CallataGuides

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

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

Establishments
963CBP 2023
Employees
29,804mid-March 2023
Per 100k residents
3.1U.S. 6.1
State rank
6th of 51by count

Assisted living facilities for the elderly in Texas by the numbers

County Business Patterns counts 963 establishments in Texas classified as Assisted Living Facilities for the Elderly (NAICS 623312) for 2023. They employed 29,804 people in mid-March and reported $923.9 million in annual payroll. That is the 6th highest count among the 51 states and DC with published figures. Assisted living facilities for the elderly make up 0.14% of the 670,878 business establishments in the state.

Per 100,000 residents (2024 estimate) Texas has 3.1 assisted living facilities for the elderly, 49.9% below the national rate of 6.1. The average establishment has 30.9 employees against 24.3 nationally. Payroll per employee is $30,998, 11.1% below the U.S. figure of $34,874.

Assisted living facilities for the elderly: Texas compared with the U.S., 2023
MeasureTexasUnited States
Establishments96320,884
Mid-March employees29,804508,230
Annual payroll$923,851,000$17,723,940,000
Employees per establishment30.924.3
Payroll per employee$30,998$34,874
Establishments per 100,000 residents3.16.1

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 Texas

Census published assisted living community counts for 30 metro or micropolitan areas that include part of Texas. The largest is Dallas, TX, with 283 establishments. Single-state metro and micropolitan areas account for 91% 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, Texas, 2023
AreaEstablishmentsEmployeesPer 100k residents
Dallas, TX28310,2703.4
Houston, TX2236,6442.9
San Antonio, TX942,0343.4
Austin, TX782,8993.1
McAllen, TX188722.0
Lubbock, TX171,0914.6
Amarillo, TX162775.8
Tyler, TX143465.6
Texarkana, TX-AR141709.6
El Paso, TX123291.4
Brownsville, TX11—2.5
Beaumont, TX112032.8
Longview, TX102403.4
College Station, TX91583.1
Corpus Christi, TX82141.8
Waco, TX82682.6
Sherman, TX82165.3
Abilene, TX72743.8
Granbury, TX63178.7
Laredo, TX52251.8
Wichita Falls, TX52723.3
Paris, TX5987.9
Kerrville, TX5969.3
Killeen, TX4—0.8
San Angelo, TX4—3.3

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

Team sizes at assisted living facilities for the elderly in Texas

20.5% of Texas's assisted living facilities for the elderly with employees had fewer than five people in March 2023, compared with 33.3% nationally. 31.8% had fewer than ten. That is the size of team where a missed call usually means nobody was free, not that nobody was on staff.

Assisted living facilities for the elderly in Texas by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees19720.5%33.3%
5–9 employees10911.3%14.8%
10–19 employees20921.7%14.0%
20–49 employees28529.7%22.4%
50 or more employees16116.8%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 Texas

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 Texas:

Calls after closing time

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

Callata voicemail is transcribed and triaged for urgency, and business-hours routing decides where calls go once you close.

What a phone system costs an assisted living community in Texas

Assisted living facilities for the elderly in Texas average 30.9 employees, so the comparison uses a 31-person team. On a per-user plan that headcount sets the bill: $773.45 a month on Ooma Office Pro or $930.00 on RingCentral RingEX Core at list price (checked September 28, 2026). On Callata the same 31 people cost $619.00 a month, less than either per-seat plan.

The annual difference against RingCentral's monthly list price comes to $3,732. Some vendors discount annual contracts; the table shows month-to-month prices.

Monthly list price for a 31-person assisted living community
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$619.00$7,428.00
Quo (Starter)$19.00 per user$589.00$7,068.00
Nextiva (Core)$23.00 per user$713.00$8,556.00
Ooma (Office Pro)$24.95 per user$773.45$9,281.40
Dialpad (Standard)$27.00 per user$837.00$10,044.00
RingCentral (RingEX Core)$30.00 per user$930.00$11,160.00

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 Texas

Texas has 29 geographic area codes in service according to NANPA. You can choose local numbers in the area codes your residents and families know, subject to carrier inventory, or port your current number for free.

Area codes in Texas by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
281786Central1996346, 621, 713, 832
469786Central1999214, 945, 972
832786Central1999281, 346, 713
512785Central1947737
713785Central1947281, 346, 621, 832
972785Central1996214, 469, 945
210784Central1992726
214784Central1947469, 945, 972
817780Central1953682
903771Central1990430
346752Central2014281, 621, 713, 832
956735Central1997none
806734Central1957none
254671Central1997none
361537Central1999none
940506Central1997none
830496Central1997none
409433Central1982none
936422Central2000none
682421Central2000817

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 Texas

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.

If you already have a number in Texas, porting it to Callata is free. Texting from a local number requires a one-time carrier registration (10DLC, $49), and the numbers available in any area code depend on carrier inventory when you choose them.

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.

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 Texas?

963 in 2023, according to Census County Business Patterns. They employed 29,804 people in mid-March.

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

Dallas, TX, with 283 establishments in 2023.

What does a phone system cost a 31-person assisted living community?

$930.00 a month on RingCentral RingEX Core or $773.45 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $619.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

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