Key Points
- Marysville's Med Smart Academy charges $1,075 tuition for CNA training.
- Washington requires clinical hours and an exam; online-only CNA training is impossible.
- Nursing assistants in the Seattle metro earn $49,056 median pay, above U.S.
Your guide to Marysville CNA programs: costs, clinical hours, and certification steps.

The fastest route to CNA certification in Marysville runs through Med Smart Academy, the city's only state-approved nursing assistant program, where students can finish classroom instruction and clinical hours in a matter of weeks and then sit for the Washington state exam. Snohomish County's skilled nursing facilities, assisted living communities, and home care agencies near CNA classes in Everett, WA are hiring steadily, and the Seattle metro's 2025 median CNA wage of $49,056 , also the focus of CNA Classes in Seattle, WA , sits well above the national figure.
Most training remains in-person because clinical hours cannot be completed online, though hybrid formats now let students handle theory coursework remotely. Tuition, background checks, and clinical scheduling are the practical hurdles that shape most enrollment decisions.
Marysville's CNA job market runs heaviest through skilled nursing, assisted living, and home care agencies rather than hospital floors, and that pattern shapes both where students train, in CNA classes in Washington, and where they land their first job.
Med Smart Academy, at 1410 7th St Ste C2, is currently the only CNA training provider based directly in Marysville. It offers in-person CNA classes, CNA Skills training, and some Home Care Aide coursework, giving local students a single trusted starting point without needing to leave the city for their initial coursework. Students who want more options can look to nearby CNA Classes in Everett, WA, but Med Smart Academy remains the default choice for anyone who wants classroom and clinical training close to home.
Job postings from Marysville and greater Snohomish County point to steady demand in long-term care and home health. Employers with recent openings include Marysville Care Center, Mountain View Rehabilitation & Care Center, Journey Nursing Services, Right at Home Snohomish County, and Care Team Specialist roles based in Marysville. Staffing agencies like Nurse Solution Agency LLC and home-care providers such as A Place at Home Kirkland also recruit CNAs who serve Marysville-area clients. Starting pay in these postings has typically ranged from about $21 to $28 an hour, consistent with entry level healthcare salaries, with a handful of agency roles offering $26.58 to $30. Hospital-based CNA openings are thinner directly in Marysville; nearby Skagit Valley Hospital has advertised CNA pay from $22.22 to $32.22 an hour plus a sign-on bonus, though that facility sits outside the city itself.
Washington-certified nursing assistants work under the supervision of licensed nurses, handling vital signs, mobility assistance, hygiene care, feeding, and basic charting. That scope fits neatly into Marysville's healthcare mix, where CNAs are the front-line workforce in nursing homes and home care, supporting the licensed nursing staff who oversee medical decisions.
Marysville sits close enough to Everett and the greater Seattle metro that graduates aren't limited to in-city openings. Larger regional hospital systems and higher-volume facilities in those areas often post additional CNA roles, giving Marysville-trained CNAs a wider job search radius without relocating.
A hybrid CNA program splits the coursework into two parts: theory lessons you complete online and hands-on training you attend in person at a skills lab or clinical site. Fully online CNA certification does not exist in any state, because supervised patient care cannot be replicated through a screen. Washington does, however, allow approved CNA programs to deliver theory hours through live virtual sessions or asynchronous coursework, giving students more scheduling flexibility without sacrificing clinical quality.
Under state regulations, CNA programs must include 66 theory hours, 32 skills lab hours, and 40 clinical hours for a total of 138. The theory portion is the only segment eligible for online delivery. Live online classes carry a maximum student-to-instructor ratio of 20:1, while asynchronous formats allow up to 30:1. Any program that wants to offer online or hybrid coursework must receive preapproval from the state nursing commission, and programs renew that approval every two years. Online course materials must be browser-based and use mixed media to meet accessibility standards.
As of 2026, roughly 27 Washington CNA programs offer an online classroom component paired with in-person clinicals. Approved hybrid programs operate at schools such as Shoreline Community College, Seattle Central College, and Bates Technical College, all within commuting distance of Marysville. No Marysville-based program is currently confirmed to offer a hybrid format, so students interested in online theory should expect to travel for lab and clinical sessions. Students should still confirm current delivery details and clinical scheduling directly with Med Smart Academy before enrolling.
