St. Louis has relatively few stand-alone Home Health Aide schools, but Missouri gives students two practical routes into home health.
A dedicated HHA program generally requires at least 75 hours of training, including at least 16 hours of hands-on instruction, while an active CNA in good standing can also meet the federal training requirement for HHA work.
Missouri CNA programs are much more common and require 175 hours, including 75 hours of instruction and 100 hours of supervised on-the-job training.
The current Missouri CNA exam costs $135, including $32 for the knowledge exam and $103 for the skills exam.
1 Health Solutions Academy
Health Solutions Academy offers a Missouri-approved Certified Nursing Assistant program covering basic nursing skills, infection control, resident rights, safety, communication, personal care, vital signs, mobility, and preparation for the Missouri CNA examination.
CNA certification can then be used for employment with qualifying home health agencies as well as nursing facilities and other healthcare employers.
Program Length
The program takes 10 weeks and provides 175 hours of training, including 75 classroom hours and 100 clinical hours.
Cost
The published program cost is $975, with a $25 application fee and a $300 initial payment.
If the $135 Missouri CNA exam is paid separately, a student should budget approximately $1,135 for the program, application, and examination before any outside medical or screening expenses.
The school also encourages students to ask about programs that can reduce tuition to $0.
Admission Requirements
Students generally must be at least 18 and satisfy Missouri background, health, and clinical requirements.
TB testing, criminal background clearance, and Family Care Safety Registry screening may be required.
What Makes This Program Worth Considering?
At $975 for 175 hours, Health Solutions Academy is one of the better-priced private CNA options in St. Louis.
The 10-week schedule provides the full 75 classroom and 100 clinical hours required by Missouri instead of compressing training into a very short course.
Address: 1060 Chambers Road, St. Louis, MO 63137
2 Aspire Healthcare Solutions
Aspire offers an accelerated hybrid CNA program with online theory and in-person clinical training.
Students learn personal care, infection prevention, patient safety, basic nursing procedures, communication, vital signs, and other skills relevant to both facility and home-care employment.
Program Length
The program takes approximately 6 weeks and totals 175 hours, consisting of 75 hours of theory and 100 hours of clinical training.
Current 2026 day and evening cohorts meet Tuesdays and Thursdays, with schedules such as 7:00 AM to 3:30 PM or 2:30 PM to 10:30 PM.
Cost
Recent self-pay pricing is approximately $1,638.
Enrollment begins with a $300 payment, including a $125 registration fee and $175 tuition deposit.
Payment plans can divide the remaining tuition into weekly or biweekly installments.
Adding the current $135 CNA exam brings the basic self-pay total to approximately $1,773 if testing is separate.
WIOA, SLATE, SNAP-related, and other workforce funding can reduce tuition substantially, and some qualifying students attend for $0.
Admission Requirements
Students must complete background and Family Care Safety Registry screening and meet clinical health requirements such as TB clearance.
Grant-funded applicants may have additional income or public-benefit eligibility requirements.
What Makes This Program Worth Considering?
Aspire fits Missouri’s entire 175-hour CNA requirement into about 6 weeks.
The combination of 75 online theory hours, 100 clinical hours, day and evening schedules, and multiple funding programs makes it one of the more flexible options in St. Louis.
Address: 1120 S. 6th Street, Suite 200, St. Louis, MO 63104
3 The Betty Jean Crowder Medical Education Center
The Betty Jean Crowder Medical Education Center offers Missouri-approved CNA training for students preparing to work in nursing facilities, assisted living, hospitals, and home health.
Training covers direct patient care, vital signs, infection control, documentation, safety, communication, and clinical nursing-assistant skills.
Program Length
The CNA program takes 10 weeks.
The school schedules frequent cohorts throughout 2026, including day and evening classes, with starts in March, April, June, July, September, October, and December.
Cost
Tuition is $1,750.
The price includes the registration fee, books, uniform, and course instruction, but the Missouri certification examination is not included.
Adding the $135 state exam produces a minimum education and testing cost of approximately $1,885 before any separate health screening, background check, or clinical expenses.
Admission Requirements
Students complete the school’s enrollment process and must satisfy Missouri CNA background, health, and clinical requirements.
