Your Guide to Becoming a CNA in Spindale, North Carolina

Find Spindale CNA training: programs, costs, certification steps, and job outlook.

By Aslam MultaniReviewed by Editorial staffUpdated July 17, 202624 min read
CNA Classes in Spindale, NC – Training & Certification

Key Points

  • Isothermal Community College provides Spindale's local CNA program with flexible schedules.
  • North Carolina sees 9,070 CNA job openings each year.
  • The NNAAP exam fee costs approximately $100 to $150 extra.

Rutherford County healthcare employers post CNA openings year-round, driven by an aging population and consistent turnover at skilled nursing facilities, assisted living centers, and home health agencies. For Spindale residents, Isothermal Community College offers the most accessible path to certification, with a state-approved program that can move you from classroom to clinical floor in as little as eight weeks.

Training costs at community colleges in this region typically run between $500 and $1,200, not counting uniforms, background checks, and the state competency exam fee. Once certified, entry-level CNAs in the area earn hourly wages that cluster around the low-to-mid teens, with room for increases at hospitals or specialty care settings. The tight local labor market means hiring happens fast for candidates who pass the NNAAP on the first attempt.

Jump straight to the program list below.

CNA Training Options in Spindale: Spotlight on Isothermal Community College

Whether you prefer an accelerated, full-time schedule that gets you into the workforce quickly or a slower-paced part-time track that fits around a job or family obligations, the first step is finding a program close to home. For students in Spindale, Isothermal Community College is the most convenient starting point for CNA training.

What Isothermal Community College Offers

Isothermal Community College sits right in Spindale and operates as an open-admission institution, which means there is no competitive application process to clear before you enroll. The college does offer a CNA program, though it does not currently publish a single consolidated program page online. That can make gathering details a bit tricky, so plan to dig into the course catalog, the tuition and fees pages, or simply pick up the phone.

For the 2025-2026 academic year, in-state tuition runs $76 per credit hour, with additional per-semester charges including a student activity fee and a technology fee. Full annual tuition for in-state students generally falls in the range of roughly $1,824 to $2,030, while out-of-state students can expect to pay between approximately $6,432 and $6,638 per year. Keep in mind that CNA programs are shorter than a full academic year, so your total out-of-pocket cost will depend on how many credit hours your specific course requires.

How to Confirm Program Details

Because program specifics can shift from one semester to the next, your best move is to contact the college directly. Here is what to ask about:

  • Admission prerequisites: Confirm minimum age requirements, the level of education needed, whether a background check is mandatory, and what health screenings or immunizations you will need before starting clinicals.
  • Class schedules: Ask whether the CNA course is offered full-time, part-time, or in evening sessions so you can match it to your availability.
  • Clinical training sites: Find out where hands-on clinical hours take place and how far you may need to travel.
  • Job placement support: Request an information packet or ask the program coordinator whether the school offers career services, resume help, or connections to local employers.

You can reach the admissions office at 828-286-3636. Calling the health sciences department directly is often the fastest way to get CNA-specific answers.

Supplementing Your Research

Beyond the college itself, two additional resources are worth bookmarking. The Bureau of Labor Statistics at BLS.gov provides national and regional data on CNA wages and projected job growth, giving you a realistic picture of earning potential after certification. The North Carolina Board of Nursing outlines every state-specific step you need to complete, from approved training hours to the nurse aide competency exam, so you can map out the full certification timeline before your first day of class.

North Carolina needs a lot of CNAs fast. According to Health Workforce Supply and Demand Data from the North Carolina Department of Health and Human Services, the state sees roughly 9,070 job openings for Certified Nursing Assistants every single year, making it one of the most in-demand entry-level healthcare roles in the state.

Online and Hybrid CNA Classes for Spindale Students

North Carolina requires all CNA candidates to complete a minimum number of in-person clinical hours, which means fully online CNA programs are not available in the state. However, some schools offer hybrid formats that combine online theory coursework with in-person lab and clinical training, providing flexibility for students balancing work or family commitments.

Finding Accredited Hybrid Programs

When searching for hybrid CNA classes that serve Spindale students, start by visiting the North Carolina Division of Health Service Regulation website. The state maintains a current list of approved Nurse Aide I training programs, which includes information about program format and location. Contact schools directly to ask whether they offer online theory components paired with in-person clinical sessions, as program delivery methods may change and are not always detailed in public directories.