Before enrolling in any program that advertises online CNA training, take these steps:
How much should you budget for CNA training in Marysville, and are there ways to reduce the cost?
Med Smart Academy's Nursing Assistant Training (CNA) program lists a $1,075 tuition charge plus a $75 non-refundable application fee. That puts the published total at $1,150 before any exam or credentialing costs. The program materials also note a possible $100 skills testing exam fee, and the Credentia written exam registration fee is $55. Books, supplies, and background checks are not broken out in the published cost, so ask Med Smart for a complete out-the-door price before you enroll.
Med Smart Academy does not advertise a payment plan, federal financial aid, or scholarships on its current program page. The school says payment help is available, but you need to contact the program directly for details. If you are looking for free or reduced cost CNA training in Marysville, no publicly listed free program appears in the current materials. The realistic routes to explore are workforce development grants, scholarships, and employer sponsorship. Many healthcare employers in the Seattle metro will pay for CNA training if you agree to work for them afterward, so asking a hiring facility or your local workforce board is a good next step.
Med Smart's related training programs give you cheaper entry points if you want to start with home care. Home Care Aide Training is $800 plus the same $75 application fee. The HCA to CNA bridge program is $725 plus $75. These lower cost options may be useful if you are working as a home care aide and want to move into a CNA role.
Med Smart Academy's CNA course is a four week program delivered online and in person. The published listing does not specify separate day, evening, weekend, or part-time cohorts. If you need evening or weekend hours, contact Med Smart directly to ask whether those arrangements exist.
For nearby alternatives such as CNA classes in Seattle WA, Seattle Central College's Nursing Assistant program is described in a third-party listing as a one quarter hybrid certificate with online theory and in-person labs and clinicals. The same listing estimates resident tuition at $1,479.88, non-resident tuition at $1,656.96, and international tuition at $3,455.34. The college's official fee schedule does not confirm a CNA-specific total, so treat those figures as a planning estimate and verify with admissions. For CNA classes in Everett WA, Everett Community College publishes general cost of attendance figures of $10,869 for nine months, or $3,623 per quarter, but those are not CNA-specific program prices.
The tradeoff with CNA training is that classroom material can flex around your schedule, but hands-on patient care cannot. Washington requires every nursing assistant candidate to complete supervised clinical work in a real healthcare setting before they can sit for CNA certification, and no amount of online coursework substitutes for that time on the floor.
Washington's standard CNA/NAC pathway in 2026 totals 108 hours, split into 35 hours of classroom theory, 33 hours of skills lab practice, and 40 hours of supervised clinical experience. That clinical portion has to happen in person, in an approved facility, under direct supervision. Facility orientation is required before students begin patient contact, but orientation time does not count toward the 40-hour clinical minimum, so students should expect the actual hands-on total to run slightly longer than the number on paper.
Marysville-area programs typically place students in licensed long-term care facilities, skilled nursing centers, and hospital settings, sometimes assisted living communities as well. These sites give students supervised practice with transfers, vital signs, hygiene care, and other core tasks evaluated on the state exam. Programs generally arrange these placements directly through partnerships with local facilities rather than leaving students to find a site independently, since clinical hosts need to sign off on liability and supervision arrangements ahead of time.
Med Smart Academy runs a compact four-week CNA program in Marysville, and like all Washington-approved programs, its clinical component must be completed in person at a qualifying facility. The school's published materials do not spell out which specific facilities it partners with or whether placement is fully coordinated by staff versus requiring some student legwork, so prospective students should confirm those logistics directly with the school before enrolling, especially given the tight four-week timeline.
Skipping or shortchanging clinical hours is not an option. Washington will not certify a candidate who has not documented the full 40 hours of supervised, in-facility care, regardless of how strong their classroom performance was. Students juggling work or family schedules should ask any program upfront how clinical shifts are structured, since inflexible scheduling here is often the real bottleneck to finishing on time.
