Business phone system for assisted living facilities for the elderly

Assisted living facilities for the elderly in the United States

County Business Patterns counted 20,884 assisted living facilities for the elderly in the U.S. in 2023 (NAICS 623312, Assisted Living Facilities for the Elderly). They employed 508,230 people in mid-March and paid $17.7 billion in annual payroll. The average establishment has 24.3 employees. That is 6.1 establishments for every 100,000 residents.

California has the most (3,755), followed by Washington (1,824), Florida (1,417), and Oregon (1,090). Relative to population, Alaska leads with 26.1 per 100,000 residents, and Delaware has the fewest at 1.6.

Why the phone matters for assisted living facilities for the elderly

Families researching assisted living usually start with a phone call, and those calls come at all hours from adult children juggling work. Existing residents' families also call regularly for updates.

Calls assisted living facilities for the elderly commonly handle:

• An adult child calls to ask about availability and pricing for a parent.
• A family member calls to schedule a tour.
• A hospital case manager calls about a possible placement.
• A resident's family calls to check on a care update.
• A vendor calls to confirm a delivery.

Texting and after-hours calls

Communities text tour confirmations and event reminders to families.

Evening inquiry calls from families are common, so capturing them and calling back promptly matters.

Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.

How big assisted living facilities for the elderly are

33.3% of U.S. assisted living facilities for the elderly with employees had fewer than five people in March 2023. 48.2% had fewer than ten. Most phone decisions in this industry are made for small teams, where one shared number and sensible routing matter more than a desk phone per person.

Assisted living facilities for the elderly by state

Establishment counts for the 51 states (and DC) where Census published a figure, with the rate per 100,000 residents.

Largest metro areas for assisted living facilities for the elderly

Census published assisted living community counts for 614 metro and micropolitan areas. The 25 largest:

Callata vs. per-seat pricing for assisted living facilities for the elderly in the U.S.

The average U.S. assisted living community has 24.3 employees, so the comparison uses a 24-person team. Priced per seat, 24 users would run $720.00 a month on RingCentral RingEX Core and $598.80 on Ooma Office Pro (month-to-month list prices, checked September 28, 2026). On Callata the same 24 people cost $479.00 a month, less than either per-seat plan.

The annual difference against RingCentral's monthly list price comes to $2,892. Some vendors discount annual contracts; the table shows month-to-month prices.

How Callata works for assisted living facilities for the elderly

Callata Office costs $99 per month for up to 5 people, and each additional user is $20 a month. That covers up to 3 local numbers, calling from a browser or your cell, transcribed voicemail, recorded calls with AI summaries, after-hours routing and E911 on each number.

Existing numbers can be ported at no charge, and team texting turns on after the one-time $49 carrier registration (10DLC) is approved.

Optional AI agents (receptionist, sales, support or scheduler) can answer calls after hours or when nobody picks up, take messages, text, email and transfer to your team. They are billed from prepaid AI minutes at $0.25 per minute, identify themselves as AI, and may only place outbound calls to people who consented, between 8am and 9pm.