Defending Your Certified Nurse Aide Credentials in Alabama

The Lento Law Firm's Professional License Defense Team Stands Ready to Protect Your CNA Certification in Alabama.

Due to the constant demand for healthcare professionals in Alabama--and considering how facilities are constantly understaffed (and nurses overworked)--the need for Certified Nurse Aides (CNAs) in Alabama has never been greater. Even so, the state holds its certified CNAs to high standards of excellence in practice, and a single allegation of misconduct can result in disciplinary action. If you're a CNA in Alabama who has been accused of wrongdoing, you need to know what you're up against. The Alabama Department of Public Health (ADPH) takes every complaint seriously, and if it believes you have committed a violation of its standards or engaged in patient abuse, they have the authority to revoke your CNA certification based only on a preponderance of the evidence.

As a CNA practicing in Alabama, your certification is your passport to employment in medical clinics, nursing homes, hospitals, and other facilities across the state. If those credentials are suspended or revoked, you'll be unable to obtain work in these facilities. In other words--no certification, no career. Regardless of whether the complaint arises from a miscommunication, a false claim, or an actual misstep on your part, all the hard work you've put into becoming a CNA could be erased if a complaint against you is validated. The ADPH is duty-bound to investigate every complaint and enforce appropriate disciplinary measures to uphold public health and safety.

The Lento Law Firm: Your Ally Against Disciplinary Action

If there's a complaint filed against you as a CNA, the situation is serious but not beyond hope. Hiring a seasoned professional license defense attorney at the earliest hint of trouble can significantly improve your chances of getting the complaint resolved with little to no impact on your ability to practice. The Lento Law Firm's Professional License Defense Team boasts considerable experience in assisting CNAs nationwide who are facing possible disciplinary action. Armed with an in-depth understanding of ADPH's procedures and exceptional negotiation skills, our team is well-equipped to get you the most favorable resolution possible for your case. To arrange a consultation, contact the Lento Law Firm today at 888-535-3686.

How CNAs Are Regulated in Alabama

Certified Nurse Aides in Alabama are certified and regulated by the Alabama Department of Public Health (ADPH). To become a CNA in Alabama, an individual must have a high-school education and complete a state-approved nurse aide training program, after which they must take a certification test (which has both written and skills sections). At that point, they receive a program certificate from the school, and their name is registered in the state's Certified Nurse Aide Registry. Interestingly, Alabama does not directly issue licenses or certificates to nurse aides; the certification is issued on completion of the training program.

Unlike other states in which CNA certification must be renewed every two years, Alabama CNA certifications do not renew. Rather, to maintain active status, CNAs must simply do paid work at least 8 hours every 24 months at an approved healthcare facility (nursing home, hospital, home health agency, hospice agency, or mental health facility). As long as they do so (and provided they remain in good standing with no wrongdoing), their CNA certification remains active indefinitely. However, if a CNAs does not meet the minimum work requirements and their registration expires, they must begin the qualifying process over again by re-enrolling in an approved training program and re-taking the certification test.

Allegations That May Threaten Your CNA Certification in Alabama

CNAs in Alabama are expected to comply with applicable state healthcare standards as detailed in the Nurse Practice Act and the Alabama Administrative Code. Most allegations that could threaten your credentials as a CNA are typically linked to a breach of this law or other violations of ADPH rules. Examples of allegations that could threaten your certification include, but are not limited to:

  • Sexual Misconduct: Inappropriate sexual behavior/abuse can result in loss of credentials. Additionally, engaging in consensual romantic relationships with a patient you are treating is considered a severe ethical violation and could result in having your credentials revoked.
  • Patient Abuse or Neglect: Any abusive behaviors toward patients could put your CNA certification in jeopardy. So could any action that puts a patient at unnecessary risk.
  • Substance Abuse: Excessive alcohol use or drug abuse could jeopardize your CNA certification, as these could call into question your ability to act responsibly in the care of patients.
  • Fraud: Deceptive practices like tampering with patient records, misrepresenting qualifications, or submitting inflated bills to insurance companies could result in the loss of your CNA credentials.
  • Criminal Convictions: Convictions (past or present) for felonies, violent crimes, or other crimes of moral turpitude could disqualify you from practicing as a CNA in Alabama. Failing to self-report any criminal conviction to the ADPH could also attract disciplinary action, even if the crime itself wouldn't have led to discipline.

Not All Disciplinary Actions Result in Revoking Your CNA Credentials--But Can Be Just as Damaging

While any claim of improper conduct can potentially lead to the revocation of your CNA certification, the ADPH may opt for less severe disciplinary actions based on the nature of the alleged wrongdoing and corroborating evidence. Possible lesser penalties include:

  • Probation or Restricted Activities: The ADPH may limit certain tasks or put you under observation.
  • Fines: The ADPH may impose a financial fine.
  • Reprimand: For less serious offenses, the ADPH may issue an official reprimand, which may or may not be recorded on your professional file and does not impede your ability to practice.

