Business phone system for nursing care facilities in Ohio
961 nursing care facilities operated in Ohio in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 961CBP 2023
- Employees
- 79,159mid-March 2023
- Per 100k residents
- 8.1U.S. 5.3
- State rank
- 4th of 51by count
The nursing care facility industry in Ohio
County Business Patterns counts 961 establishments in Ohio classified as Nursing Care Facilities (Skilled Nursing Facilities) (NAICS 623110) for 2023. They employed 79,159 people in mid-March and reported $3.1 billion in annual payroll. That is the 4th highest count among the 51 states and DC with published figures. Nursing care facilities make up 0.38% of the 255,049 business establishments in the state.
Per 100,000 residents (2024 estimate) Ohio has 8.1 nursing care facilities, 51.7% above the national rate of 5.3. The average establishment has 82.4 employees against 78.7 nationally. Payroll per employee is $38,841, 12.7% below the U.S. figure of $44,479.
| Measure | Ohio | United States |
|---|---|---|
| Establishments | 961 | 18,126 |
| Mid-March employees | 79,159 | 1,426,754 |
| Annual payroll | $3,074,595,000 | $63,460,785,000 |
| Employees per establishment | 82.4 | 78.7 |
| Payroll per employee | $38,841 | $44,479 |
| Establishments per 100,000 residents | 8.1 | 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.
Ohio's largest markets for nursing care facilities
Census published nursing care facility counts for 40 metro or micropolitan areas that include part of Ohio. The largest is Cleveland, OH, with 202 establishments. Single-state metro and micropolitan areas account for 79% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Cleveland, OH | 202 | 18,224 | 9.3 |
| Cincinnati, OH-KY-IN | 141 | 12,625 | 6.1 |
| Columbus, OH | 111 | 8,809 | 5.0 |
| Dayton, OH | 65 | 5,902 | 7.9 |
| Akron, OH | 53 | 4,472 | 7.5 |
| Toledo, OH | 49 | 3,799 | 8.1 |
| Youngstown, OH | 46 | 3,889 | 10.8 |
| Canton, OH | 30 | 2,938 | 7.5 |
| Huntington, WV-KY-OH | 24 | 1,709 | 6.5 |
| Wheeling, WV-OH | 23 | 1,363 | 17.0 |
| Zanesville, OH | 19 | 712 | 21.9 |
| Weirton, WV-OH | 16 | — | 14.1 |
| Salem, OH | 14 | 844 | 14.0 |
| New Philadelphia, OH | 11 | 920 | 12.0 |
| Springfield, OH | 10 | 1,224 | 7.4 |
| Mansfield, OH | 10 | 599 | 8.0 |
| Lima, OH | 10 | 922 | 9.9 |
| Portsmouth, OH | 10 | 526 | 13.9 |
| Fremont, OH | 10 | 804 | 17.0 |
| Wooster, OH | 9 | 695 | 7.7 |
| Marion, OH | 9 | 460 | 13.9 |
| Chillicothe, OH | 8 | 368 | 10.5 |
| Marietta, OH | 7 | 553 | 12.0 |
| Bucyrus, OH | 7 | 377 | 16.8 |
| Findlay, OH | 6 | 994 | 8.0 |
Top 25 of 40 areas by establishments. Source: Census CBP 2023.
Team sizes at nursing care facilities in Ohio
7.3% of Ohio's nursing care facilities with employees had fewer than five people in March 2023, compared with 12.9% nationally. 11.6% 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 | 70 | 7.3% | 12.9% |
| 5–9 employees | 41 | 4.3% | 4.0% |
| 10–19 employees | 35 | 3.6% | 5.2% |
| 20–49 employees | 113 | 11.8% | 14.3% |
| 50 or more employees | 702 | 73.0% | 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.
Why the phone matters for nursing care facilities in Ohio
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. That holds for nursing care facilities in Ohio as much as anywhere.
Typical inbound and outbound calls for nursing care facilities in Ohio:
- A family calls to schedule a care conference.
- A pharmacy calls to confirm medication orders.
- A hospital discharge planner calls about an admission.
Business texting for nursing care facilities
Facilities text visiting updates and care-conference reminders to families.
Texting from a local number in Ohio requires carrier registration (10DLC), a one-time $49 fee on Callata.
Callata vs. per-seat pricing for nursing care facilities in Ohio
Nursing care facilities in Ohio average 82.4 employees, so the comparison uses an 82-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 82 users on RingCentral RingEX Core cost $2,460.00 a month and 82 on Ooma Office Pro cost $2,045.90. Callata comes to $1,639.00 a month for 82 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $9,852 less than RingCentral for a nursing care facility in Ohio 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 | $1,639.00 | $19,668.00 |
| Quo (Starter) | $19.00 per user | $1,558.00 | $18,696.00 |
| Nextiva (Core) | $23.00 per user | $1,886.00 | $22,632.00 |
| Ooma (Office Pro) | $24.95 per user | $2,045.90 | $24,550.80 |
| Dialpad (Standard) | $27.00 per user | $2,214.00 | $26,568.00 |
| RingCentral (RingEX Core) | $30.00 per user | $2,460.00 | $29,520.00 |
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 Ohio
Ohio has 15 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 |
|---|---|---|---|---|
| 330 | 787 | Eastern | 1996 | 234 |
| 740 | 786 | Eastern | 1997 | 220 |
| 513 | 784 | Eastern | 1947 | 283 |
| 419 | 783 | Eastern | 1947 | 567 |
| 937 | 780 | Eastern | 1996 | 326 |
| 614 | 777 | Eastern | 1947 | 380 |
| 440 | 757 | Eastern | 1997 | 436 |
| 216 | 612 | Eastern | 1947 | none |
| 567 | 421 | Eastern | 2002 | 419 |
| 234 | 398 | Eastern | 2000 | 330 |
| 220 | 142 | Eastern | 2015 | 740 |
| 380 | 138 | Eastern | 2016 | 614 |
| 326 | 88 | Eastern | 2020 | 937 |
| 283 | 48 | Eastern | 2023 | 513 |
| 436 | 0 | Eastern | 2024 | 440 |
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 Ohio
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.
Porting a number you already use in Ohio 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 Ohio?
961 in 2023, according to Census County Business Patterns. They employed 79,159 people in mid-March.
Which Ohio metro area has the most nursing care facilities?
Cleveland, OH, with 202 establishments in 2023.
What does a phone system cost an 82-person nursing care facility?
$2,460.00 a month on RingCentral RingEX Core or $2,045.90 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $1,639.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a Ohio 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.