Key Points
- Texas CNA tuition ranges from $800 to $1,500, plus books and fees.
- CNA jobs in Texas are projected to grow over 14% through 2032.
- Only state-approved programs qualify you for the Texas CNA exam.
We ranked the best CNA programs in Texas to help you start your healthcare career with confidence.
State projections call for over 14% employment growth for nursing assistants in Texas through 2032, which translates to thousands of new openings each year.
Earning your CNA certification takes as little as four to six weeks, making it one of the fastest routes into a stable healthcare career. But not all programs deliver the same exam readiness or job placement support, so choosing a strong training provider directly affects your starting wage and long-term options.
We evaluated dozens of state-approved CNA training programs across Texas using a mix of graduate outcomes, student feedback, affordability, and scheduling flexibility. Here are the programs that rose to the top for 2026.
Houston, TX · $30,000 – $35,000/yr
Best for: Career changers needing evening and weekend classes
Texas Health School’s Houston-based Nurse Aide Program packs comprehensive training into just four weeks, with flexible day, evening, and weekend tracks that cater to working adults. The school reports a strong job placement record, and students appreciate the hands-on lab and externship focus. With an 89% retention rate, it’s a reliable launchpad for a CNA career in the Houston metro.
Pharr, TX · $15,000 – $20,000/yr
Best for: South Texas learners seeking job placement support
Rio Grande Valley College in Pharr serves South Texas with a focused Nurse Aide Program that emphasizes patient-centered care and communication skills. Graduates receive a certificate of completion and benefit from job placement assistance, helping them quickly enter the local healthcare workforce. The program’s practical approach and supportive staff earn high marks from students.
Waco, TX · $4,000 – $6,000/yr
Best for: Budget-conscious students in Central Texas
McLennan Community College in Waco offers an affordable CNA training at just $825, including the state exam fee, what many students call the best value in Central Texas. The 100-hour program covers healthcare systems, patient care, and ethics, with multiple schedule options to accommodate different lives. Its proximity to major healthcare employers makes it a strategic choice.
Carthage, TX · $2,000 – $5,000/yr
Panola College’s CNA program is a standout for its low $784 total cost and multiple East Texas locations, making it accessible across a wide region. The 116-hour curriculum balances lecture and clinical hours, and eligible students can tap scholarships to further reduce expenses. Past participants highlight the supportive instructors and real-world clinical experiences.
Odessa, TX · $3,000 – $5,000/yr
Odessa College delivers a versatile CNA program in 8 or 16 weeks, combining flexible scheduling with robust, all-inclusive tuition of $1,900. Students train in small cohorts using the college’s simulation lab and complete clinicals on weekends, a setup praised for building confidence before hitting the floor. The program’s integration of Texas clinical compliance tools ensures a smooth transition to employment.
Mount Pleasant, TX · ~$7,000/yr (est.)
Northeast Texas Community College’s evening CNA program in Mount Pleasant fits neatly into a six-week schedule, costing just $750. The face-to-face format and small-town campus create a supportive learning environment, and financial assistance is available for those who qualify. Graduates are well-prepared for the state exam and local hiring demand.
Brownsville, TX · $3,000/yr (net price)
Texas Southmost College in Brownsville offers a rigorous CNA path with a six-week, 112-hour option that includes extensive clinical experience. The program’s thorough health and immunization requirements reflect the high standards of the Rio Grande Valley healthcare community, and students report feeling ready for the workforce upon completion. Its one-semester credit option also appeals to those considering further nursing education.
Texas City, TX · ~$1,000/yr (est.)
College of the Mainland’s two-month CNA program in Texas City emphasizes compassionate patient care and safety, with graduates eligible for the state exam. Students must meet comprehensive health and background requirements, ensuring placement-ready candidates. The college’s strong reputation in the Gulf Coast region and low net price make it an attractive gateway to healthcare.