While these lesser penalties may allow you to keep your credentials, they can still negatively impact your career--especially if your alleged behavior qualifies as abuse. The ADPH maintains an ongoing Abuse List for nurse aids who have been disciplined. This Abuse list is publicly accessible by anyone, and if your name appears on this list, it could impact an employer's decision to hire you. Likewise, if you apply for CNA certification in another state, that state's regulatory board can also look up this information in consideration of whether to issue you a certification.

The best way to avoid repercussions like these is to take proactive steps to avoid formal disciplinary measures. When you engage us early in the disciplinary process, the Professional License Defense Team at the Lento Law Firm can often negotiate a resolution that allows you to retain an unblemished professional record.

Voluntary Disciplinary Alternative Programs in Alabama

If your alleged misconduct was caused by substance abuse, physical health, or mental health problems, the ADPH may permit you to avoid disciplinary action by enrolling in a state-approved voluntary disciplinary alternative program. These programs provide a path to recovery that allows CNAs to carry on their practice while taking care of their health and well-being. Participants may be required to undergo therapy, counseling, regular drug screening, and work limitations or supervision. Successfully completing the program can result in no official disciplinary action being imposed--and, therefore, no blemish on your work record. Where applicable, the Lento Law Firm Team can negotiate with the ADPH to make this option available for you as an alternative to discipline.

Areas We Serve in Alabama

The State of Alabama is home to more than five million people across numerous population centers. With high demands for healthcare staff, CNAs can find multiple opportunities for employment to help alleviate the strains on the healthcare system. The License Defense Team at the Lento Law Firm offers representation to CNAs, nurses, and other licensed professionals throughout Alabama who are facing license and credential defense issues. While we are fully capable of assisting CNAs in all towns and municipalities across the state, our focus is understandably on Alabama's major population centers, where most of our clients live and work. These centers include, but are not limited to, the following locations:


While the population of Birmingham proper is just under 200,000, this vibrant city anchors a sprawling metropolitan area of more than 1.1 million (approximately 20 percent of the entire state population). Often associated with the Civil Rights Movement of the 1960s, Birmingham is home to the Birmingham Civil Rights Institute, a significant landmark that documents the struggles and triumphs of the civil rights era. The city has a robust economy, primarily powered by the healthcare, finance, and education sectors. Birmingham also boasts a thriving arts scene, with a plethora of galleries, theaters, and music venues, including the historic Alabama Theatre. Primary healthcare systems in the Birmingham area include UAB Medicine, Ascension St. Vincent's, Brookwood Baptist Medical Center, and Grandview Medical Center.


With a population of 215,000, Huntsville is officially the largest city in Alabama. Known as "Rocket City," Huntsville is home to the US Space & Rocket Center, which is the largest space museum in the United States and is an integral part of the US space program's history. The city is also a hub for technological innovation, with Cummings Research Park being one of the world's leading science and technology business parks. Primary healthcare providers in the Huntsville area include Huntsville Hospital, Madison Hospital, Crestwood Medical Center, and Decatur Morgan Hospital.


At approximately 200,000 people, Montgomery is the second-largest city in Alabama and also serves as its state capital. In addition to being a major commercial center for the entire central region of Alabama, this historic city holds a significant place in American history as a focal point of the Civil Rights Movement. The city is renowned for sites like the Rosa Parks Museum and the Civil Rights Memorial Center, which honor the legacy of key figures and events that helped shape the course of American civil rights. In addition to its historical importance, Montgomery is a vibrant cultural hub, hosting a myriad of art galleries, theaters, and the acclaimed Montgomery Museum of Fine Arts. It's also the site of Maxwell AFB, a major training facility built on the site of the Wright Brothers' first flight school. The city's largest healthcare providers include Baptist Health, and Jackson Hospital & Clinic.


Mobile is a historic city nestled on the Gulf Coast and recognized as Alabama's only saltwater port. As one of the oldest cities in the United States, Mobile is steeped in rich Southern traditions and history, including being the birthplace of the American Mardi Gras, predating even New Orleans' famous celebration. The city's historic districts showcase a mix of architectural styles, with landmarks like the iconic Battleship Memorial Park and the Mobile Carnival Museum. Several healthcare systems and facilities serve Mobile's 183,000 residents, including Ascension, USA Health, and Springhill Medical Center.

The Disciplinary Process for CNAs in Alabama

The Alabama Administrative Code outlines disciplinary procedures for nursing professionals in the state. If you're an Alabama CNA facing allegations of misconduct, you can expect the disciplinary process to move through the following basic stages:


Most disciplinary proceedings begin when someone files a complaint against you with the ADPH alleging misconduct, wrongdoing, or abuse. Any member of the public can submit a complaint, but for CNAs, accusations primarily stem from patients, patient's family members, coworkers, other healthcare professionals, or anyone who perceives a violation of nursing standards.


The ADPH will conduct an investigation of the complaint to determine whether it can be corroborated by evidence. An investigator will generally be assigned to gather facts and look for such evidence. This phase generally involves interviewing the complainant and potential witnesses, issuing subpoenas for pertinent documents, and other measures. (You may also be asked to respond to the complaint.

