CNA Jobs in St. Louis, MO: Pay and Who's Hiring
In Saint Louis, the May 2025 median is about $39.1K, 7% under the U.S. median. The wage is the nursing-assistant series, which is the national wage data for this work. The U.S. median in that series is about $42.3K. The Missouri median is about $37.7K, and this metro is 4% over that figure. The 25th percentile in Saint Louis is about $37.2K. The 75th percentile in Saint Louis is about $44.6K.
Pay
The median is the middle of nursing assistants already employed, not a starting wage. The 25th is the lower quarter of that group. The 75th is what the upper quarter already earns. The label on the table is the nursing-assistant series, which is the wage for this work.
| Percentile | Metro | MO | U.S. |
|---|---|---|---|
| 25th | $37,180 | $35,400 | $37,260 |
| Median | $39,110 | $37,680 | $42,260 |
| 75th | $44,630 | $41,600 | $47,220 |
Source: BLS Occupational Employment and Wage Statistics, May 2025. Wages are the Nursing Assistants series, SOC 31-1131.
Hiring difficulty and demand
Who's hiring
St. Louis is outside the provider extract, so employer names are not listed.
License and training
Nursing homes in Medicare or Medicaid use aides from a state-approved program who are on the state registry. The federal floor is at least 75 clock hours, with at least 16 of those hours supervised by an RN or LPN. States may require more hours than that floor. Hospitals and home health can use a different rule, so read the state registry before you rely on the federal floor.
Sources: 42 CFR 483.152, nurse aide training 42 CFR 483.156, nurse aide registry
The work
A typical round is bathing, transfers, feeding, vital signs, and a note about what you actually saw. The call light does not wait for the round to finish. You report what changed in the person. You do not write the nursing assessment.
In a nursing home the same people are there tomorrow, so a missed change becomes the next shift's problem. In home health the tasks are the same ones, in the person's house, one visit at a time. The nurse still decides what the visit was for.
The work is physical, and it is also a record. A transfer that went badly has to be said out loud and written down. An aide who only looks busy will not last on a unit that already knows its residents.
Nearby metros
- Springfield, IL · 86 miles
- Cape Girardeau, MO · 99 miles
- Jefferson City, MO · 104 miles
- Decatur, IL · 110 miles
Related roles
- Medical Assistant jobs in St. Louis
- Pharmacy Technician jobs in St. Louis
- Phlebotomist jobs in St. Louis
- Registered Nurse jobs in St. Louis
One manager hiring: Hire a CNA in St. Louis.
Nursing Assistants hiring pages Hiring difficulty for Nursing Assistants in St. Louis
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Questions
What do CNAs earn in Saint Louis, MO?
In Saint Louis, the May 2025 median is about $39.1K, 7% under the U.S. median. The wage is the nursing-assistant series, which is the national wage data for this work. The U.S. median in that series is about $42.3K. The Missouri median is about $37.7K, and this metro is 4% over that figure. The 25th percentile in Saint Louis is about $37.2K. The 75th percentile in Saint Louis is about $44.6K.
Who hires CNAs in Saint Louis?
Nursing homes, home health agencies, and hospitals do most of the hiring for CNAs. Any names listed are campuses on file, not open postings. An aide in Saint Louis can change buildings without leaving this metro. A single building in Saint Louis is hiring against the other buildings in this metro. The aide you want can pick up hours down the hall or across town.
How hard is it to fill CNAs jobs in Saint Louis?
The published hiring-difficulty score for nursing assistants in Saint Louis is 4.2. This page shows a score only when Saint Louis already has one on the hiring grid. National employment of nursing assistants is projected to change 2.6% from 2025 to 2035. That projection describes the country, not Saint Louis. Annual openings in the same national projection are about 196.2 thousand. A missing score does not take the wage table off this page.
Which other metros are near Saint Louis for this role?
The nearest listed metro is Springfield, IL, and its page uses that metro's own May 2025 nursing-assistant wage. A city other than Saint Louis needs the wage from its own page. Miles on the nearby list are the distance between the city points, not a drive time. Saint Louis has a deeper bench of these workers than a typical metro. The May 2025 employment count for nursing assistants in Saint Louis is 14,620. A blank employment count means BLS did not publish one for Saint Louis.
What training do CNAs need in Saint Louis, MO?
CNAs in Saint Louis follow the Missouri note on this page. There is no separate city license. Nursing homes in Medicare or Medicaid use aides from a state-approved program who are on the state registry. The federal floor is at least 75 clock hours, with at least 16 of those hours supervised by an RN or LPN. States may require more hours than that floor. Hospitals and home health in Missouri can use a different rule, so read the registry before you rely on the federal floor alone.