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​A nurse aide must successfully complete the nurse aide training and competency evaluation program and may be a nursing student, medication aide or employed through a nursing pool that provides nursing or nursing-related services to a resident in a nursing facility, excluding:

  • licensed health professionals
  • volunteers providing the nursing or nursing-related services without monetary compensation
  • hired by the resident or family to sit with the resident and who does not perform nursing or nursing-related services. 

Course Requirements

The basic course consists of a minimum of 75 hours with a minimum of 16 hours of supervised practical training. Supervised practical training means training in a laboratory or other setting in which the trainee demonstrates knowledge while performing task on an individual under the direct supervision of a registered nurse or licensed practical nurse.


Method of instruction classes are offered by:

  • The Kentucky Community and Technical College System facility in Madisonville on an as-needed basis statewide, taught by Nancy Propes. 
    Contact Info: Email or (270) 824 -1804
  • Kentucky Association of Health Care Facility in Louisville twice a year. 
    Contact Info: Email or (502) 425-5000
  • St. Elizabeth Medical Center in Erlanger 2-3 times a year. 
    Contact Info: Email or (859) 633-1960

Final Examination and Competency Evaluation

KCTCS is responsible for the final written or oral examination and the skill demonstration aspect of the competency evaluation.

Final Examination

The written and skills demonstration final examinations are usually held at area technical schools, KCTCS or health occupation schools. For more information about the final examination, refer to the Testing Procedures Manual and Study Guide.

Competency Evaluation

To assure only individuals eligible to work who have successfully completed the CEP are listed on the nurse aide registry, test candidates will present to the competency evaluation proctor the following documents to verify employability in the USA:

  • Unexpired state or federal issued photo identification
  • A United States Social Security card that is not laminated
  • If the Social Security card is not valid for employment without Immigration and Customs Enforcement authorization or a similar statement on it, an employment authorization document issued by the US Department of Homeland Security must be presented
  • All personal documents will identify the individual's same full name including middle initial and be the same on each personal document

Note: Individuals who have completed training in another state but have not taken that state's CEP and want to work in Kentucky must return to the state where they received training to be tested. Only students who have successfully completed the 75-hour Kentucky Medicaid nurse aide training program will be allowed to take Kentucky's CEP examination.


The department, through an interagency agreement with the Kentucky Board of Nursing, is responsible for establishing and maintaining a registry of all nurse aides who have:

  • Successfully completed a nurse aide training and competency evaluation program which meets the requirement of 42 CFR 483.152 or 483.154, or
  • Been granted an exception pursuant to 42 CFR 483.150 (c).

A finding of resident or patient neglect, abuse or misappropriation of resident or patient property by a nurse aide will be maintained on an abuse registry pursuant to 906 KAR 1:100.

For more information on the registry, contact the KY Board of Nursing at (502) 429-3300 or (888) 530-1919.

How Do I Stay Active?

A nursing facility will provide and document that at least 12 hours of ongoing staff development training is given annually to each nurse aide who:

  • Is employed by the facility; and
  • Has satisfactorily completed the nurse aide training and competency evaluation program.

Note: The nurse aide registry will renew a nurse aides registration at least once every 24 months. Registration will be denied if the nurse aide has not worked eight hours for compensation for 24 consecutive months or longer.


A nurse aide who is on another state's nurse aide registry may be granted reciprocity in Kentucky. The individual may be deemed competent for employment in a nursing facility based upon written verification from the agency that maintains the involved state's nurse aide registry. This verification will include the:

  • aide's name
  • Social Security number or other identification number
  • the date the name was placed on the registry and
  • any documented findings pertaining to the individual.

In addition, an employment record shall be provided to the registry to verify that 24 months have not expired since the registrant worked for pay as an aide. Reciprocity shall not be granted for anyone who has a validated complaint documented on a registry.

For more information on reciprocity, contact the Kentucky Nurse Aid Registry at (888) 530-1919.

Contact Information