The Bureau of Labor Statistics website (BLS.gov) provides general occupational information about nursing assistants nationwide, though it does not maintain a searchable directory of training programs. For program-specific details, you will need to consult state regulatory agencies and individual school websites.

Exploring Community College and Professional Resources

Isothermal Community College, located in Spindale, regularly updates its CNA program information on its website. Check the school's health sciences or workforce development pages for the latest course format details, as hybrid options may be introduced or adjusted based on student demand and regulatory guidance.

Professional associations such as the National Association of Health Care Assistants (NAHCA) offer resources for prospective nursing assistants, including directories and links to accredited programs. While these directories may not filter by delivery method, they can help you identify additional CNA classes in North Carolina to contact.

Verifying Accreditation and Clinical Requirements

Regardless of format, any CNA program you choose must be approved by the North Carolina Division of Health Service Regulation to qualify you for the state certification exam. Hybrid programs must still meet the state's minimum clinical hour requirements, which are completed in healthcare facilities under supervision. Before enrolling, confirm that the program is currently approved and that its clinical placements are accessible from Spindale.

CNA Programs Within Commuting Distance of Spindale

Within a 45-minute drive of Spindale, students can access at least three community college CNA programs across Rutherford, McDowell, and Cleveland counties. If Isothermal Community College's schedule doesn't fit your life, a short commute opens up alternative start dates, class times, and clinical site placements.

McDowell Technical Community College (Marion, NC)

McDowell Tech sits about 30 to 35 minutes north of Spindale via US-221, a mostly rural route that stays clear of interstate traffic. The college offers Nurse Aide I coursework that prepares graduates to sit for the North Carolina Nurse Aide I certification exam.1

  • Address: 54 College Drive, Marion, NC 28752
  • Phone: (828) 652-6021
  • Program: CNA / Nurse Aide I
  • Commute from Spindale: roughly 30 to 35 minutes by car

Marion is a reasonable option if you live on the north or west side of Rutherford County, or if McDowell Tech's cohort start dates line up better with your schedule than Isothermal's.

Cleveland Community College (Shelby, NC)

Cleveland Community College is the closest CNA provider for anyone living in or near Boiling Springs, and it's also within commuting range of Spindale at about 35 to 45 minutes east on US-74. Cleveland offers Nurse Aide I coursework leading to eligibility for the state certification exam.1

  • Address: 137 S Post Road, Shelby, NC 28152
  • Phone: (704) 669-6000
  • Program: CNA / Nursing Assistant / Nurse Aide I
  • Commute from Spindale: roughly 35 to 45 minutes by car

Shelby is the larger of the two neighboring towns, which can mean more clinical placement variety at area long-term care facilities and hospitals.

Verify Before You Enroll

Community college CNA programs adjust their schedules, tuition, and clinical partnerships frequently. Before you commit to a commute, call the admissions or continuing education office directly and confirm:

  • Current tuition and fees, including textbook, uniform, and background check costs
  • Upcoming cohort start dates and whether seats are still open
  • Day, evening, or weekend class options
  • Clinical site locations (some may be closer to Spindale than the campus itself)

Transportation Considerations

CNA programs include a clinical component at a partnering healthcare facility, so plan for two travel destinations: the campus for lecture and lab, and the clinical site for hands-on hours. If you rely on someone else for transportation or share a vehicle, map out both locations before enrolling. Rutherford County does not have extensive public transit, so a reliable car is effectively a prerequisite for any of these commuter options.

Questions to Ask Yourself

Are you willing to commute 20 to 40 minutes for in-person clinical training?
Spindale has limited local CNA programs, so clinicals at hospitals or nursing homes may require travel to Forest City, Morganton, or Marion. Factor in gas costs and schedule flexibility before enrolling.
Would an online or hybrid format better fit your current job or family responsibilities?
If you work full-time or care for children, completing theory coursework online at night could prevent conflicts. However, you will still need to block out daytime hours for required hands-on skills labs and clinical rotations.
How important is face-to-face instructor interaction to your learning style?
Some students master patient care techniques faster with immediate, in-person feedback. If you learn best through direct demonstration and real-time correction, prioritize programs with smaller lab class sizes over fully online options.