Clarendon, TX · $5,000 – $10,000/yr
Clarendon College serves the Texas Panhandle with a state-approved CNA curriculum that includes lecture, lab, and clinicals at multiple sites. Open to students over 16, the program teaches essential nursing assistant skills for long-term care, hospitals, and home health. Students value the hands-on training and the clear pathway to certification.
Victoria, TX · $3,000/yr (net price)
Victoria College’s unique hybrid Nurse Aide program leverages a free online theory course from the state, reducing campus hours to essential clinical practice. With a total tuition of $650 and locations in Victoria and Gonzales, it’s one of the more affordable and accessible options in South Texas. Graduates consistently commend the quality of clinical sites and instructor support.
Texarkana, TX · $5,000 – $10,000/yr
Texarkana College offers a thorough 12-week CNA program with 144 total training hours, including lab and clinicals, for $825. Part-time and night classes accommodate working students, and the curriculum emphasizes safety and communication. The program’s strong local employer connections help graduates secure positions quickly.
Arlington, TX · $25,000/yr
Arlington Career Institute’s accelerated five-week Nursing Assistant program blends online coursework with on-campus labs, making it a fast track for motivated DFW learners. The all-inclusive tuition covers books, scrubs, immunizations, and CPR training, removing surprise costs. Students frequently mention the career services support as a major plus.
El Paso, TX · ~$3,000/yr (est.)
El Paso Community College provides a robust 210-hour CNA program over six weeks, preparing students for the Texas State Exam with thorough clinical training. The program’s extensive prerequisites, including BLS, First Aid, and health clearances, ensure a high level of readiness. Located in the state’s far west corner, it’s a primary pipeline for regional healthcare employers.
Dallas, TX · $3,000/yr (net price)
Dallas College’s Certified Nurse Aide program is a workforce-oriented, non-credit credential designed with direct input from Metroplex healthcare employers. At around $1,500 and spanning two months, it includes hands-on skills training across multiple campuses. Students appreciate the flexible start dates and the college’s high job placement assistance reputation.
Borger, TX · $5,000 – $10,000/yr
Frank Phillips College in Borger delivers a traditional campus-based CNA program approved by the state, covering essential patient care skills for rural Texas. Students must be at least 16 and meet health and background checks. While information is limited, the college’s low debt and supportive environment make it a solid choice for Panhandle residents.
Choosing the right CNA training program in Texas means looking beyond the price tag and location to examine the credentials, structure, and outcomes that will shape your career. A program that checks all the right boxes puts you on a smoother path to certification and employment.
Before enrolling, verify that the program holds current approval from the Texas Health and Human Services Commission as a Nurse Aide Training and Competency Evaluation Program (NATCEP). Without that stamp, your training won't count toward state certification, and you won't be eligible to sit for the Texas Nurse Aide Competency Exam. Approved programs adhere to a consistent curriculum that covers essential patient care skills, safety protocols, and residents' rights.
Texas requires every CNA student to complete a minimum of 40 hours of supervised clinical work in a healthcare facility, on top of 60 hours of classroom instruction2. That hands-on component is where you translate theory into practice: feeding and bathing residents, taking vital signs, and communicating with care teams. Programs that emphasize direct patient contact under licensed nurse supervision produce graduates who feel confident and job-ready from day one.
Many Texas CNA programs now use a hybrid model. You can complete the classroom portion online, sometimes through a state-approved 60-hour computer-based education course3, and then attend clinicals in person at a partnering nursing home or hospital. This setup offers flexibility for students balancing work or family commitments. However, the clinical training remains in-person only4, so confirm the program's clinical sites are within a manageable commute before you commit.
Texas CNAs learn from licensed nurses, typically registered nurses who bring real-world experience into the classroom and clinical floor. When comparing programs, ask about the instructors' backgrounds and how long they've been training nurse aides. Equally important are graduate outcomes: strong first-time pass rates on the state competency exam and solid job placement figures signal a program that prepares its students well. Reputable schools will share these numbers openly, so you can gauge whether the investment of time and money is likely to pay off.