Admission requirements vary by school and clinical site. For Med Smart Academy in Marysville, the published process includes a graded entrance exam and a Washington State Patrol background check. The program does not require a high school diploma or GED, and applicants without a Social Security number may apply.
Commuting means driving or busing to a CNA program outside Marysville because it offers a schedule, price, or format that fits your life better than what's available locally. For most Marysville students, that search points south to Everett, roughly 15 to 20 minutes away depending on traffic, with Seattle CNA training and Lynnwood as farther options for those willing to travel 30 to 45 minutes each way.
Everett CNA programs form the densest cluster of nursing assistant training in the area, and several programs offer details specific enough to compare.
Everett's campuses cluster near I-5 and Broadway, with reasonable parking and some Everett Transit and Community Transit bus access, though schedules should be checked directly since routes and frequency vary. Seattle, Lynnwood, Edmonds, and Shoreline CNA classes also host CNA training, but specific program details for those cities are less consistently published, so calling ahead matters more.
The real question is whether a longer commute buys you something meaningful: a lower price, a faster timeline, or an evening slot that Marysville doesn't offer. If your local options already match your schedule and budget, staying close to home usually wins on convenience alone.
Washington does not publish one single statewide pass-rate number the way some states do. Instead, the Nursing Care Quality Assurance Commission (NCQAC), which oversees every nursing assistant training program in the state, sets a program standard: at least 80 percent of first-time test-takers need to pass the knowledge exam, and at least 80 percent need to pass the skills exam. Programs that fall below that threshold can face closer scrutiny or corrective action, so the 80 percent bar is a useful baseline when you're comparing CNA program pass rates.
Centralia College, one of the few Washington programs that publicly reports its outcomes, listed a 98 percent first-time pass rate for 2025, well above the state standard. That's a helpful reference point for what a strong program can look like, though it reflects one school's cohort rather than a statewide figure.
For Marysville and the rest of Snohomish County, including Med Smart Academy, there isn't a published program-by-program pass-rate table available to prospective students. That doesn't necessarily reflect poorly on any local program; it just means the data isn't centralized or easy to find the way it might be for a large community college system.
A program's pass rate is one of the clearest signals of how well it prepares students for the two-part state exam, the knowledge test and the hands-on skills test. Strong pass rates usually correlate with organized clinical training, experienced instructors, and realistic practice scenarios rather than rushed lecture time.
Since Snohomish County programs don't always publish this data, ask directly:
Treat any numbers a school shares with reasonable caution, ask how recent the data is, and compare answers across two or three Marysville-area CNA programs before committing.
The Seattle-Tacoma-Bellevue metro area offers a clear wage premium for nursing assistants compared with the national median. In May 2025, the metro area median annual wage was $49,056, about $6,356 above the U.S. median of $42,700 and just below Washington's statewide median of $49,437. The table below shows the most recent published wage and employment figures for nursing assistants.
| Region | Median Annual Wage | Employment |
|---|---|---|
| United States | $42,700 | 1,448,910 |
| Washington | $49,437 | 900 |
| Seattle-Tacoma-Bellevue, WA Metro | $49,056 | 900 |
Below are the top CNA programs serving Marysville students, based on federal institutional data, accreditation, and program-level fit. Each entry highlights the delivery format and clinical options that matter most when commuting from Snohomish County.
Shoreline, WA · $5,000 – $8,000/yr (est.)
Best for: North Seattle hybrid nursing assistant students
Shoreline Community College is the most commute-friendly option for many Marysville students. Its nursing assistant certificate uses a hybrid model with online theory and on-campus labs, plus quarterly starts. The institution reports a graduation rate of 29 percent.
Kirkland, WA · $6,000 – $12,000/yr (est.)
Best for: Snohomish County clinical rotation seekers
Lake Washington Institute of Technology is a public technical college in Kirkland with nursing assistant clinical placements in King and Snohomish counties. The one-quarter certificate includes classroom, lab, and supervised clinical training, with entry points in all four quarters. The institution reports a graduation rate of 37 percent.
