![]() Some states allow online CNA certification. As a result, all nursing assistants must earn certification through an approved training program. The Omnibus Budget Reconciliation Act of 1987 created new rules for standards of care in nursing homes and long-term care facilities. Find out more about CNA certification and requirements by state. All assistant certificate programs must follow the standards set in the National Nurse Aide Assessment Program ( NNAAP). Some CNAs enroll in a nursing program and work as LPNs or RNs. Many states allow CNA students to complete training programs at medical facilities or educational institutions.
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