How do you become a certified nursing assistant in Texas? The path is clearly defined by the Texas Health and Human Services Commission, and it starts with meeting basic eligibility requirements.
Before you can enroll in a state-approved CNA training program, you must be at least 16 years old (some providers require 18) and hold a high school diploma or GED. You'll also need to pass a criminal background check, provide proof of a negative TB test, and complete basic health screenings. These steps mirror the requirements for employment in most healthcare settings.
Texas mandates a minimum of 100 hours of training: 60 hours in the classroom and 40 hours of supervised clinical practice. Approved programs cover essential topics like infection control, patient rights, and basic nursing skills. While the state minimum is 100 hours, some schools, such as Alvin Community College, offer extended programs with 112 hours2, giving you more hands-on experience before the exam.
After finishing your training, you'll register for the Texas Nurse Aide Competency Exam, administered by Prometric. The test has two parts: a written (or oral) knowledge exam and a clinical skills demonstration. You must pass both components to qualify for certification. Most candidates who complete an approved program pass on their first attempt, and if you need to retake a section, you can do so after a brief waiting period.
Once you pass, your training program or testing center will submit your information to the Texas Nurse Aide Registry. You must appear as "active" on the registry before you can legally work as a CNA in a Texas nursing facility. You can verify your status online or by calling (512) 438-2050.
Your initial listing is valid for two years. To renew, you must have performed at least eight hours of paid nursing or nursing-related duties during the previous 24 months and pay a $25 renewal fee. If your certification lapses for more than two years, you'll need to retake the competency exam.
With these steps, you can earn your certification and start working in a field with strong job security and growing demand across Texas.
Texas CNA programs typically cost between $800 and $1,500 for tuition alone, but the full picture includes textbooks, uniforms, and exam fees that can push your total investment considerably higher. Public community colleges in your district often charge $500 to $1,000, while private schools may ask $1,500 to $3,000. Knowing which costs are bundled and which arrive as surprises can help you plan realistically and avoid sticker shock.
Community colleges deliver some of the lowest published prices. Navarro College's Certified Nurse Aide Program charges $778, Midland College's CNA classes in Midland run $970 in-person or $790 in the hybrid format3, Temple College's program sits at $1,2954, and Alvin Community College's program costs $1,4205. Private schools and hospital-based programs generally land at the higher end of the range, though faster schedules and evening options may justify the premium for working adults.
Beyond tuition, budget for textbooks (around $150), background checks ($60), CPR certification ($50 to $60), scrubs, and the Texas state competency exam. The written portion costs $35 and the clinical skills test costs $83, bringing the exam total to $118. When you add up every line item, students should expect all-in costs of $1,070 to $1,470 at a community college and potentially more at private institutions.
Texas Workforce Commission grants and local workforce development boards fund tuition assistance for eligible residents, often covering the entire program cost. Employer-sponsored programs represent another path: many nursing homes, hospitals, and long-term care facilities hire candidates with no experience, train them on-site, and cover tuition in exchange for a short-term work commitment (typically three to twelve months).
Pell Grants are available to students who qualify by financial need, and community colleges frequently offer scholarships or payment-plan options that split costs across multiple months. Before you enroll, confirm which fees are included, whether textbooks are part of the package, and what the refund policy looks like if you need to withdraw. A simple upfront conversation with the admissions office can uncover hidden costs and help you compare schools on equal footing.
The Texas healthcare sector is hiring certified nursing assistants at a pace that far exceeds the rest of the country, driven by steady population growth, an expanding elderly demographic, and new healthcare facilities opening across the state. If you complete training in 2026, you will enter a job market where employers compete for qualified candidates and openings remain abundant in nearly every metro area , check out our guide to landing your first CNA job for tips on getting hired.