Mount Vernon, WA · $5,000 – $10,000/yr (est.)
Best for: Evening learners near Skagit County
Skagit Valley College in Mount Vernon offers a one-quarter nursing assistant certificate with evening and standard schedule options. Clinical sites are located in Island and Skagit counties, keeping this option closer to the northern part of the Marysville area. The college reports a graduation rate of 36 percent.
Renton, WA · $5,000 – $10,000/yr (est.)
Renton Technical College provides a 10-credit Nursing Assistant Certificate with flexible day and evening sections. Campus-based training emphasizes patient rights, bedside skills, and clinical practice in hospitals and other facilities. The institution reports a graduation rate of 46 percent.
Tacoma, WA · ~$6,000/yr (est.)
Bates Technical College offers a five-week, 10-credit nursing assistant program approved by the Washington Department of Health. Students gain clinical experience and prepare for the state certification exam. The institution reports a graduation rate of 43 percent.
Moses Lake, WA · $5,000 – $6,000/yr (est.)
Big Bend Community College in Moses Lake offers a one-quarter nursing assistant certificate with classroom, lab, and clinical components. Admission is points-based and limited to the top applicants each fall. The institution reports a graduation rate of 42 percent.
Bellingham, WA · ~$6,000/yr (est.)
Bellingham Technical College delivers a 12-credit ACEN-accredited nursing assistant certificate. Training includes CPR certification and clinical placement at hospitals and extended-care sites. The institution reports a graduation rate of 42 percent.
Bellevue, WA · $11,000/yr (est. net price)
Bellevue College provides a 10-credit, 176-hour nursing assistant certificate with three core courses. Clinical rotations occur in nursing homes and hospitals, and graduates are eligible for the NNAAP exam. The institution reports a graduation rate of 36 percent.
Auburn, WA · ~$14,000/yr (est.)
Green River College offers a 15-credit nursing assistant certificate with hands-on labs and clinical experience. Admission requires a background check, immunizations, and a 2.5 GPA in prior coursework. The institution reports a graduation rate of 39 percent.
Lakewood, WA · $10,000/yr (est. net price)
Clover Park Technical College in Lakewood provides a one-quarter nursing assistant certificate with classroom, lab, and clinical training. The state certification exam is included in tuition, and no prior experience is required. The institution reports a graduation rate of 43 percent.
CNA certification in Washington follows a clear, predictable path from classroom to credential. For Marysville students, most of the work happens locally: choose a state-approved program, complete the clinical hours, pass a two-part exam, and apply through Washington DSHS.
Start with a Washington-approved CNA program. The typical CNA program length is 4 to 12 weeks, depending on whether you attend full time, part time, or through a hybrid schedule. State-approved programs include both classroom instruction and supervised clinical practice, which is where you work with real patients under a licensed nurse. Marysville-area students often complete clinical hours in local skilled nursing facilities, assisted living communities, or hospitals.
After finishing the program, your training provider will issue a certificate or completion letter. You need this document to register for the state competency exam, so keep it in a safe place.
The Washington CNA exam has two parts: a written or oral knowledge test and a hands-on skills evaluation. You register through the testing vendor listed by DSHS after your training provider verifies completion. Fees are separate from tuition. Budget roughly $125 to $150 for both portions, though the exact cost can vary by test site and whether you retake one part.
The skills test usually asks you to perform several tasks from a set list, such as hand hygiene, transferring a patient, or measuring vital signs. Passing both parts is required before you can apply for certification.
After you pass both exam sections, submit a CNA application to Washington DSHS. DSHS will require a fingerprint-based background check. Some programs arrange this during training, but if not, plan for the processing time, which can add a few weeks before your credential appears as active.
Once approved, your name is added to the Washington CNA Registry, which employers check before hiring.
Washington CNA certification is renewed every two years. If you have worked as a CNA during that period, you need to complete 24 hours of continuing education before renewal. If you have not worked, renewal requirements may be stricter, so stay current through your employer or DSHS.
Use cnaclasses.org to compare Marysville CNA programs that meet Washington’s training requirements before you enroll.