CNA Salary and Job Outlook in Spindale and Rutherford County

As the population ages, the need for skilled nursing assistants continues to grow across North Carolina, and Spindale is no exception. The demand for CNAs in Rutherford County is steady, with local healthcare facilities actively seeking compassionate, trained professionals. Understanding what you can earn and where you might work helps you plan your career; check out our guide to landing your first CNA job for next steps.

CNA Salary Overview for Spindale and Rutherford County

Wages for nursing assistants in North Carolina reflect a combination of experience, facility type, and location. According to the most recent data:

  • North Carolina: The median annual wage for CNAs is $38,460, which breaks down to about $18.49 per hour. Salaries range from around $30,260 at the 10th percentile to $47,080 at the 90th percentile.1
  • Rutherford County (including Spindale): The median hourly wage is $182, with most CNAs earning between $16 and $20 per hour. Entry-level positions often start at $15 to $16 per hour, while experienced CNAs can earn $20 to $23 per hour.3

While annual figures for Rutherford County are not as readily available, a full-time CNA at the local median hourly rate can expect to earn roughly $37,000 per year. Keep in mind that actual pay varies based on shifts, overtime, and certifications.

Major Employers Hiring CNAs in Rutherford County

Several large employers in the area provide stable CNA jobs and career advancement opportunities:

  • Rutherford Regional Health System: As a comprehensive healthcare network, it offers hospital and clinic positions with benefits and training support.
  • White Oak Manor: A skilled nursing facility known for hiring CNAs and supporting continuing education.
  • Fair Haven of Forest City: A respected senior living community that frequently recruits nursing assistants.
  • Oakland Living Center: A long-term care facility with ongoing openings for CNAs.
  • Home health agencies: These agencies place CNAs in one-on-one roles with clients in Spindale and surrounding towns, often offering flexible schedules.4

Job Outlook and Growth Trends

The demand for CNAs in Rutherford County is shaped by an aging population and the expansion of home- and community-based services.4 The U.S. Bureau of Labor Statistics projects that employment of nursing assistants will grow faster than the average for all occupations through the next decade. Locally, retirements and turnover create a steady stream of job openings, making it a reliable field to enter. Seasonal flu outbreaks and increased emphasis on infection control also keep staffing needs high in long-term care facilities.

Your Path to CNA Certification in North Carolina

Becoming a Certified Nursing Assistant in North Carolina involves several key steps. Here's a clear pathway from training to certification and beyond.

Four steps to become a CNA in North Carolina: complete training, pass NNAAP exam, get listed on NC Nurse Aide I Registry, and renew every two years.

Paying for CNA Classes: Costs and Financial Aid in North Carolina

How much does CNA training actually cost in North Carolina, and who helps pay for it? Sticker prices are lower than most healthcare programs, but the extras add up fast if you don't plan for them. Here's how the numbers usually break down and where to look for help.

What You'll Actually Pay

A CNA program in the Spindale area typically involves several separate charges rather than one flat bill:

  • Tuition: The largest single expense, though short-term workforce continuing education programs at NC community colleges keep this modest compared to curriculum programs.
  • Textbooks: Usually a nurse aide skills manual plus workbook.
  • Scrubs and supplies: A watch with a second hand, a stethoscope, closed-toe shoes, and one or two sets of scrubs.
  • Background check and drug screen: Required before clinicals.
  • State exam fee: Paid separately to the testing vendor when you sit for the North Carolina Nurse Aide I competency evaluation.

Budget for all five categories from day one so the exam fee doesn't catch you off guard at the finish line.

WIOA Funding Through NCWorks

The Workforce Innovation and Opportunity Act (WIOA) is the biggest source of tuition help for short-term CNA students. Adults 18 and older who are low-income or classified as dislocated workers can qualify1, and there is a separate youth track for ages 16 to 241. Applicants must be US citizens or eligible non-citizens1. When approved, WIOA can cover tuition, fees, books, and supportive services like transportation or childcare1. Start at your local NCWorks Career Center, bring ID and income documentation, and expect roughly 10 business days for processing2. Apply before you enroll: retroactive approvals are difficult.

