CNA Salary

Senior Certified Nursing Assistant Salary in West Des Moines, IA: $56,738 (2026)

Quick Answer:The top tier of certified nursing assistants working in West Des Moines, IA — those at or above the 90th percentile — pull in $56,738/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 31-1131. Strip back West Des Moines's price premium (BEA RPP 90.4, 10% below national) and that top-decile pay carries the same buying power as $62,763 in average-cost America. The 23% spread above city median typically rewards 7+ years of practice or specialty credentials.

$56,738
Top 10% Earn
$27.27/hr
Top Hourly Rate
$51,912
75th Percentile
$56,738
90th Percentile

Based on BLS state-level estimates · View source

Certified Nursing Assistant Senior Salary in West Des Moines, IA — 2026 est., based on 2025 BLS
West Des Moines, IA certified nursing assistant senior salary overview (2026 est., based on 2025 BLS)

Achieving the top certified nursing assistant salary in West Des Moines can make a significant difference in one's income potential, particularly for those with 7 or more years of experience. The projected salary for the highest earners in this field in 2026 reaches $56,738, a figure that distinctly highlights the value of seasoned professionals. The median annual salary for experienced certified nursing assistants in the area is $46,191, creating a noticeable experience premium for those who advance to the higher pay brackets. To reach this upper-tier compensation, it's vital to pursue specialized certifications or roles that enhance skill sets and employability in a competitive healthcare landscape.

About the West Des Moines Market

Salary estimated from Iowa average ($36,000) adjusted for local cost of living.

2026 Salary Percentile Distribution in West Des Moines

Vertical bar chart of 10th through 90th percentile salaries for certified nursing assistants in West Des Moines. The median salary is $46,191, compared to the national median of $45,007.$34.3K$40.7K$47.0K$53.3K$59.6K$38.2K10th Pctl$40.2K25th Pctl$46.2KMedian$51.9K75th Pctl$56.7K90th PctlUS Median$45.0K

Experienced certified nursing assistants at the top of the pay scale in West Des Moines earn between $51,912 and $56,738 per year (2026 est.). This $18,579 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The West Des Moines median of $46,191 sits 2.63% above the US median.

Source: BLS OEWS projected to 2026. Percentiles reflect the distribution of certified nursing assistant pay in the West Des Moines metro area.

Top CNA Salary Comparison

LevelWest Des MoinesNational
Median (P50)$46,191$45,007
75th Percentile$51,912$50,289
90th Percentile (Top 10%)$56,738$55,359

In West Des Moines, experienced certified nursing assistants (P90) earn 22.83% more than the local median — reflecting the significant value of specialization and tenure in this market.

What Drives Top Certified Nursing Assistant Pay in West Des Moines

1

Advanced Certifications in Iowa

IA certified nursing assistants with additional specialty certifications within the nursing field earn significantly above the $46,191 median. Expanded-scope credentials are increasingly valued by West Des Moines employers.

2

Specialty Focus

Certified Nursing Assistants focusing on high-acuity or specialty areas within the nursing field in West Des Moines command premium compensation, often reaching the $51,912–$56,738 range.

3

Large Health-System & Multi-Site Experience

Large hospital systems and multi-site employers in the West Des Moines metro area often pay above-market rates for experienced certified nursing assistants who demonstrate efficiency and leadership.

4

Employer Loyalty & Patient Relationships

Long-tenured certified nursing assistants in West Des Moines with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.

5

Continuing Education & Leadership

Certified Nursing Assistants in Iowa who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.

Certified Nursing Assistant Career & Wage Growth Path in West Des Moines

Clinical Certified Nursing Assistant

0-5 years
$38,159 – $46,191

Senior/Lead Certified Nursing Assistant

5-10 years
$46,191 – $51,912

Certified Nursing Assistant Department Manager

10+ years
$51,912+

Educator / Specialty Leadership

Advanced
Varies by role

West Des Moines ranks #1 of 26 Iowa cities for top earner certified nursing assistant salary (90th percentile: $56,738).

Top 10% certified nursing assistant compensation in West Des Moines ($56,738) is 8.28% above the Iowa average P90 ($52,399).

2019 BLS Actual

$41,632

2025 BLS Actual

$53,275

2026 Current Est.

$56,738

2019–2027 Growth

+45.1%

Salary Trajectory for Certified Nursing Assistants in West Des Moines (20192027)

2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 6.50% projection.

