
| Victoria | 470 | $33,980 | $33,560 | $28,840 | $38,870 |
| Odessa | 410 | $36,250 | $37,610 | $31,160 | $46,080 |
Wages reflect survey data and vary based on experience, credentials, employer, and local market conditions. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May .
Frequently Asked Questions
What is the job outlook for certified nursing assistants in Texas? Texas currently employs approximately 88,680 certified nursing assistants 1. Nationally, certified nursing assistant employment is projected to grow 2.3% from 2024 to 2034 2.
What training programs are available in Texas? Options include trade schools, community colleges, and state-approved training programs. Use the school finder above to search for programs in Texas.
How much do certified nursing assistants earn in Texas compared to the national average? The median annual wage for certified nursing assistants in Texas is $37,500, which is $2,030 below the national median of $39,530 according to BLS data 1.
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Citations
About this guide: Researched and written by the TradeCareerPath Editorial Team. Our editorial team researches and sources every trade school and career guide using federal labor and education data, including BLS OEWS and Employment Projections, DOL apprenticeship records, IPEDS, College Scorecard, and state licensing boards. We follow the editorial standards documented at /editorial-policy/.
References
Bureau of Labor Statistics - Occupational Employment and Wage Statistics: https://www.bls.gov/oes/ ↩︎ ↩︎ ↩︎ ↩︎ ↩︎
Bureau of Labor Statistics - Employment Projections: https://www.bls.gov/emp/ ↩︎ ↩︎
Texas Health and Human Services - Nurse Aide Registry - Nurse Aide Registry: https://www.hhs.texas.gov/business/licensing-credentialing-regulation/long-term-care-credentialing/nurse-aide-registry ↩︎ ↩︎
Data sources
Figures on this page are sourced from the federal and state datasets below. Methodology: how we rank and source data.
| Data | Provider | Vintage |
|---|---|---|
| Occupational Employment and Wage Statistics (OEWS) | U.S. Bureau of Labor Statistics | May 2025 |
| Employment Projections | U.S. Bureau of Labor Statistics | 2024-2034 |
| Integrated Postsecondary Education Data System | National Center for Education Statistics (IPEDS) | 2024 |
| College Scorecard (school-level outcomes) | U.S. Department of Education | latest release |
| College Scorecard (field-of-study earnings) | U.S. Department of Education | latest release (updated 2026-06-12) |
| Occupational licensing requirements | CareerOneStop (U.S. Department of Labor) | latest release (updated 2026-02-22) |
| Registered apprenticeship programs | CareerOneStop / Apprenticeship.gov (U.S. Department of Labor) | latest release (updated 2025-10-25) |
| O*NET occupation profiles (skills, tasks, tools, job zones) | U.S. Department of Labor (O*NET / Employment & Training Admin.) | O*NET 29.1 (updated 2026-06-13) |