CallataGuidesBusiness phone system for assisted living facilities for the elderly in Fresno, CA
Assisted living facilities for the elderly in the Fresno, CA metro area: 97 establishments in 2023, the local area codes, and what phone service costs an 11-person team.
- Establishments
- 97CBP 2023
- Employees
- 1,106mid-March 2023
- Per 100k residents
- 8.2U.S. 6.1
- Rank
- 35th of 614areas by count
The assisted living community market in Fresno, CA
The Census Bureau's 2023 County Business Patterns lists 97 establishments classified as Assisted Living Facilities for the Elderly (NAICS 623312) in the Fresno, CA metro area. They employed 1,106 people in mid-March and paid $44.6 million in annual payroll. By establishment count the area is 35th out of 614 areas with published figures for assisted living facilities for the elderly.
Measured against its 1.2 million residents (2024 estimate), the area has 8.2 assisted living facilities for the elderly per 100,000 people; the U.S. rate is 6.1, so Fresno, CA is 32.8% above the national figure. The average establishment here has 11.4 employees, compared with 24.3 nationally. Payroll per employee comes to $40,316, 15.6% above the national $34,874.
| Measure | Fresno, CA | California | United States |
|---|---|---|---|
| Establishments | 97 | 3,755 | 20,884 |
| Mid-March employees | 1,106 (moderate noise) | 62,325 | 508,230 |
| Annual payroll | $44,590,000 | $2,505,838,000 | $17,723,940,000 |
| Employees per establishment | 11.4 | 16.6 | 24.3 |
| Payroll per employee | $40,316 | $40,206 | $34,874 |
| Establishments per 100,000 residents | 8.2 | 9.5 | 6.1 |
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.
Establishment size: assisted living facilities for the elderly in Fresno, CA
Of the assisted living facilities for the elderly in Fresno, CA that had employees in March 2023, 47.4% had fewer than five (the U.S. share is 33.3%). 67.0% had fewer than ten. Small teams usually share the phone: the person who answers is often also serving a customer or doing the job, which is when calls get missed.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 46 | 47.4% | 33.3% |
| 5–9 employees | 19 | 19.6% | 14.8% |
| 10–19 employees | 13 | 13.4% | 14.0% |
| 20–49 employees | 14 | 14.4% | 22.4% |
| 50 or more employees | 5 | 5.2% | 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.
Calls an assisted living community in Fresno, CA has to catch
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.
A few of the calls that come in to assisted living facilities for the elderly in Fresno, CA:
- 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 residents and families
Communities text tour confirmations and event reminders to families.
Because carriers require registration for business texting from local numbers, Callata files a 10DLC registration for a one-time $49; after approval, anyone on the team can reply from the business number.
Phone system pricing for an 11-person assisted living community
The average assisted living community in Fresno, CA has 11.4 employees, so an 11-person team is a reasonable benchmark. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 11 users on RingCentral RingEX Core cost $330.00 a month and 11 on Ooma Office Pro cost $274.45. Callata comes to $219.00 a month for 11 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $1,332 less than RingCentral for an assisted living community in Fresno, CA of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.
| Provider (plan) | Pricing basis | Per month | Per year |
|---|---|---|---|
| Callata (Callata Office) | $99 incl. 5 users, $20 per extra user | $219.00 | $2,628.00 |
| Quo (Starter) | $19.00 per user | $209.00 | $2,508.00 |
| Nextiva (Core) | $23.00 per user | $253.00 | $3,036.00 |
| Ooma (Office Pro) | $24.95 per user | $274.45 | $3,293.40 |
| Dialpad (Standard) | $27.00 per user | $297.00 | $3,564.00 |
| RingCentral (RingEX Core) | $30.00 per user | $330.00 | $3,960.00 |
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.
Which area code to use in Fresno, CA
NANPA records place the exchanges of the area's named cities and towns in 3 area codes. 559 has the most, with 443 of 467 exchanges (95%). A local number lets residents and families in Fresno, CA call without dialing out of area. Callata includes up to 3 local numbers, and which numbers are open in an area code depends on carrier inventory when you choose.
| Area code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 559 | 443 | Pacific | 1998 | 357 |
| 209 | 19 | Pacific | 1958 | 350 |
| 357 | 5 | Pacific | 2025 | 559 |
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
For $99 a month, Callata puts a team of up to 5 on one plan ($20 for each person after that): up to 3 local numbers, unlimited inbound calls, a pooled allowance of 1,500 outbound US and Canada minutes per user, browser and cell calling, voicemail transcription with urgency triage, recorded calls with AI summaries and business-hours routing, with E911 on every number.
Porting a number you already use in Fresno, CA 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 there in Fresno, CA?
Census County Business Patterns counted 97 assisted living facilities for the elderly in the Fresno, CA metro area in 2023. They employed 1,106 people in mid-March.
What does a business phone system cost for an 11-person assisted living community?
At month-to-month list prices checked September 28, 2026, 11 users cost $330.00 a month on RingCentral RingEX Core and $274.45 on Ooma Office Pro. On Callata, $99 a month with 5 users included, then $20 per additional user, the same team pays $219.00.
What area code should an assisted living community in Fresno, CA use?
Area code 559 has the most assigned exchanges among the area's named places, followed by 209 and 357. If you already have a local number, you can port it to Callata for free.
Can an AI receptionist answer calls for an assisted living community?
Yes. Callata's optional AI agents can answer when the team is busy or closed, take a message, text, email or transfer the call. They disclose that they are AI and are billed from prepaid AI minutes at $0.25 per minute. 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.