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Business phone system for assisted living facilities for the elderly in California

3,755 assisted living facilities for the elderly operated in California in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
3,755CBP 2023
Employees
62,325mid-March 2023
Per 100k residents
9.5U.S. 6.1
State rank
1st of 51by count

The assisted living community industry in California

County Business Patterns counts 3,755 establishments in California classified as Assisted Living Facilities for the Elderly (NAICS 623312) for 2023. They employed 62,325 people in mid-March and reported $2.5 billion in annual payroll. That is the 1st highest count among the 51 states and DC with published figures. Assisted living facilities for the elderly make up 0.36% of the 1,029,689 business establishments in the state.

Per 100,000 residents (2024 estimate) California has 9.5 assisted living facilities for the elderly, 55.1% above the national rate of 6.1. The average establishment has 16.6 employees against 24.3 nationally. Payroll per employee is $40,206, 15.3% above the U.S. figure of $34,874.

Assisted living facilities for the elderly: California compared with the U.S., 2023
MeasureCaliforniaUnited States
Establishments3,75520,884
Mid-March employees62,325508,230
Annual payroll$2,505,838,000$17,723,940,000
Employees per establishment16.624.3
Payroll per employee$40,206$34,874
Establishments per 100,000 residents9.56.1

Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.

California's largest markets for assisted living facilities for the elderly

Census published assisted living community counts for 30 metro or micropolitan areas that include part of California. The largest is Los Angeles, CA, with 1,126 establishments. Single-state metro and micropolitan areas account for 100% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Assisted living facilities for the elderly by metro or micropolitan area, California, 2023
AreaEstablishmentsEmployeesPer 100k residents
Los Angeles, CA1,12619,0408.7
San Francisco, CA5499,41211.8
Sacramento, CA3836,36915.5
Riverside, CA3675,0697.7
San Diego, CA2965,3039.0
San Jose, CA1733,1038.7
Oxnard, CA1021,87512.2
Fresno, CA971,1068.2
Santa Rosa, CA881,53918.1
Vallejo, CA8399218.2
Stockton, CA691,1568.5
Bakersfield, CA619336.6
Santa Maria, CA5082911.2
San Luis Obispo, CA4753816.7
Modesto, CA396477.0
Visalia, CA315426.4
Redding, CA2541713.8
Chico, CA2445611.5
Salinas, CA224335.0
Napa, CA1933314.3
Santa Cruz, CA184756.9
Merced, CA121414.0
Yuba City, CA124136.5
Red Bluff, CA10—15.5
Eureka, CA92526.8

Top 25 of 30 areas by establishments. Source: Census CBP 2023.

Team sizes at assisted living facilities for the elderly in California

44.1% of California's assisted living facilities for the elderly with employees had fewer than five people in March 2023, compared with 33.3% nationally. 65.9% had fewer than ten. At that size the phone is shared, so routing (who rings, when, and what happens after hours) matters more than the number of desk phones.

Assisted living facilities for the elderly in California by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees1,65644.1%33.3%
5–9 employees81721.8%14.8%
10–19 employees46612.4%14.0%
20–49 employees43611.6%22.4%
50 or more employees37910.1%15.5%

Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.

Why the phone matters for assisted living facilities for the elderly in California

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.

Typical inbound and outbound calls for assisted living facilities for the elderly in California:

Business texting for assisted living facilities for the elderly

Communities text tour confirmations and event reminders to families.

Texting from a local number in California requires carrier registration (10DLC), a one-time $49 fee on Callata.

Phone system pricing for a 17-person assisted living community

Assisted living facilities for the elderly in California average 16.6 employees, so the comparison uses a 17-person team. On a per-user plan that headcount sets the bill: $424.15 a month on Ooma Office Pro or $510.00 on RingCentral RingEX Core at list price (checked September 28, 2026). Callata comes to $339.00 a month for 17 users ($99 a month with 5 users included, then $20 per additional user), below both.

Over a year, that is $2,052 less than RingCentral for an assisted living community in California of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.

Monthly list price for a 17-person assisted living community
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$339.00$4,068.00
Quo (Starter)$19.00 per user$323.00$3,876.00
Nextiva (Core)$23.00 per user$391.00$4,692.00
Ooma (Office Pro)$24.95 per user$424.15$5,089.80
Dialpad (Standard)$27.00 per user$459.00$5,508.00
RingCentral (RingEX Core)$30.00 per user$510.00$6,120.00

Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.

Area codes in California

California has 41 geographic area codes in service according to NANPA. Callata includes up to 3 local numbers, so an assisted living community can hold a number in more than one of them.

Area codes in California by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
408787Pacific1959669
213786Pacific1947323, 738
310786Pacific1991424
323786Pacific1998213, 738
714786Pacific1951657
805786Pacific1957820
909786Pacific1992840
415785Pacific1947628
510785Pacific1991341
559785Pacific1998357
619785Pacific1982858
707785Pacific1959369
760785Pacific1997442
916785Pacific1947279
209784Pacific1958350
530782Pacific1997837
818781Pacific1984747
949745Pacific1998none
626734Pacific1997none
650716Pacific1997none

Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.

How Callata works for assisted living facilities for the elderly in California

Callata is a business phone system priced at $99 a month with 5 users included, then $20 per additional user. Callata Office includes up to 3 local business numbers, unlimited inbound calling, 1,500 pooled outbound US and Canada minutes per user each month, a browser softphone that can also ring your cell, voicemail with transcription, call recording with AI summaries, business-hours routing and E911 on every number.

Porting a number you already use in California is free, and business texting is available once the carrier registration (10DLC) is approved; the registration carries a one-time $49 fee. Which specific numbers are open in a given area code depends on carrier inventory at the time you sign up.

AI agents are optional: an AI receptionist or scheduler can pick up when the team is busy or closed, take a message, send a text or email, or transfer the call. They draw on prepaid AI minutes ($0.25/minute), disclose that they are AI, and outbound AI calls require prior consent and are limited to 8am–9pm.

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.

Frequently asked questions

How many assisted living facilities for the elderly are in California?

3,755 in 2023, according to Census County Business Patterns. They employed 62,325 people in mid-March.

Which California metro area has the most assisted living facilities for the elderly?

Los Angeles, CA, with 1,126 establishments in 2023.

What does a phone system cost a 17-person assisted living community?

$510.00 a month on RingCentral RingEX Core or $424.15 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $339.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

Do I need to register to text customers from a California number?

Yes. US carriers require business texting from local numbers to be registered (10DLC). On Callata the registration is a one-time $49 fee, and texting turns on once it is approved.