What Makes This Program Worth Considering?
The $1,750 tuition is more expensive than Health Solutions Academy, but the package already includes books, a uniform, and registration.
Frequent day and evening cohorts also give students more opportunities to start without waiting several months for the next class.
Address: 12526 Lusher Road, St. Louis, MO 63138
4 Bethesda Health Group CNA Apprenticeship
Bethesda Health Group offers an employer-sponsored CNA apprenticeship that combines formal education with paid hands-on work.
Participants are hired as nurse aides in training and complete their Missouri CNA requirements while working with experienced staff.
Program Length
Recent Bethesda apprenticeship cohorts have lasted approximately 12 to 13 weeks.
One format includes paid classroom and clinical training 2 days per week plus additional 8-hour supervised shifts, bringing participants to at least 32 paid hours per week.
Cost
Tuition is $0 for accepted apprentices, and Bethesda covers CNA training costs.
Employees who become full-time CNAs can receive a $1,000 bonus when beginning the CNA role and another $1,500 after 9 months, for up to $2,500 in employment bonuses.
Bethesda also offers continuing-education reimbursement of up to $4,000 per year for full-time employees and $2,000 per year for part-time employees.
Admission Requirements
Applicants generally need a high school diploma or GED and must pass an employer interview, criminal background check, drug screening, Family Care Safety Registry check, physical examination, and required immunization screening.
What Makes This Program Worth Considering?
Financially, this is one of the strongest options in St. Louis.
Instead of paying $1,000 to $2,000 for CNA school, accepted students receive $0 tuition and paid training, potentially work 32 paid hours each week during the apprenticeship, and can qualify for up to $2,500 in CNA employment bonuses.
Address: Bethesda Southgate, 5943 Telegraph Road, St. Louis, MO 63129
5 Missouri Veterans Home - St. Louis
Missouri Veterans Home operates a state-approved nurse aide training pathway for employees.
Students learn resident care, personal hygiene, transfers, infection prevention, safety, communication, vital signs, and other nursing-assistant skills while gaining hands-on experience inside a long-term-care environment.
Program Length
Training provides the full 175 hours required by Missouri, including 75 instructional hours and 100 hours of clinical or supervised on-the-job training.
Cost
Training is employer-sponsored and costs the trainee $0.
Participants are employees, so this can also provide paid experience while completing the required education rather than requiring students to stop working while attending a private school.
Admission Requirements
Applicants must qualify for employment at Missouri Veterans Home and satisfy state and facility requirements, including background screening and healthcare-related eligibility requirements.
What Makes This Program Worth Considering?
The combination of 175 hours of approved training and $0 tuition makes this a particularly strong option for students willing to begin their careers in long-term care.
After earning CNA certification, the credential can also provide a pathway into home health work.
Address: 10600 Lewis & Clark Boulevard, St. Louis, MO 63136
6 St. Louis Community College
St. Louis Community College offers an online Home Health Aide career-training program specifically focused on home-based care rather than only CNA work.
Topics include personal care, vital signs, nutrition and meal planning, infection prevention, restorative care, rehabilitation, mental health, pediatric care, emergency procedures, and caring for clients with special needs. Medical terminology is also included.
Program Length
The program is self-paced and open enrollment.
Students receive up to 12 months to complete the coursework, making it much more flexible than a fixed 6-week or 10-week classroom program.
Cost
Current tuition is $2,574.
Required instructional materials and textbooks are included.
Payment options include standard credit-card payment, monthly financing, TuitionFlex, workforce funding, and qualifying military benefits.
Admission Requirements
Students should be at least 18 and have a high school diploma or equivalent.
No previous healthcare training is required.
What Makes This Program Worth Considering?
This is one of the few St. Louis programs focused directly on HHA education rather than using CNA as the primary route.
However, students should understand that the online course itself does not automatically award Missouri professional certification.
Federal HHA standards include hands-on competency requirements, including at least 16 hours of practical training, so students should confirm how those requirements will be completed with their intended employer before spending $2,574 on the online program.
Address: Forest Park Campus, 5600 Oakland Avenue, St. Louis, MO 63110
Schools Summary Table
Read the full guide: How to Become a Home Health Aide