BLS Actual Estimated Projected
Salary trajectory chart for certified nursing assistants in West Des Moines. Baseline $41,632 in 2025, projected to $60,426 by 2027.$36.3K$43.3K$50.4K$57.4K$64.5K2019202020212022202320242025202620272025 BLS$41.6K$43.2K$45.3K$47.1K$50.0K$40.3K$53.3K$56.7K$60.4K
YearAnnual SalaryStatus
2019$41,632Actual
2020$43,159Actual
2021$45,342Actual
2022$47,085Actual
2023$49,995Actual
2024$40,284Actual
2025$53,275Actual
2026(current)$56,738Estimated
2027$60,426Projected

Top-earning certified nursing assistants (90th percentile) in West Des Moines saw their compensation grow 28.0% from $41,632 in 2019 to $53,275 in 2025, based on 7 years of BLS OEWS data for this metropolitan area. At a 6.50% annual growth rate, senior-level pay is projected to reach $60,426 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.

Note: Historical values (20192025) are actual BLS OEWS figures for the West Des Moines metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 20262026 figures are current estimates, and 2027 values are projections, calculated using a 6.50% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.

Maximizing Your Certified Nursing Assistant Earnings in West Des Moines

In West Des Moines, several specializations can elevate a senior certified nursing assistant's pay, including roles as a restorative aide, medication aide, or dementia care specialist. Compensation varies based on the type of employer, with skilled nursing facilities and hospitals typically offering higher wages compared to home health agencies and assisted living communities. Those on the career path toward positions such as charge CNA or nursing program bridges to LPN or RN roles will find advanced credentials, including state certifications for CNA and additional training in areas like CPR/BLS, to be significant factors in increasing earning potential. Furthermore, non-salary incentives play a role in overall compensation; shift differentials for nights and weekends can add considerable value to a paycheck, reinforcing the importance of not just relying on base salary when assessing employment offers in the healthcare sector.

Frequently Asked Questions

How much do experienced certified nursing assistants make in West Des Moines in 2026?

Top-earning certified nursing assistants in West Des Moines (90th percentile) make $56,738/year, based on estimated 2026 salary (projected from 2025 BLS data at 6.50% annual growth). This is $10,547 more than the area median of $46,191 — representing a significant experience premium. Senior certified nursing assistants typically reach this level after 10+ years of clinical experience combined with specialty certifications, strong patient relationships, and working at high-production or specialty practices.

What drives higher certified nursing assistant pay in West Des Moines?

Higher certified nursing assistant pay in West Des Moines is driven by several key factors: years of clinical experience (10+ years for top tier), specializations, expanded-function certifications that allow additional procedures, and employment at high-production practices or large organizations. Geographic factors within the metro area also matter — practices in affluent neighborhoods or underserved areas often pay premium rates. Building a loyal patient base and strong clinical reputation further supports salary negotiation.

What certifications boost certified nursing assistant salary in West Des Moines?

The most impactful salary-boosting certifications for certified nursing assistants in West Des Moines include specialty certifications, advanced treatment certifications, and expanded-function credentials. These certifications can increase earnings well above the median of $46,191, especially when combined with experience at specialty practices.

Can experienced certified nursing assistants make six figures in West Des Moines?

The 90th percentile in West Des Moines is $56,738. Reaching six figures in this market may require combining clinical work at multiple practices with additional income from education, consulting, product sales, or relocating to a higher-paying metro area. Advanced certifications and specializations can help close the gap.

How much does certified nursing assistant salary increase over time in West Des Moines?

In West Des Moines, the gap between entry level ($38,159) and top earners ($56,738) is $18,579, reflecting significant earning potential over a career. Most salary growth occurs in the first 5–10 years through accumulated clinical experience and additional credentials. After year 10, growth slows unless you pursue management roles, teaching positions, or transition into consulting. Continuous professional development is essential for maximizing long-term earnings.

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Written by Emily Chen, BSN, RN

Career Analyst

Emily has over 10 years of experience in nursing. She focuses on workforce trends in nursing. Emily has worked in various healthcare settings, including hospitals and long-term care facilities.

Clinically reviewed by Michael Rodriguez, CNAData verified by Sara Patel, RN

Methodology & Data Source

Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $53,275 for certified nursing assistants in the West Des Moines metro area. A 6.50% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.

Data Sources & Methodology

Salary data for West Des Moines is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).

View estimation methodology

2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 6.50%, derived from historical BLS wage trends for certified nursing assistants (SOC 31-1131).

Compiled and verified by Emily Chen, BSN, RN, a licensed certified nursing assistant with 10+ years of clinical experience. · View source data at BLS.gov

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