CallataGuidesBusiness phone system for nursing care facilities in San Francisco, CA
Nursing care facilities in the San Francisco-Oakland-Fremont, CA metro area: 235 establishments in 2023, the local area codes, and what phone service costs a 65-person team.
- Establishments
- 235CBP 2023
- Employees
- 15,234mid-March 2023
- Per 100k residents
- 5.1U.S. 5.3
- Rank
- 10th of 732areas by count
How many nursing care facilities are in San Francisco, CA?
County Business Patterns counts 235 nursing care facilities (NAICS 623110, Nursing Care Facilities (Skilled Nursing Facilities)) in the San Francisco-Oakland-Fremont, CA metro area for 2023. Together they reported 15,234 mid-March employees and $872.0 million of payroll for the year. That ranks 10th of the 732 metro and micropolitan areas where Census published a count for this industry.
With 4.6 million residents in the Census 2024 estimate, that is 5.1 nursing care facilities per 100,000 people, 5.1% below the national rate of 5.3. Establishments average 64.8 employees, 17.6% below the U.S. average of 78.7. Payroll per employee comes to $57,243, 28.7% above the national $44,479.
| Measure | San Francisco, CA | California | United States |
|---|---|---|---|
| Establishments | 235 | 1,955 | 18,126 |
| Mid-March employees | 15,234 | 142,911 | 1,426,754 |
| Annual payroll | $872,037,000 | $7,100,292,000 | $63,460,785,000 |
| Employees per establishment | 64.8 | 73.1 | 78.7 |
| Payroll per employee | $57,243 | $49,683 | $44,479 |
| Establishments per 100,000 residents | 5.1 | 5.0 | 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.
Establishment size: nursing care facilities in San Francisco, CA
Of the nursing care facilities in San Francisco, CA that had employees in March 2023, 17.9% had fewer than five (the U.S. share is 12.9%). 26.9% had fewer than ten. For a business of a few people, phone coverage is a staffing question as much as a technology one: someone has to be free to pick up, or the call needs somewhere sensible to go.
| Employment size | Establishments | Share | U.S. share |
|---|---|---|---|
| 1–4 employees | 42 | 17.9% | 12.9% |
| 5–9 employees | 21 | 9.0% | 4.0% |
| 10–19 employees | 26 | 11.1% | 5.2% |
| 20–49 employees | 38 | 16.2% | 14.3% |
| 50 or more employees | 107 | 45.7% | 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.
What nursing care facilities in San Francisco, CA use the phone for
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.
Typical inbound and outbound calls for nursing care facilities in San Francisco, CA:
- A family member calls for an update on a resident.
- A job applicant calls about open nursing shifts.
- A hospital discharge planner calls about an admission.
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 transcribes voicemail and triages it for urgency, so the first callback in the morning can go to the caller who needs it most.
Phone system pricing for a 65-person nursing care facility
The average nursing care facility in San Francisco, CA has 64.8 employees, so a 65-person team is a reasonable benchmark. On a per-user plan that headcount sets the bill: $1,621.75 a month on Ooma Office Pro or $1,950.00 on RingCentral RingEX Core at list price (checked September 28, 2026). On Callata the same 65 people cost $1,299.00 a month, less than either per-seat plan.
The annual difference against RingCentral's monthly list price comes to $7,812. 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 | $1,299.00 | $15,588.00 |
| Quo (Starter) | $19.00 per user | $1,235.00 | $14,820.00 |
| Nextiva (Core) | $23.00 per user | $1,495.00 | $17,940.00 |
| Ooma (Office Pro) | $24.95 per user | $1,621.75 | $19,461.00 |
| Dialpad (Standard) | $27.00 per user | $1,755.00 | $21,060.00 |
| RingCentral (RingEX Core) | $30.00 per user | $1,950.00 | $23,400.00 |
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.
Getting a local number in San Francisco, CA
NANPA records place the exchanges of the area's named cities and towns in 6 area codes. 415 has the most, with 628 of 1,734 exchanges (36%). Callata's plan includes up to 3 local numbers; you can pick them in the area codes your residents and families recognize, subject to carrier inventory, or port the number you already have for free.
| Area code | Exchanges | Time zone | In service since | Overlay with |
|---|---|---|---|---|
| 415 | 628 | Pacific | 1947 | 628 |
| 925 | 514 | Pacific | 1998 | none |
| 650 | 268 | Pacific | 1997 | none |
| 510 | 170 | Pacific | 1991 | 341 |
| 628 | 131 | Pacific | 2015 | 415 |
| 341 | 23 | Pacific | 2019 | 510 |
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.
Setting up Callata for a nursing care facility in San Francisco, CA
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 San Francisco, CA, 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 there in San Francisco, CA?
Census County Business Patterns counted 235 nursing care facilities in the San Francisco-Oakland-Fremont, CA metro area in 2023. They employed 15,234 people in mid-March.
What does a business phone system cost for a 65-person nursing care facility?
At month-to-month list prices checked September 28, 2026, 65 users cost $1,950.00 a month on RingCentral RingEX Core and $1,621.75 on Ooma Office Pro. On Callata, $99 a month with 5 users included, then $20 per additional user, the same team pays $1,299.00.
What area code should a nursing care facility in San Francisco, CA use?
Area code 415 has the most assigned exchanges among the area's named places, followed by 925 and 650. If you already have a local number, you can port it to Callata for free.
Can an AI receptionist answer calls for a nursing care facility?
Yes. Callata's optional AI agents can answer when the team is busy or closed, take a message, text, email or transfer the call. They disclose that they are AI and are billed from prepaid AI minutes at $0.25 per minute. 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.