Hospice career hub · role

Becoming a hospice CNA — the complete role guide

The hospice CNA (or Hospice Aide, in CMS terminology) provides direct personal care — bathing, grooming, toileting, transfers, and meals — under the direction of the RN. CNAs often build the strongest relationships with patients and families and are frequently the ones who notice a change first.

By Goodwin Hospice Academy Editorial Team·Published February 16, 2026

A day in the life

A typical day: 6–8 visits, each 45–60 minutes. Personal care (bath, oral care, grooming, toileting), skin inspection with a mandatory report of any new pressure area, patient safety check, light homemaking for the immediate patient area, and warm human presence. The CNA reports observations to the case-managing RN.

Education & licensing

State-approved CNA/HHA training program (75–150 hours depending on state).
Active state CNA or HHA certification / registry listing.
CPR certification.
TB screening + immunization records per state requirements.
Valid driver’s license and reliable transportation.

Certifications

CHPNA — Certified Hospice and Palliative Nursing Assistant

The HPCC hospice CNA credential. Eligible after 2,000 hours of hospice/palliative practice.

Salary reference

Confirm current CNA compensation on the BLS Occupational Outlook Handbook. Hospice CNA compensation is typically above the nursing-home CNA median.

We never publish specific compensation numbers here to avoid drift. Follow the BLS link in Sources below for current, verified data.

Entry pathway

01Complete a state-approved CNA/HHA training program.
02Register with the state’s nurse-aide registry.
03Apply for hospice aide roles. Some hospices offer a specific hospice-aide orientation and mentorship program.
04After 2 years, plan for CHPNA certification.
05Optional: LPN or RN bridge for career growth.

FAQ

Is hospice CNA emotionally hard?

It can be — but hospice CNAs also describe unusually meaningful work. Most agencies provide peer support, bereavement resources, and IDG participation to sustain the work.

How is a hospice CNA different from a nursing-home CNA?

Hospice CNAs typically have longer visits, more autonomy, and a closer relationship with each patient because the caseload is smaller. Hospice CNAs are also required to meet 42 CFR §418.76 competency and supervision standards.

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Becoming a Hospice CNA

Hospice RN

Hospice LPN

Sources

Educational content only. Confirm current licensure, certification, and compensation data with the linked primary sources.