State Scholarships and Grants

North Carolina has expanded aid for workforce credentials in recent years:

  • Golden LEAF Community College Scholarships: Up to $1,850 for continuing education students and $2,250 for curriculum students in qualifying counties3.
  • SECU Bridge to Career Program: Two scholarships per college each year for Workforce Continuing Education students pursuing NC Workforce Credentials3.
  • Short-Term Workforce Development Grant: State funding aimed at high-demand, family-sustaining wage credentials, which includes nurse aide training2.
  • GEER Scholarship: $750 awards for eligible workforce students2.
  • Longleaf Commitment Grant: For recent NC high school graduates enrolling in curriculum programs2.

Employer Sponsorship and NC CareGivers

Local nursing homes and hospitals frequently sponsor CNA training in exchange for a work commitment, typically six months to a year. The statewide NC CareGivers initiative offers 100% tuition reimbursement plus a $500 hiring bonus at participating long-term care employers4. Ask any facility you'd want to work at whether they run a sponsorship pipeline. Many do, and it's often not advertised.

Fill Out the FAFSA Anyway

Even for a short program, complete the Free Application for Federal Student Aid. Some aid at the community college level (including certain state grants) requires a FAFSA on file, and if you later bridge into an LPN or RN curriculum program you'll already be in the system.

Top CNA Programs for Spindale Students

Below are the top CNA programs for Spindale students, evaluated on program quality, cost, and flexibility. The list highlights state-approved training options that prepare you for North Carolina certification.

Factors considered
  • State approval and accreditation
  • Program cost and duration
  • Flexibility and delivery format
  • Clinical placement opportunities
  • Graduate outcomes data
Data sources

Isothermal Community College

#1

Spindale, NC · $11,000/yr (net price)

Best for: Local Spindale students seeking hybrid training

Isothermal Community College, located right in Spindale, is the most convenient choice for local students. The college offers a 188-hour Nurse Aide I program in a hybrid format with classroom, lab, and clinical components, all for just $185. A Nurse Aide II progression is also available for those looking to advance their skills. Small class sizes and multiple schedule options make it a flexible, high-quality pathway into healthcare.

  • 188-hour comprehensive training
  • Hybrid learning format with online and in-person sessions
  • Total cost: $185
  • Multiple class schedule options available
  • Includes classroom, lab, and clinical experiences
  • Focuses on elderly care and patient rights
  • Mandatory orientation and prerequisite course required
  • N.C. Nurse Aide I certification eligibility
  • 192-hour campus-based advanced training
  • Builds on Nurse Aide I for complex patient care
  • Includes clinical rotations in healthcare settings
  • Works under licensed nurse supervision
  • Requires active NC Nurse Aide I listing
  • High school diploma or GED prerequisite
  • Skill competency evaluation included
  • Eligible for NC Board of Nursing registry listing

Wayne Community College

#2

Goldsboro, NC · $2,000/yr

Best for: Budget-conscious learners wanting fast certification

Wayne Community College in Goldsboro provides an affordable campus-based Certified Nursing Assistant program. The training covers basic to complex nursing skills with a strong emphasis on hands-on clinical practice. With a total cost of $180 plus insurance, it is one of the lowest-priced options on this list. Graduates are eligible to sit for the state exam and join the North Carolina Nurse Aide Registry.

  • Nurse Aide I and II courses available
  • Campus-based training with hands-on labs
  • Total cost: $180 plus $0.55 insurance
  • CPR training included for an extra $5
  • Mandatory information session prerequisite
  • Criminal background check and drug screen required
  • Financial assistance may be available
  • Refresher courses offered for recertification

Beaufort County Community College

#3

Washington, NC · $7,000/yr

Best for: Career starters needing affordable, hands-on training

Beaufort County Community College in Washington offers a 164-hour Nurse Aide I program designed for career starters. The curriculum thoroughly covers personal care, vital signs, infection control, and communication, with clinical practice at local healthcare sites. At $205.25, the program is highly affordable, and some students may qualify for free or reduced-cost enrollment. Graduates are eligible to take the North Carolina competency exam for registry listing.

  • 164-hour campus-based program
  • Total cost: $205.25
  • Free or eligible discount options available
  • Hands-on clinical experience in healthcare settings
  • Covers personal care, vital signs, and infection control
  • Teaches communication and patient interaction skills
  • Prepares for state competency exam
  • No prior healthcare experience required

Nash Community College

#4

Rocky Mount, NC · $3,000/yr

Nash Community College in Rocky Mount delivers a comprehensive Nurse Aide I program with blended and accelerated fast-track options. The curriculum includes classroom instruction and clinical rotations, preparing students for the NNAAP exam and state registry listing. The college also offers a Nurse Aide II program for those seeking advanced skills. Flexible scheduling and strong student support make it a solid choice for working adults.

