diff --git a/doc/source/whatsnew/v0.25.0.rst b/doc/source/whatsnew/v0.25.0.rst
index b2a379d9fe6f5..5d611069ebd0a 100644
--- a/doc/source/whatsnew/v0.25.0.rst
+++ b/doc/source/whatsnew/v0.25.0.rst
@@ -393,6 +393,7 @@ Groupby/Resample/Rolling
 - Bug in :meth:`pandas.core.window.Rolling.count` and `pandas.core.window.Expanding.count` was previously ignoring the axis keyword (:issue:`13503`)
 - Bug in :meth:`pandas.core.groupby.GroupBy.idxmax` and :meth:`pandas.core.groupby.GroupBy.idxmin` with datetime column would return incorrect dtype (:issue:`25444`, :issue:`15306`)
 - Bug in :meth:`pandas.core.groupby.GroupBy.cumsum`, :meth:`pandas.core.groupby.GroupBy.cumprod`, :meth:`pandas.core.groupby.GroupBy.cummin` and :meth:`pandas.core.groupby.GroupBy.cummax` with categorical column having absent categories, would return incorrect result or segfault (:issue:`16771`)
+- Bug in :meth:`pandas.core.groupby.GroupBy.nth` where NA values in the grouping would return incorrect results (:issue:`26011`)
 
 
 Reshaping
diff --git a/pandas/core/groupby/groupby.py b/pandas/core/groupby/groupby.py
index bd8a8852964e3..945885e34fa1e 100644
--- a/pandas/core/groupby/groupby.py
+++ b/pandas/core/groupby/groupby.py
@@ -12,7 +12,7 @@ class providing the base-class of operations.
 import datetime
 from functools import partial, wraps
 import types
-from typing import FrozenSet, Optional, Tuple, Type
+from typing import FrozenSet, List, Optional, Tuple, Type, Union
 import warnings
 
 import numpy as np
@@ -1546,15 +1546,16 @@ def backfill(self, limit=None):
 
     @Substitution(name='groupby')
     @Substitution(see_also=_common_see_also)
-    def nth(self, n, dropna=None):
+    def nth(self,
+            n: Union[int, List[int]],
+            dropna: Optional[str] = None) -> DataFrame:
         """
         Take the nth row from each group if n is an int, or a subset of rows
         if n is a list of ints.
 
         If dropna, will take the nth non-null row, dropna is either
-        Truthy (if a Series) or 'all', 'any' (if a DataFrame);
-        this is equivalent to calling dropna(how=dropna) before the
-        groupby.
+        'all' or 'any'; this is equivalent to calling dropna(how=dropna)
+        before the groupby.
 
         Parameters
         ----------
@@ -1617,34 +1618,43 @@ def nth(self, n, dropna=None):
         4  2  5.0
         """
 
-        if isinstance(n, int):
-            nth_values = [n]
-        elif isinstance(n, (set, list, tuple)):
-            nth_values = list(set(n))
-            if dropna is not None:
-                raise ValueError(
-                    "dropna option with a list of nth values is not supported")
-        else:
+        valid_containers = (set, list, tuple)
+        if not isinstance(n, (valid_containers, int)):
             raise TypeError("n needs to be an int or a list/set/tuple of ints")
 
-        nth_values = np.array(nth_values, dtype=np.intp)
-        self._set_group_selection()
-
         if not dropna:
-            mask_left = np.in1d(self._cumcount_array(), nth_values)
+
+            if isinstance(n, int):
+                nth_values = [n]
+            elif isinstance(n, valid_containers):
+                nth_values = list(set(n))
+
+            nth_array = np.array(nth_values, dtype=np.intp)
+            self._set_group_selection()
+
+            mask_left = np.in1d(self._cumcount_array(), nth_array)
             mask_right = np.in1d(self._cumcount_array(ascending=False) + 1,
-                                 -nth_values)
+                                 -nth_array)
             mask = mask_left | mask_right
 
+            ids, _, _ = self.grouper.group_info
+
+            # Drop NA values in grouping
+            mask = mask & (ids != -1)
+
             out = self._selected_obj[mask]
             if not self.as_index:
                 return out
 
-            ids, _, _ = self.grouper.group_info
             out.index = self.grouper.result_index[ids[mask]]
 
             return out.sort_index() if self.sort else out
 
+        # dropna is truthy
+        if isinstance(n, valid_containers):
+            raise ValueError(
+                "dropna option with a list of nth values is not supported")
+
         if dropna not in ['any', 'all']:
             if isinstance(self._selected_obj, Series) and dropna is True:
                 warnings.warn("the dropna={dropna} keyword is deprecated,"
@@ -1679,7 +1689,7 @@ def nth(self, n, dropna=None):
 
         else:
 
-            # create a grouper with the original parameters, but on the dropped
+            # create a grouper with the original parameters, but on dropped
             # object
             from pandas.core.groupby.grouper import _get_grouper
             grouper, _, _ = _get_grouper(dropped, key=self.keys,
@@ -1687,7 +1697,8 @@ def nth(self, n, dropna=None):
                                          sort=self.sort,
                                          mutated=self.mutated)
 
-        grb = dropped.groupby(grouper, as_index=self.as_index, sort=self.sort)
+        grb = dropped.groupby(
+            grouper, as_index=self.as_index, sort=self.sort)
         sizes, result = grb.size(), grb.nth(n)
         mask = (sizes < max_len).values
 
diff --git a/pandas/tests/groupby/test_nth.py b/pandas/tests/groupby/test_nth.py
index 7a3d189d3020e..6d07ab0008adb 100644
--- a/pandas/tests/groupby/test_nth.py
+++ b/pandas/tests/groupby/test_nth.py
@@ -434,3 +434,20 @@ def test_nth_column_order():
                          columns=['C', 'B'],
                          index=Index([1, 2], name='A'))
     assert_frame_equal(result, expected)
+
+
+@pytest.mark.parametrize("dropna", [None, 'any', 'all'])
+def test_nth_nan_in_grouper(dropna):
+    # GH 26011
+    df = DataFrame([
+        [np.nan, 0, 1],
+        ['abc', 2, 3],
+        [np.nan, 4, 5],
+        ['def', 6, 7],
+        [np.nan, 8, 9],
+    ], columns=list('abc'))
+    result = df.groupby('a').nth(0, dropna=dropna)
+    expected = pd.DataFrame([[2, 3], [6, 7]], columns=list('bc'),
+                            index=Index(['abc', 'def'], name='a'))
+
+    assert_frame_equal(result, expected)