Informal Disposition/Consent Order

If the ADPH investigation finds substantive evidence supporting the complaint (or if the offense itself is relatively minor), they may choose not to hold an informal disposition in lieu of a formal hearing to resolve the matter. In this case, you and the ADPH would agree on the terms of disciplinary action, if any, without proceeding to a formal hearing. This may also result in the signing of a consent order, which is a binding agreement in which you agree to submit to whatever disciplinary action has been agreed upon. This can save time and resources, and it often results in lighter penalties. However, it's essential to consider the potential implications on your professional record. Never agree to a consent order without consulting an attorney. The Lento Law Firm Team can negotiate on your behalf for the best possible terms in a consent order.

Formal Disposition/Hearing

If the informal disposition yields no agreement (or if there is no informal disposition at all), the case moves to a formal disposition, which is an administrative hearing held in front of a hearing officer. It's highly recommended that you have legal representation at this hearing, as it is your final chance to present your side of the story with any supporting evidence. At the conclusion of the hearing, the ADPH will make a final determination as to disciplinary action, up to and including revoking your CNA credentials and placing your name on the Abuse List.

Throughout this disciplinary process, there are multiple junctures where an experienced license defense attorney can negotiate a positive resolution, potentially avoiding a formal hearing. The Professional License Defense Team at the Lento Law Firm excels in such negotiations, often helping clients resolve complaints before they escalate to the advanced stages.

Multiple State Certification and Disciplinary Implications

While Alabama participates in the Enhanced Nurse Licensure Compact (eNLC), enabling multi-state licenses for nurses, Certified Nurse Aides are not technically nurses and are not included in this compact. Therefore, if you plan to practice as a CNA across multiple states, it's usually necessary to obtain separate certifications or endorsements for each respective state. Significantly, disciplinary actions initiated against you in one state can affect your CNA certification in another. For example, if you apply for CNA credentials in Alabama following disciplinary proceedings in a different state, the Alabama Department of Public Health will review any disciplinary action taken against you in other states where you may have been certified. Similarly, any disciplinary actions imposed on you by the Alabama Department of Public Health will be publicly available, potentially hampering your chances of securing certification in other states and possibly affecting your existing certifications across multiple states. At worst, this could lead to having to deal with disciplinary actions in more than one state.

Given the intricacies involved with multiple state certifications--and considering that every state has different disciplinary procedures for CNAs--your best hope of resolution is to hire a professional license defense firm with a nationwide reach. The Lento Law Firm Team provides defense services for CNAs across the United States, offering guidance through potential disciplinary actions in multiple jurisdictions. Additionally, by involving us early in the disciplinary process, we can often negotiate a favorable resolution that can prevent negative actions from appearing in your file when applying for certification in other states.

Preserving Your CNA Certification With the Lento Law Firm

If you're a CNA in Alabama facing allegations of professional misconduct, you need to know there's no guaranteed presumption of innocence until proven guilty--that principle simply does not apply here. The ADPH's primary duty is to ensure public safety, and they have the power to enforce disciplinary actions based on the preponderance of the evidence standard (versus "beyond a reasonable doubt"). That means they only need to be as little as 51 percent convinced that you committed wrongdoing to find you guilty and penalize you. As such, tackling a complaint without the backup of experienced legal counsel may put you at a notable disadvantage and increase the likelihood of punitive actions against your CNA certification.

The Professional License Defense Team at the Lento Law Firm can significantly boost your chances of emerging from disciplinary proceedings with your CNA certification intact. We can meticulously analyze the facts and evidence, assess the credibility of the complaint lodged against you, aid in collecting corroborative evidence, gather witnesses if necessary, and negotiate the most advantageous resolution terms with the ADPH. In numerous instances, we've been able to resolve the complaint before it escalates to a formal hearing. However, if it does reach that stage, we're also highly skilled at effectively presenting your case for the best possible outcome.

Trusted Professional License Defense Attorney for Alabama CNAs

Do not underestimate the potential risks when a complaint is lodged against you with the Alabama Department of Public Health. Even seemingly minor infractions or misunderstandings can still result in enduring repercussions for your career. If you're an Alabama CNA confronting allegations of misconduct, securing a professional license lawyer early in the process gives you a much higher chance of a favorable outcome.

The Lento Law Firm Team brings to your defense a wealth of experience, having successfully represented countless individuals in similar predicaments across the nation. Our team will tirelessly strive to safeguard both your CNA certification and your career. To discuss your situation and explore your options, contact the Lento Law Firm at 888-535-3686 or via our online contact form.


Attorney Joseph D. Lento and the Lento Law Firm are committed to answering your questions about Physician License Defense, Nursing License Defense, Pharmacist License Defense, Psychologist and Psychiatrist License Defense, Dental License Defense, Chiropractic License Defense, Real Estate License Defense, Professional Counseling License Defense, and Other Professional Licenses law issues nationwide.
The Lento Law Firm will gladly discuss your case with you at your convenience. Contact us today to schedule an appointment.

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