  • Blended and traditional class formats available
  • Accelerated fast-track option for quicker completion
  • Covers basic nursing skills, safety, and communication
  • Includes clinical rotations in area facilities
  • Prerequisites: English 111 and Math DMA 050 or placement tests
  • Age requirement: 16.5 years or older
  • Prepares for the NNAAP exam and NC registry
  • Examination fees apply
  • Campus-based advanced nursing assistant training
  • Requires high school diploma and active Nurse Aide I certification
  • Blended and traditional class schedules available
  • Includes classroom, lab, and clinical experiences
  • Focuses on complex patient care under licensed supervision
  • Prepares for NC Board of Nursing skill evaluation
  • Eligible for Nurse Aide II registry listing

Craven Community College

#5

New Bern, NC · $3,000/yr (net price)

Craven Community College in New Bern provides a fast-track Nurse Aide I program that combines classroom, lab, and clinical components. The course emphasizes direct patient care skills and readiness for the state exam, with state testing available on campus. The total cost includes a $140 state exam fee; additional expenses cover textbooks and scrubs. This program is ideal for those seeking a swift entry into the healthcare workforce.

  • Campus-based, fast-track certification
  • Includes classroom, lab, and clinical experiences
  • State testing available on campus
  • State exam fee: $140
  • Prepares for direct patient care roles
  • High school diploma or GED required
  • Background check and health documentation needed

Caldwell Community College and Technical Institute

#6

Hudson, NC · $10,000 – $15,000/yr

Caldwell Community College and Technical Institute, located in Hudson, offers a campus-based Nurse Aide I program with extensive clinical practice in nursing homes and assisted living centers. The registration fee is $210, with additional minimal costs for textbooks and supplies. Scholarships are available, and the program provides a strong foundation for those planning to pursue further nursing education. Waitlists are available when classes are full, providing an access point for high-demand seats.

  • Campus-based certificate program
  • Registration fee: $210
  • Clinical practice in nursing homes and assisted living
  • Textbooks cost as low as $7.50
  • Scholarships available to offset costs
  • Prepares for NC Nurse Aide I competency exam
  • On-campus testing center available
  • Waitlists available when seats are full

Forsyth Technical Community College

#7

Winston-Salem, NC · $7,000/yr (net price)

Forsyth Technical Community College in Winston-Salem offers an eight-week, state-approved Nursing Assistant I course with daytime scheduling. The program includes CPR certification and prepares students thoroughly for the state exam. A Nursing Assistant II program is also available for those who want to perform more advanced care tasks. Compliance tracking and state exam fees are required in addition to tuition.

  • Eight-week daytime course
  • State-approved, campus-based program
  • Registration fee: $255; compliance tracking: $95
  • State exam fee: $140 (paid separately)
  • CPR certification included
  • High school diploma or GED and TABE test required
  • Covers basic nursing skills and infection control
  • 160-hour, eight-week daytime program
  • Builds on NA I with advanced clinical skills
  • Registration fee: $253; compliance tracking: $95
  • Requires current NA I certification and CPR
  • Includes sterile dressing changes and IV assistance
  • Eligible for CNA II certification with NC Board of Nursing

Wilson Community College

#8

Wilson, NC · $3,000/yr (net price)

Wilson Community College in Wilson runs a campus-based Nurse Aide I program that merges lectures, lab work, and clinical experiences. The comprehensive training prepares students for the NC state exam and registry. Detailed fee breakdowns are provided: a $180 registration fee plus small technology, security, and insurance fees, and a $140 state exam. Scholarship opportunities help make the program accessible.

  • Campus-based program with clinical learning
  • Registration fee: $180; state exam: $140
  • Additional fees: tech $5, security $15, insurance $18
  • Screening fees $120 may apply
  • Requires high school diploma or GED
  • CPR certification, background check, and drug screen required
  • Scholarship opportunities available
  • Eligible for NC Nurse Aide I registry

Coastal Carolina Community College

#9

Jacksonville, NC · ~$9,000/yr (est.)

