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Can You Be a CNA with a Felony? What You Need to Know

Updated October 7, 2026

A felony conviction does not automatically disqualify you from becoming a Certified Nursing Assistant (CNA). However, it can affect your eligibility for certification, depending on your state's regulations, the nature of the felony, and how long ago it occurred. Most state Nurse Aide Registries conduct a criminal background check before granting certification, and certain felonies, especially those involving violence, theft, or drug-related offenses, may lead to denial.

How States Evaluate Felony Convictions

Each state has its own Nurse Aide Registry and rules for evaluating criminal history. Some states have a list of permanently disqualifying offenses, while others consider factors such as:

  • The type and severity of the crime
  • How long ago the conviction happened
  • Evidence of rehabilitation
  • Whether the offense relates to patient safety or trust

For example, Ohio and Texas have specific disqualifying offenses that may bar you from certification. You can review state-specific requirements and practice questions on our state-based CNA exams page.

Steps to Take If You Have a Felony

  1. Check your state's Nurse Aide Registry website. Look for a list of disqualifying crimes or a self-disclosure process.
  2. Contact the state board directly. Ask if your specific conviction would prevent certification.
  3. Consider expungement or record sealing. If eligible, this can clear your record for background checks.
  4. Apply anyway if unsure. Some states allow you to petition for a waiver or provide evidence of rehabilitation.

For more details on disqualifying offenses, see our guide: What Disqualifies You from CNA?

What About Employment After Certification?

Even if you obtain CNA certification, employers may run their own background checks. Some facilities have stricter policies than state regulations. However, many long-term care facilities are willing to hire candidates with older, non-violent felonies if they demonstrate reliability and a clean record since.

Always be honest on applications. Lying about a felony can lead to permanent disqualification. For official guidelines, refer to the CDC or your state health department website.