Business phone system for nursing care facilities in Missouri
547 nursing care facilities operated in Missouri in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 547CBP 2023
- Employees
- 35,933mid-March 2023
- Per 100k residents
- 8.8U.S. 5.3
- State rank
- 8th of 51by count
How many nursing care facilities operate in Missouri
Missouri had 547 nursing care facilities in 2023, according to Census County Business Patterns (NAICS 623110, Nursing Care Facilities (Skilled Nursing Facilities)). They employed 35,933 people in mid-March and reported $1.4 billion in annual payroll. That is the 8th highest count among the 51 states and DC with published figures. Nursing care facilities make up 0.36% of the 151,475 business establishments in the state.
Per 100,000 residents (2024 estimate) Missouri has 8.8 nursing care facilities, 64.3% above the national rate of 5.3. The average establishment has 65.7 employees against 78.7 nationally. Payroll per employee is $39,325, 11.6% below the U.S. figure of $44,479.
| Measure | Missouri | United States |
|---|---|---|
| Establishments | 547 | 18,126 |
| Mid-March employees | 35,933 | 1,426,754 |
| Annual payroll | $1,413,053,000 | $63,460,785,000 |
| Employees per establishment | 65.7 | 78.7 |
| Payroll per employee | $39,325 | $44,479 |
| Establishments per 100,000 residents | 8.8 | 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.
Where nursing care facilities in Missouri are concentrated
Census published nursing care facility counts for 23 metro or micropolitan areas that include part of Missouri. The largest is St. Louis, MO-IL, with 197 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 29% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| St. Louis, MO-IL | 197 | 15,530 | 7.0 |
| Kansas City, MO-KS | 144 | 9,451 | 6.4 |
| Springfield, MO | 36 | 2,802 | 7.2 |
| Columbia, MO | 19 | 1,172 | 8.7 |
| Jefferson City, MO | 16 | 829 | 10.6 |
| St. Joseph, MO-KS | 15 | 622 | 12.6 |
| Joplin, MO-KS | 14 | 961 | 6.8 |
| Sikeston, MO | 14 | 639 | 28.2 |
| Cape Girardeau, MO-IL | 12 | 968 | 12.1 |
| Farmington, MO | 9 | 669 | 13.3 |
| Warrensburg, MO | 8 | 349 | 14.3 |
| Hannibal, MO | 8 | 559 | 20.6 |
| Kennett, MO | 8 | 418 | 29.6 |
| Sedalia, MO | 7 | 649 | 16.0 |
| West Plains, MO | 6 | — | 14.7 |
| Maryville, MO | 6 | 217 | 29.3 |
| Rolla, MO | 5 | 189 | 10.9 |
| Quincy, IL-MO | 4 | 369 | 5.4 |
| Fort Leonard Wood, MO | 4 | 198 | 7.4 |
| Poplar Bluff, MO | 4 | 267 | 9.6 |
| Moberly, MO | 4 | 338 | 16.6 |
| Branson, MO | 3 | 244 | 5.3 |
| Marshall, MO | 3 | 161 | 12.9 |
Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.
Team sizes at nursing care facilities in Missouri
11.2% of Missouri's nursing care facilities with employees had fewer than five people in March 2023, compared with 12.9% nationally. 14.2% 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 | 61 | 11.2% | 12.9% |
| 5–9 employees | 16 | 2.9% | 4.0% |
| 10–19 employees | 23 | 4.2% | 5.2% |
| 20–49 employees | 108 | 19.9% | 14.3% |
| 50 or more employees | 336 | 61.8% | 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 Missouri 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.
A few of the calls that come in to nursing care facilities in Missouri:
- A hospital discharge planner calls about an admission.
- A family member calls for an update on a resident.
- A pharmacy calls to confirm medication orders.
Business texting for nursing care facilities
Facilities text visiting updates and care-conference reminders to families.
Texting from a local number in Missouri requires carrier registration (10DLC), a one-time $49 fee on Callata.
Callata vs. per-seat pricing for nursing care facilities in Missouri
Nursing care facilities in Missouri average 65.7 employees, so the comparison uses a 66-person team. Priced per seat, 66 users would run $1,980.00 a month on RingCentral RingEX Core and $1,646.70 on Ooma Office Pro (month-to-month list prices, checked September 28, 2026). Callata comes to $1,319.00 a month for 66 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $7,932 less than RingCentral for a nursing care facility in Missouri 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 | $1,319.00 | $15,828.00 |
| Quo (Starter) | $19.00 per user | $1,254.00 | $15,048.00 |
| Nextiva (Core) | $23.00 per user | $1,518.00 | $18,216.00 |
| Ooma (Office Pro) | $24.95 per user | $1,646.70 | $19,760.40 |
| Dialpad (Standard) | $27.00 per user | $1,782.00 | $21,384.00 |
| RingCentral (RingEX Core) | $30.00 per user | $1,980.00 | $23,760.00 |
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 Missouri
Missouri has 9 geographic area codes in service according to NANPA. Callata includes up to 3 local numbers, so a nursing care facility can hold a number in more than one of them.
| Area code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 573 | 786 | Central | 1996 | 235 |
| 816 | 785 | Central | 1947 | 975 |
| 314 | 783 | Central | 1947 | 557 |
| 417 | 711 | Central | 1950 | none |
| 660 | 516 | Central | 1997 | none |
| 636 | 435 | Central | 1999 | none |
| 557 | 83 | Central | 2022 | 314 |
| 235 | 41 | Central | 2024 | 573 |
| 975 | 28 | Central | 2023 | 816 |
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 Missouri
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 Missouri 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 nursing care facilities are in Missouri?
547 in 2023, according to Census County Business Patterns. They employed 35,933 people in mid-March.
Which Missouri metro area has the most nursing care facilities?
St. Louis, MO-IL, with 197 establishments in 2023.
What does a phone system cost a 66-person nursing care facility?
$1,980.00 a month on RingCentral RingEX Core or $1,646.70 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $1,319.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a Missouri 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.