Business phone system for nursing care facilities in Iowa
333 nursing care facilities operated in Iowa in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 333CBP 2023
- Employees
- 21,145mid-March 2023
- Per 100k residents
- 10.3U.S. 5.3
- State rank
- 21st of 51by count
How many nursing care facilities operate in Iowa
Iowa had 333 nursing care facilities in 2023, according to Census County Business Patterns (NAICS 623110, Nursing Care Facilities (Skilled Nursing Facilities)). They employed 21,145 people in mid-March and reported $826.3 million in annual payroll. That is the 21st highest count among the 51 states and DC with published figures. Nursing care facilities make up 0.40% of the 83,321 business establishments in the state.
Per 100,000 residents (2024 estimate) Iowa has 10.3 nursing care facilities, 92.8% above the national rate of 5.3. The average establishment has 63.5 employees against 78.7 nationally. Payroll per employee is $39,077, 12.1% below the U.S. figure of $44,479.
| Measure | Iowa | United States |
|---|---|---|
| Establishments | 333 | 18,126 |
| Mid-March employees | 21,145 | 1,426,754 |
| Annual payroll | $826,280,000 | $63,460,785,000 |
| Employees per establishment | 63.5 | 78.7 |
| Payroll per employee | $39,077 | $44,479 |
| Establishments per 100,000 residents | 10.3 | 5.3 |
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.
Iowa's largest markets for nursing care facilities
Census published nursing care facility counts for 20 metro or micropolitan areas that include part of Iowa. The largest is Omaha, NE-IA, with 62 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 42% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Omaha, NE-IA | 62 | 4,911 | 6.2 |
| Des Moines, IA | 35 | 2,555 | 4.6 |
| Davenport, IA-IL | 27 | 2,133 | 7.1 |
| Cedar Rapids, IA | 23 | 1,530 | 8.3 |
| Waterloo, IA | 15 | 1,108 | 8.8 |
| Sioux City, IA-NE-SD | 13 | 707 | 8.9 |
| Dubuque, IA | 9 | 699 | 9.1 |
| Iowa City, IA | 8 | 453 | 4.4 |
| Ames, IA | 7 | 490 | 5.4 |
| Mason City, IA | 7 | 678 | 14.1 |
| Fort Madison, IA | 7 | 536 | 21.6 |
| Clinton, IA | 5 | 297 | 10.9 |
| Marshalltown, IA | 4 | 284 | 9.9 |
| Fort Dodge, IA | 4 | 178 | 10.8 |
| Pella, IA | 4 | — | 11.7 |
| Le Mars, IA | 4 | 280 | 15.5 |
| Burlington, IA-IL | 3 | — | 6.7 |
| Ottumwa, IA | 3 | 127 | 8.4 |
| Oskaloosa, IA | 3 | 173 | 13.6 |
| Storm Lake, IA | 3 | 230 | 14.4 |
Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.
Team sizes at nursing care facilities in Iowa
4.5% of Iowa's nursing care facilities with employees had fewer than five people in March 2023, compared with 12.9% nationally. 6.0% 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.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 15 | 4.5% | 12.9% |
| 5–9 employees | 5 | 1.5% | 4.0% |
| 10–19 employees | 10 | 3.0% | 5.2% |
| 20–49 employees | 90 | 27.1% | 14.3% |
| 50 or more employees | 212 | 63.9% | 63.5% |
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 a nursing care facility in Iowa has to catch
Skilled nursing facilities field admission inquiries, family calls and calls from hospitals and physicians, and each needs to reach a different department. Reliable routing keeps admission calls from waiting behind routine questions.
Calls a nursing care facility in Iowa might handle in a typical week include:
- A hospital discharge planner calls about an admission.
- A job applicant calls about open nursing shifts.
- A family member calls for an update on a resident.
Calls after closing time
Facilities run around the clock, so after-hours calls need to reach the nursing station or a supervisor rather than a voicemail box.
Callata voicemail is transcribed and triaged for urgency, and business-hours routing decides where calls go once you close.
Callata vs. per-seat pricing for nursing care facilities in Iowa
Nursing care facilities in Iowa average 63.5 employees, so the comparison uses a 63-person team. On a per-user plan that headcount sets the bill: $1,571.85 a month on Ooma Office Pro or $1,890.00 on RingCentral RingEX Core at list price (checked September 28, 2026). On Callata the same 63 people cost $1,259.00 a month, less than either per-seat plan.
The annual difference against RingCentral's monthly list price comes to $7,572. Some vendors discount annual contracts; the table shows month-to-month prices.
| Provider (plan) | Pricing basis | Per month | Per year |
|---|---|---|---|
| Callata (Callata Office) | $99 incl. 5 users, $20 per extra user | $1,259.00 | $15,108.00 |
| Quo (Starter) | $19.00 per user | $1,197.00 | $14,364.00 |
| Nextiva (Core) | $23.00 per user | $1,449.00 | $17,388.00 |
| Ooma (Office Pro) | $24.95 per user | $1,571.85 | $18,862.20 |
| Dialpad (Standard) | $27.00 per user | $1,701.00 | $20,412.00 |
| RingCentral (RingEX Core) | $30.00 per user | $1,890.00 | $22,680.00 |
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 Iowa
Iowa has 5 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 code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 712 | 633 | Central | 1947 | none |
| 641 | 584 | Central | 2000 | none |
| 515 | 578 | Central | 1947 | none |
| 319 | 565 | Central | 1947 | none |
| 563 | 388 | Central | 2001 | 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 nursing care facilities in Iowa
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.
If you already have a number in Iowa, 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 nursing care facilities are in Iowa?
333 in 2023, according to Census County Business Patterns. They employed 21,145 people in mid-March.
Which Iowa metro area has the most nursing care facilities?
Omaha, NE-IA, with 62 establishments in 2023.
What does a phone system cost a 63-person nursing care facility?
$1,890.00 a month on RingCentral RingEX Core or $1,571.85 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $1,259.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a Iowa 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.