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

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

Establishments
377CBP 2023
Employees
14,094mid-March 2023
Per 100k residents
4.3U.S. 6.1
State rank
18th of 51by count

Assisted living facilities for the elderly in Virginia by the numbers

The Census Bureau counted 377 assisted living facilities for the elderly in Virginia in its 2023 County Business Patterns (NAICS 623312). They employed 14,094 people in mid-March and reported $504.1 million in annual payroll. That is the 18th highest count among the 51 states and DC with published figures. Assisted living facilities for the elderly make up 0.18% of the 210,842 business establishments in the state.

Per 100,000 residents (2024 estimate) Virginia has 4.3 assisted living facilities for the elderly, 30.3% below the national rate of 6.1. The average establishment has 37.4 employees against 24.3 nationally. Payroll per employee is $35,764, 2.6% above the U.S. figure of $34,874.

Assisted living facilities for the elderly: Virginia compared with the U.S., 2023
MeasureVirginiaUnited States
Establishments37720,884
Mid-March employees14,094508,230
Annual payroll$504,064,000$17,723,940,000
Employees per establishment37.424.3
Payroll per employee$35,764$34,874
Establishments per 100,000 residents4.36.1

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.

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

Census published assisted living community counts for 12 metro or micropolitan areas that include part of Virginia. The largest is Washington, DC-VA-MD-WV, with 275 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 41% 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, Virginia, 2023
AreaEstablishmentsEmployeesPer 100k residents
Washington, DC-VA-MD-WV2758,4444.3
Richmond, VA642,1894.7
Virginia Beach, VA-NC561,8163.1
Roanoke, VA432,19313.6
Kingsport, TN-VA186595.7
Charlottesville, VA158216.6
Lynchburg, VA126654.5
Blacksburg, VA72083.8
Winchester, VA-WV52523.3
Martinsville, VA5—7.9
Staunton, VA41203.1
Danville, VA4613.9

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

Team sizes at assisted living facilities for the elderly in Virginia

21.5% of Virginia's assisted living facilities for the elderly with employees had fewer than five people in March 2023, compared with 33.3% nationally. 31.1% 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 Virginia by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees8121.5%33.3%
5–9 employees369.6%14.8%
10–19 employees5314.1%14.0%
20–49 employees8422.3%22.4%
50 or more employees12232.4%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.

What assisted living facilities for the elderly in Virginia use the phone for

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 Virginia:

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 Virginia

Assisted living facilities for the elderly in Virginia average 37.4 employees, so the comparison uses a 37-person team. Priced per seat, 37 users would run $1,110.00 a month on RingCentral RingEX Core and $923.15 on Ooma Office Pro (month-to-month list prices, checked September 28, 2026). On Callata the same 37 people cost $739.00 a month, less than either per-seat plan.

The annual difference against RingCentral's monthly list price comes to $4,452. Some vendors discount annual contracts; the table shows month-to-month prices.

Monthly list price for a 37-person assisted living community
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$739.00$8,868.00
Quo (Starter)$19.00 per user$703.00$8,436.00
Nextiva (Core)$23.00 per user$851.00$10,212.00
Ooma (Office Pro)$24.95 per user$923.15$11,077.80
Dialpad (Standard)$27.00 per user$999.00$11,988.00
RingCentral (RingEX Core)$30.00 per user$1,110.00$13,320.00

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 Virginia

Virginia has 10 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 Virginia by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
540786Eastern1995826
757785Eastern1996948
804781Eastern1973686
703775Eastern1947571
571632Eastern2000703
434509Eastern2001none
276373Eastern2001none
826125Eastern2022540
948101Eastern2022757
68631Eastern2024804

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 Virginia

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.

If you already have a number in Virginia, 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 Virginia?

377 in 2023, according to Census County Business Patterns. They employed 14,094 people in mid-March.

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

Washington, DC-VA-MD-WV, with 275 establishments in 2023.

What does a phone system cost a 37-person assisted living community?

$1,110.00 a month on RingCentral RingEX Core or $923.15 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $739.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

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