Certified nursing assistant employment in Texas is expected to grow 10 to 11 percent between 2024 and 2029, according to data from the Bureau of Labor Statistics and the Texas Workforce Commission1. That rate is roughly five times the national average for the same occupation (2 percent), and it dramatically outpaces the state's overall projected employment growth of 1.1 to 1.8 percent3. With more than 84,960 CNAs already working in Texas as of 2026, the state accounts for about 200,000 annual openings nationwide, many of which result from turnover and replacement needs rather than net new positions5.
Houston, Dallas-Fort Worth, San Antonio, Austin, and the Rio Grande Valley stand out as the most active hiring markets. Houston benefits from its concentration of medical centers and hospital expansions, while San Antonio's large military and retiree population creates consistent demand for long-term care staff. Dallas-Fort Worth offers a steady flow of openings across both urban and suburban facilities, and Austin continues to hire as its healthcare infrastructure keeps pace with population influx. The Rio Grande Valley sees demand fueled by a combination of cross-border healthcare utilization and a growing retirement community.6
Nurse salaries by state data shows median starting salaries for newly certified CNAs in Texas typically fall in the $30,000 to $32,000 range5, with the statewide median annual wage reaching $35,110 in 2026. Mean hourly wages sit at $18.697, and geographic differences matter. Houston-area CNAs average $36,200 annually5, while those in Fort Bend County earn closer to $37,5005. With experience, additional certifications, and shift differentials, many CNAs move above $40,000 within a few years.
Texas counted 4.2 million residents over 65 in 2026, and projections point to 6.5 million by 20305. That demographic shift translates directly into sustained demand for nursing assistants in skilled nursing facilities, assisted living centers, home health agencies, and hospitals. Even as automation and technology reshape parts of the healthcare landscape, hands-on patient care remains irreplaceable, ensuring CNA roles will continue to anchor the workforce for years to come.
CNA wages in Texas can shift significantly depending on the metro area. The table below shows 2024 employment and wage data from the Bureau of Labor Statistics for the state's largest metro areas, including median pay and the range most nursing assistants earn.
| Metro Area | Total Employment | Median Annual Wage | 25th Percentile Wage | 75th Percentile Wage |
|---|---|---|---|---|
| Dallas-Fort Worth-Arlington, TX | 23,280 | $37,260 | $36,180 | $42,620 |
| Houston-Pasadena-The Woodlands, TX | 19,510 | $36,940 | $35,360 | $44,780 |
| San Antonio-New Braunfels, TX | 6,910 | $35,990 | $33,100 | $38,070 |
| Austin-Round Rock-San Marcos, TX | 5,920 | $37,460 | $36,060 | $43,190 |
| McAllen-Edinburg-Mission, TX | 2,250 | $30,090 | $28,730 | $35,370 |
| El Paso, TX | 2,200 | $33,880 | $29,450 | $37,880 |
| Killeen-Temple, TX | 1,520 | $33,990 | $31,720 | $39,650 |
| Tyler, TX | 1,480 | $34,290 | $31,080 | $36,270 |
| Corpus Christi, TX | 1,450 | $34,560 | $30,810 | $36,990 |
| Waco, TX | 1,420 | $34,640 | $31,140 | $37,570 |
| Lubbock, TX | 1,380 | $31,990 | $29,260 | $35,730 |
| Brownsville-Harlingen, TX | 1,110 | $29,550 | $28,140 | $34,060 |
| Amarillo, TX | 1,080 | $36,020 | $31,200 | $38,520 |
| Beaumont-Port Arthur, TX | 1,060 | $32,500 | $30,070 | $36,050 |
| Abilene, TX | 840 | $35,010 | $29,490 | $36,790 |
New to the field and have questions? Below are answers to the most common queries we receive about becoming a certified nursing assistant in Texas. From training lengths to exam tips, we have you covered.
Did you know? Texas is on track to need significantly more nursing assistants over the coming years, with employment projected to grow by over 14% through 2032. An aging baby boomer population and expanding healthcare services across the state are fueling this demand, making now a smart time to start CNA training.
Explore these additional CNA training programs across Texas to find the right fit for your healthcare career goals.