Kim Malsam-Rysdon, Secretary of Health

South Dakota Board of Nursing

Certified Nurse Aide (CNA)

A Registered Nurse (RN) and Licensed Practical Nurse (LPN) may delegate selected nursing tasks to Unlicensed Assistive Personnel (UAP's). CNA's are UAP's who have completed specific required training and testing and are listed on the South Dakota Board of Nursing Certified Nurse Aide Registry.

For CNA's that are already on the South Dakota Registry:
 - Certified Nurse Aide (CNA) Renewal
 - Lapsed Certified Nurse Aides

For CNA's who are certified in another state and wish to be included on the SD CNA Registry:
 - Certified Nurse Aide (CNA) Registry by Interstate Endorsement

Other Information:
 - CNA Training Programs
 - CNA Testing

 - Name/Contact Information Changes
 - CNA Complaints

Registration Verification:
Registry status implies only that an unlicensed individual has met the minimal training and testing requirements necessary to accept delegated tasks by a licensed nurse while under a nurse's supervision. Registry status does not imply that an individual has met moral, ethical, or legal standards. The registry should not take the place of an employer's hiring screening process or background check. ARSD 44:74:02

Certified Nurse Aide Requirements:

Federal law (OBRA 87) mandates that nurse aides working in long-term care facilities (nursing homes) be registered pursuant to ARSD 44:74:02:02    

Nurse aides shall meet the following minimum qualifications of training, competency evaluation, registry status, and performance:

  1. Successful completion of a training program and a competency evaluation program approved by the department pursuant to 44:74:02:07 and 44:74:02:17;

  2. Verification from the department of current registry status or eligibility for inclusion on the registry;

  3. Acceptable employment performance as a nurse aide as documented by the aide's supervisor;

  4. Annual attendance at a minimum of 12 hours of in-service education related to results of performance review and of special resident needs; and

  5. Minimum age of 16 years old at time of employment.

Registry Questions: Email

ALL CNA complaints, issues, and discipline inquiries are to be made to the South Dakota Department of Health:   
Complaints: Email

Name/ Contact Information Changes:

CNA Verification/Card:

South Dakota Certified Nurse Aide (CNA) Registry By Interstate Endorsement:

A CNA who is certified in another state and wishes to be included on the South Dakota CNA Registry please complete the following instructions:

  1. Print the CNA Interstate Endorsement Application.
  2. Complete Section A-1 (nurse aide will complete this section).
  3. Send Section A-2 to the state where you were first registered as a Nurse Aide.

    - A List of State CNA Registries is listed here.

    - Exceptions: If Arizona, California, Colorado, Illinois, Michigan, Missouri, New York, or North Carolina is your original state of CNA Registry, please send sections A-1 & A-2 directly to the South Dakota CNA Registry.

  4. Complete section A-3 (nurse aide will complete this section).
  5. Send section A-3 & A-4 to your previous/current employer.
    - Once employer has completed A-4. Please submit to the South Dakota Board of Nursing.


44:74:02:23 Registry status by endorsement. A nurse aide seeking registry status by endorsement from another state registry shall submit the following information:

  1. A completed application;
  2. Written documentation indicating successful completion of another state's approved nurse aide training and competency evaluation program;
  3. Verification of initial listing on the nurse aide registry in another state;
  4. Verification of listing on a nurse aide registry from the state of most recent employment; and
  5. Documentation of employment as a nurse aide within the last 24 consecutive months.

    **A CNA Registered in South Dakota who wishes to be registered as a CNA in another state should contact that CNA State Registry for instructions.**

CNA Renewal for those ALREADY on the SD Registry:

  • CNA Online Renewal

    • If you wish to renew your registration by paper, please complete the CNA Renewal Application.

    • You must be able to demonstrate that you have worked as a nurse aide during the previous two years to renew registration online.

    • You may renew your registration online as early as 90 days prior to expiration. 

    • A card will NOT be mailed to you; you may print and/or save your card when you have completed the renewal process.

    • If your registration has lapsed, you may NOT renew online. Please refer to Lapsed Nurse Aides.

      To renew registration, the CNA must have completed the following:

      • A minimum of 12 hours of employment as a CNA for monetary compensation during the preceding 24 months,


      • A minimum of 12 hours of training per year as required in §44:74:02:02(4).

Lapsed Certified Nurse Aides:

  • An individual whose nurse aide registration has lapsed and who can show verification of employment performing nursing or nursing-related services for monetary compensation within the previous two years should contact the South Dakota Board of Nursing for a case-by-case determination as to whether registration can be reinstated.
  • The individual must also show proof of completing 24 hours of required in-service topics.
  • An individual whose nurse aide registration has lapsed and who has not performed any nursing or nursing-related services for monetary compensation within the previous two years, and/or has not completed the required in-service training must complete a competency evaluation program to reinstate CNA registration. 
    • The individual would need to enroll in an approved nurse aide training program.
    • The student is responsible to complete training and the instructor is responsible to verify the student is eligible to test for the Written and Skills examinations.

CNA Waiver of Training/ Equivalency of Training:

  • ONLY Current Nursing Students are eligible.
  • A nursing student who has successfully completed fundamentals in nursing courses (grade C or better) at an approved South Dakota nursing education program may apply for a waiver and submit copies of transcripts.  The applicant must pass the CNA written and skills competency evaluations before being registered as a CNA. 
    • Nursing school courses are not applicable for renewal of CNA registration.

CNA Testing:
        - CNA Testing Questions and CNA Candidate Handbook - Contact South Dakota Health Care Association

Requirements in Rule

Questions: Stephanie Orth

Current Programs: South Dakota Board of Nursing Approved Training Programs

Application Forms:

CNA Training Program Approved Curricula:

  • American Health Care Association - How to be a Nurse Assistant
  • Hartman's Nursing Assistant Care - Long Term Care and Home Care, 3rd Edition
  • Hartman's Nursing Assistant Care - The Basics, 4th Edition
  • Medcom, Inc - The New Nursing Assistant, 8th Edition
  • Mosby's Essentials for Nursing Assistants
  • Nebraska Health Care Association

Approved Online Didactic Instruction: