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

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

Establishments
301CBP 2023
Employees
9,512mid-March 2023
Per 100k residents
4.2U.S. 6.1
State rank
20th of 51by count

How many assisted living facilities for the elderly operate in Tennessee

Tennessee had 301 assisted living facilities for the elderly in 2023, according to Census County Business Patterns (NAICS 623312, Assisted Living Facilities for the Elderly). They employed 9,512 people in mid-March and reported $340.2 million in annual payroll. That is the 20th highest count among the 51 states and DC with published figures. Assisted living facilities for the elderly make up 0.20% of the 150,129 business establishments in the state.

Per 100,000 residents (2024 estimate) Tennessee has 4.2 assisted living facilities for the elderly, 32.2% below the national rate of 6.1. The average establishment has 31.6 employees against 24.3 nationally. Payroll per employee is $35,765, 2.6% above the U.S. figure of $34,874.

Assisted living facilities for the elderly: Tennessee compared with the U.S., 2023
MeasureTennesseeUnited States
Establishments30120,884
Mid-March employees9,512508,230
Annual payroll$340,197,000$17,723,940,000
Employees per establishment31.624.3
Payroll per employee$35,765$34,874
Establishments per 100,000 residents4.26.1

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.

Assisted living facilities for the elderly by metro area in Tennessee

Census published assisted living community counts for 17 metro or micropolitan areas that include part of Tennessee. The largest is Nashville, TN, with 91 establishments. Single-state metro and micropolitan areas account for 65% 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, Tennessee, 2023
AreaEstablishmentsEmployeesPer 100k residents
Nashville, TN913,7454.2
Knoxville, TN491,5915.1
Chattanooga, TN-GA317885.3
Memphis, TN-MS-AR247281.8
Kingsport, TN-VA186595.7
Jackson, TN154088.2
Clarksville, TN-KY10—2.9
Cleveland, TN82696.1
Johnson City, TN61482.8
Tullahoma, TN51297.3
Crossville, TN41056.1
McMinnville, TN4—9.2
Cookeville, TN3—2.0
Sevierville, TN3—3.0
Lawrenceburg, TN3636.5
Winchester, TN3506.6
Fayetteville, TN3508.2

Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.

Team sizes at assisted living facilities for the elderly in Tennessee

11.0% of Tennessee's assisted living facilities for the elderly with employees had fewer than five people in March 2023, compared with 33.3% nationally. 17.0% 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 Tennessee by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees3311.0%33.3%
5–9 employees186.0%14.8%
10–19 employees5117.0%14.0%
20–49 employees16254.0%22.4%
50 or more employees3612.0%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.

Calls an assisted living community in Tennessee 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 Tennessee:

Business texting for assisted living facilities for the elderly

Communities text tour confirmations and event reminders to families.

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

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

Assisted living facilities for the elderly in Tennessee average 31.6 employees, so the comparison uses a 32-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 32 users on RingCentral RingEX Core cost $960.00 a month and 32 on Ooma Office Pro cost $798.40. Callata comes to $639.00 a month for 32 users ($99 a month with 5 users included, then $20 per additional user), below both.

Over a year, that is $3,852 less than RingCentral for an assisted living community in Tennessee of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.

Monthly list price for a 32-person assisted living community
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$639.00$7,668.00
Quo (Starter)$19.00 per user$608.00$7,296.00
Nextiva (Core)$23.00 per user$736.00$8,832.00
Ooma (Office Pro)$24.95 per user$798.40$9,580.80
Dialpad (Standard)$27.00 per user$864.00$10,368.00
RingCentral (RingEX Core)$30.00 per user$960.00$11,520.00

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 Tennessee

Tennessee has 8 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 Tennessee by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
615781Central1954629
423764Eastern and Central1995729
901616Central1947none
931538Eastern and Central1997none
865506Eastern1999none
731395Central2001none
629197Central2015615
7290Eastern and Central2025423

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 Tennessee

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 Tennessee 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 Tennessee?

301 in 2023, according to Census County Business Patterns. They employed 9,512 people in mid-March.

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

Nashville, TN, with 91 establishments in 2023.

What does a phone system cost a 32-person assisted living community?

$960.00 a month on RingCentral RingEX Core or $798.40 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $639.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

Do I need to register to text customers from a Tennessee 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.