Business phone system for assisted living facilities for the elderly in South Dakota
75 assisted living facilities for the elderly operated in South Dakota in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 75CBP 2023
- Employees
- 2,469mid-March 2023
- Per 100k residents
- 8.1U.S. 6.1
- State rank
- 43rd of 51by count
The assisted living community industry in South Dakota
South Dakota had 75 assisted living facilities for the elderly in 2023, according to Census County Business Patterns (NAICS 623312, Assisted Living Facilities for the Elderly). They employed 2,469 people in mid-March and reported $76.8 million in annual payroll. That is the 43rd highest count among the 51 states and DC with published figures. Assisted living facilities for the elderly make up 0.26% of the 29,106 business establishments in the state.
Per 100,000 residents (2024 estimate) South Dakota has 8.1 assisted living facilities for the elderly, 32.1% above the national rate of 6.1. The average establishment has 32.9 employees against 24.3 nationally. Payroll per employee is $31,122, 10.8% below the U.S. figure of $34,874.
| Measure | South Dakota | United States |
|---|---|---|
| Establishments | 75 | 20,884 |
| Mid-March employees | 2,469 | 508,230 |
| Annual payroll | $76,840,000 | $17,723,940,000 |
| Employees per establishment | 32.9 | 24.3 |
| Payroll per employee | $31,122 | $34,874 |
| Establishments per 100,000 residents | 8.1 | 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.
South Dakota's largest markets for assisted living facilities for the elderly
Census published assisted living community counts for 8 metro or micropolitan areas that include part of South Dakota. The largest is Sioux Falls, SD-MN, with 15 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 45% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Sioux Falls, SD-MN | 15 | 890 | 4.9 |
| Rapid City, SD | 12 | 389 | 7.7 |
| Sioux City, IA-NE-SD | 8 | 306 | 5.5 |
| Aberdeen, SD | 8 | 310 | 19.3 |
| Watertown, SD | 5 | 117 | 17.1 |
| Brookings, SD | 3 | 182 | 8.3 |
| Spearfish, SD | 3 | 38 | 10.4 |
| Huron, SD | 3 | 55 | 15.4 |
Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.
Team sizes at assisted living facilities for the elderly in South Dakota
13.3% of South Dakota's assisted living facilities for the elderly with employees had fewer than five people in March 2023, compared with 33.3% nationally. 26.7% 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.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 10 | 13.3% | 33.3% |
| 5–9 employees | 10 | 13.3% | 14.8% |
| 10–19 employees | 11 | 14.7% | 14.0% |
| 20–49 employees | 29 | 38.7% | 22.4% |
| 50 or more employees | 15 | 20.0% | 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 South Dakota
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. That holds for assisted living facilities for the elderly in South Dakota as much as anywhere.
Typical inbound and outbound calls for assisted living facilities for the elderly in South Dakota:
- A hospital case manager calls about a possible placement.
- A resident's family calls to check on a care update.
- A family member calls to schedule a tour.
Texting residents and families
Communities text tour confirmations and event reminders to families.
Texting from a local number in South Dakota requires carrier registration (10DLC), a one-time $49 fee on Callata.
Phone system pricing for a 33-person assisted living community
Assisted living facilities for the elderly in South Dakota average 32.9 employees, so the comparison uses a 33-person team. Priced per seat, 33 users would run $990.00 a month on RingCentral RingEX Core and $823.35 on Ooma Office Pro (month-to-month list prices, checked September 28, 2026). Callata comes to $659.00 a month for 33 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $3,972 less than RingCentral for an assisted living community in South Dakota 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 | $659.00 | $7,908.00 |
| Quo (Starter) | $19.00 per user | $627.00 | $7,524.00 |
| Nextiva (Core) | $23.00 per user | $759.00 | $9,108.00 |
| Ooma (Office Pro) | $24.95 per user | $823.35 | $9,880.20 |
| Dialpad (Standard) | $27.00 per user | $891.00 | $10,692.00 |
| RingCentral (RingEX Core) | $30.00 per user | $990.00 | $11,880.00 |
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 South Dakota
South Dakota has 1 geographic area code 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 code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 605 | 745 | Central and Mountain | 1947 | none |
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 South Dakota
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.
Porting a number you already use in South Dakota 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 South Dakota?
75 in 2023, according to Census County Business Patterns. They employed 2,469 people in mid-March.
Which South Dakota metro area has the most assisted living facilities for the elderly?
Sioux Falls, SD-MN, with 15 establishments in 2023.
What does a phone system cost a 33-person assisted living community?
$990.00 a month on RingCentral RingEX Core or $823.35 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $659.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a South Dakota 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.