Certified Nursing Assistant (CNA) by Examination


Click on the appropriate tab below to see the Initial Licensing Requirements, Process, Fees, Statutes and Administrative Rules for a Certified Nursing Assistant by Examination.

Applicants to become a Certified Nurse Assistant by Examination must meet the following requirements to proceed with the application process.

The requirements are as follows and can be found in Section 464.203, F.S.:

  1. Has a high school diploma, or its equivalent; or
  2. Is at least 18 years of age.
  3. Has completed the curriculum developed under the Enterprise Florida Jobs and Education Partnership Grant and achieved a minimum score, established by rule of the board, on the nursing assistant competency examination, which consists of a written portion and skills-demonstration portion, approved by the board and administered at a site and by personnel approved by the department.

Note: If an applicant fails to pass the nursing assistant competency examination in three attempts, the applicant is not eligible for reexamination unless the applicant completes an approved training program.

Conviction Record Guidelines

The Board has delegated authority to board staff to approve applications with convictions under certain circumstances. The Conviction Record Guidelines are a matrix used by board staff to decide if we have the authority to approve an application or if it is required to be presented to the Board for review.

Electronic Fingerprinting

Applicants can use any Livescan service provider that has been approved by the Florida Department of Law Enforcement to submit their fingerprints to the Department. Please ensure that the Originating Agency Identification (ORI) number is provided to the service provider when you submit your fingerprints. If you do not provide an ORI number or if you provide an incorrect ORI number to the service provider, the board office will not receive your fingerprint results. The applicant is fully responsible for selecting the service provider and ensuring submission of the prints to the Department.

The Department of Health accepts electronic fingerprinting service offered by Livescan service providers that are approved by the Florida Department of Law Enforcement and listed at their site. You can view the service provider options and contact information on the Livescan Service Providers List

Please take the CNA Exam Electronic Fingerprinting Form with you to the Livescan provider. Please check the service provider’s requirements to see if you need to bring any additional items. Please verify the Originating Agency Identification (ORI) number submitted by the livescan service provider matches the information provided.

Applicants with Criminal History

Any applicant who has ever been found guilty of, or pled guilty or no contest/nolo contendre to any charge other than a minor traffic offense must list each offense on the application. Failure to disclose criminal history may result in denial of your application. Each application is reviewed on its own merits.

The Board of Nursing has created guidelines for specific offenses to be cleared in the board office; however, the staff cannot make determinations in advance as laws and rules do change over time. Violent crimes and repeat offenders are required to be presented to the Board of Nursing for review. Evidence of rehabilitation is important to the Board Members when making licensure decisions.

Applicants with prior criminal convictions may be required to submit the following documentation to the Board:

Final Dispositions/Arrest Records – Final disposition records for offenses can be obtained at the clerk of the court in the arresting jurisdiction. If the records are not available, you must have a letter on court letterhead sent from the Clerk of the Court attesting to their unavailability.

Completion of Probation/Parole/Sanctions – Probation and financial sanction records for offenses can be obtained at the clerk of the court in the arresting jurisdiction. Parole records for offenses can be obtained from the Department of Corrections or at the clerk of the court in the arresting jurisdiction. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.

Self Explanation – Applicants who have listed offenses on the application must submit a letter in your own words describing the circumstances of the offense.

Letters of Recommendation – Applicants who have listed offenses on the application must submit 3-5 professional letters of recommendation from people you have worked for or with.

Health Care Fraud; Disqualification for License, Certificate, or Registration

Effective July 1, 2012, Section 456.0635, Florida Statutes (F.S.), provides that health care boards or the department shall refuse to issue a license, certificate or registration and shall refuse to admit a candidate for examination if the applicant:

  1. Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under Chapter 409, F.S., (relating to social and economic assistance), Chapter 817, F.S., (relating to fraudulent practices), Chapter 893, F.S., (relating to drug abuse prevention and control) or a similar felony offense(s) in another state or jurisdiction unless the candidate or applicant has successfully completed a drug court program for that felony and provides proof that the plea has been withdrawn or the charges have been dismissed. Any such conviction or plea shall exclude the applicant or candidate from licensure, examination, certification, or registration, unless the sentence and any subsequent period of probation for such conviction or plea ended:
    • For the felonies of the first or second degree, more than 15 years from the date of the plea, sentence and completion of any subsequent probation;
    • For the felonies of the third degree, more than 10 years from the date of the plea, sentence and completion of any subsequent probation;
    • For the felonies of the third degree under section 893.13(6)(a), F.S., more than five years from the date of the plea, sentence and completion of any subsequent probation;
  2. Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under 21 U.S.C. ss. 801-970 (relating to controlled substances) or 42 U.S.C. ss. 1395-1396 (relating to public health, welfare, Medicare and Medicaid issues), unless the sentence and any subsequent period of probation for such conviction or pleas ended more than 15 years prior to the date of the application;
  3. Has been terminated for cause from the Florida Medicaid program pursuant to section 409.913, F.S., unless the candidate or applicant has been in good standing with the Florida Medicaid program for the most recent five years;
  4. Has been terminated for cause, pursuant to the appeals procedures established by the state or Federal Government, from any other state Medicaid program, unless the candidate or applicant has been in good standing with a state Medicaid program for the most recent five years and the termination occurred at least 20 years before the date of the application;
  5. Is currently listed on the United States Department of Health and Human Services Office of Inspector General’s List of Excluded Individuals and Entities.

The section above does not apply to candidates or applicants for initial licensure or certification who were enrolled in an educational or training program on or before July 1, 2009, which was recognized by a board or, if there is no board, recognized by the department, and who applied for licensure after July 1, 2012.

All applicants must complete a Level II background screening as part of the application process.

    1. Applicant submits completed application with all required fees to Prometric.
    2. Prometric sends applicant a “fingerprint authorization” letter.
    3. Applicant schedules an electronic fingerprint appointment and is printed using the Electronic Fingerprint Form.
    4. Once all materials are submitted, an application specialist will review them. It may be necessary for the application specialist to request additional information.
    5. Prometric is informed of applicant’s eligibility based on the results of background screening.
    6. Prometric schedules eligible applicant and sends out “admission ticket” for testing.
    7. Applicant takes the test. Applicants who pass both exams will be placed on the FL Nursing Assistant Registry within 14 days. Applicants who fail one or both of the exams, begin the process over at step one.

A state-approved training program is not required prior to examination. A high school diploma or its equivalent, or be 18 years of age, is required if the applicant is challenging the exam without completion of an approved training program.

Applicants, both first-time and re-certifying, must pass the Prometric CNA Exam which is a 2 part examination, consisting of a written and a performance (skills) section. The Written Test is a ninety (90) minute  test with sixty (60) multiple-choice questions written in English. An Oral or Spanish Test may be requested for the Written Test if you have difficulty reading English and you must ask for it when you submit your application. The Manual Skills Evaluation requires the applicant to perform five (5) randomly selected nursing assistant skills.

The application and candidate information bulletins are available through the state’s contracted test administrator, Prometric.

Website: http://www.prometric.com/Florida

Email: FLCNA@prometric.com

Phone: (888) 277-3500

Address:

Prometric — FL Nurse Aide

7941 Corporate Drive

Nottingham, MD 21236

Examination: All fees are paid directly to Prometric and the Livescan service provider.

Click on Chapter or Section Number to View

Florida Statutes

Chapter 464, Part II: Certified Nursing Assistants

Chapter 456: Health Professions and Occupations: General Provisions

Chapter 435: Employment Screening

Section 408.809: Background Screening; prohibited offenses

Florida Administrative Code

Chapter 64B9-15: Certified Nursing Assistant