Coastal Carolina Community College in Jacksonville provides a 162-hour Nurse Aide I non-credit course with hybrid and seated options. The program includes clinical experiences in hospitals and long-term care, and graduates are prepared for the NNAAP exam. The total registration fee is $202, and financial aid is available through the Workforce Innovation and Opportunity Act. The college also offers a Nurse Aide II course for career advancement.

  • 162-hour non-credit course
  • Hybrid and seated class options available
  • Registration fee: $202
  • Clinical experiences in hospitals and long-term care
  • Prepares for the NC NNAAP exam
  • Age 17+ with placement test or diploma
  • CPR, background check, and drug screen required
  • Financial aid available via WIOA
  • 164-hour non-credit advanced course
  • Seated and hybrid formats available
  • Registration fee: $202 plus up to $112 for materials
  • Requires active NC Nurse Aide I listing and CPR
  • Covers sterile procedures and wound care
  • Approved by the NC Board of Nursing
  • Offered in spring, summer, and fall semesters

College of the Albemarle

#10

Elizabeth City, NC · ~$2,000/yr (est.)

College of the Albemarle in Elizabeth City offers multiple pathways into nursing assistance, including a credit-bearing Nurse Aide Pathway Diploma. The noncredit Nurse Aide I and II courses combine classroom, lab, and clinical training, with no entrance exam required. Graduates are eligible to take the state competency exam. The diploma option provides a more comprehensive foundation, including employment skills training.

  • Credit diploma for healthcare support roles
  • Campus-based training
  • Covers personal care, vital signs, and communication
  • Includes growth and development topics
  • Employment skills training integrated
  • No entrance exam required for admission
  • Prepares for Nurse Aide I certification
  • 160-hour noncredit course
  • Campus-based with class, lab, and clinicals
  • Prepares for NC Nurse Aide Registry exam
  • High school diploma or equivalent reading level
  • Mandatory orientation prerequisite
  • Covers patient care, safety, and communication
  • No entrance exam required
  • Advanced noncredit course with clinicals
  • Requires high school diploma or GED and orientation
  • Covers advanced patient care and safety
  • Builds on Nurse Aide I skills
  • Prepares for NC Nurse Aide II Registry
  • No entrance exam required

Frequently Asked Questions About CNA Training in Spindale

Here are answers to the most common questions about becoming a certified nursing assistant in Spindale. Whether you’re just starting to explore the field or are ready to enroll, these FAQs cover costs, timelines, requirements, and career growth.

CNA training in North Carolina requires a minimum of 75 hours, including classroom and clinical instruction. Most full-time programs can be completed in 4-6 weeks, while part-time schedules may take 8-12 weeks. After training, you must pass the state competency exam to be listed on the Nurse Aide Registry.

CNA class costs vary, but in the Spindale area, programs at institutions like Isothermal Community College typically range from $500 to $1,200, including textbooks and supplies. Some employers or workforce development grants may cover costs. Additional expenses include the state exam fee and uniform. For current pricing, check directly with the training provider.

To become a CNA in North Carolina, applicants must meet specific CNA requirements: be at least 18 years old (or 16-17 with parental consent), possess a high school diploma or GED, complete a state-approved training program, pass a criminal background check, and demonstrate up-to-date immunizations. After finishing training, you must pass both the written and skills portions of the Nurse Aide Competency Exam.

Fully online CNA classes are rare because clinical skills require hands-on practice. However, some programs offer hybrid formats: online theory coursework combined with in-person clinical labs at local facilities. Students in Spindale may find hybrid options through Isothermal Community College or other nearby schools, allowing flexible scheduling while meeting state hands-on requirements.

Many CNA training programs, including those at community colleges like Isothermal, provide career support such as resume workshops, interview coaching, and connections with local healthcare employers. Additionally, clinical rotations often serve as networking opportunities. Graduates can also utilize North Carolina's NCWorks Career Centers for job search assistance.

Working as a CNA is an excellent stepping stone to higher nursing roles. Many CNAs pursue further education to become Licensed Practical Nurses (LPNs) or Registered Nurses (RNs). Some facilities offer tuition reimbursement for employees seeking advanced certifications. Bridge programs at community colleges allow CNAs to earn credits toward nursing degrees.

In North Carolina, CNA certification is valid for two years. To renew, you must have performed at least eight hours of paid nursing-related work during the 24-month period. If you haven't met this requirement, you may need to retake the competency exam. Always keep your contact information updated with the Nurse Aide Registry to receive renewal notices.