Business phone system for nursing care facilities in South Dakota
99 nursing care facilities operated in South Dakota in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 99CBP 2023
- Employees
- 5,364mid-March 2023
- Per 100k residents
- 10.7U.S. 5.3
- State rank
- 39th of 51by count
How many nursing care facilities operate in South Dakota
South Dakota had 99 nursing care facilities in 2023, according to Census County Business Patterns (NAICS 623110, Nursing Care Facilities (Skilled Nursing Facilities)). They employed 5,364 people in mid-March and reported $202.5 million in annual payroll. That is the 39th highest count among the 51 states and DC with published figures. Nursing care facilities make up 0.34% of the 29,106 business establishments in the state.
Per 100,000 residents (2024 estimate) South Dakota has 10.7 nursing care facilities, 100.9% above the national rate of 5.3. The average establishment has 54.2 employees against 78.7 nationally. Payroll per employee is $37,745, 15.1% below the U.S. figure of $44,479.
| Measure | South Dakota | United States |
|---|---|---|
| Establishments | 99 | 18,126 |
| Mid-March employees | 5,364 (moderate noise) | 1,426,754 |
| Annual payroll | $202,464,000 (moderate noise) | $63,460,785,000 |
| Employees per establishment | 54.2 | 78.7 |
| Payroll per employee | $37,745 | $44,479 |
| Establishments per 100,000 residents | 10.7 | 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.
Nursing care facilities by metro area in South Dakota
Census published nursing care facility counts for 7 metro or micropolitan areas that include part of South Dakota. The largest is Sioux Falls, SD-MN, with 21 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 31% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Sioux Falls, SD-MN | 21 | 1,231 | 6.8 |
| Rapid City, SD | 14 | 568 | 9.0 |
| Sioux City, IA-NE-SD | 13 | 707 | 8.9 |
| Aberdeen, SD | 6 | 466 | 14.5 |
| Mitchell, SD | 5 | — | 19.4 |
| Watertown, SD | 3 | 237 | 10.2 |
| Spearfish, SD | 3 | — | 10.4 |
Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.
Team sizes at nursing care facilities in South Dakota
13.4% of South Dakota's nursing care facilities with employees had fewer than five people in March 2023, compared with 12.9% nationally. 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 | 13 | 13.4% | 12.9% |
| 5–9 employees | not published | — | 4.0% |
| 10–19 employees | 8 | 8.2% | 5.2% |
| 20–49 employees | 26 | 26.8% | 14.3% |
| 50 or more employees | 50 | 51.5% | 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 South Dakota
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 South Dakota as much as anywhere.
A few of the calls that come in to nursing care facilities in South Dakota:
- A hospital discharge planner calls about an admission.
- A pharmacy calls to confirm medication orders.
- A job applicant calls about open nursing shifts.
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.
Phone system pricing for a 54-person nursing care facility
Nursing care facilities in South Dakota average 54.2 employees, so the comparison uses a 54-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 54 users on RingCentral RingEX Core cost $1,620.00 a month and 54 on Ooma Office Pro cost $1,347.30. On Callata the same 54 people cost $1,079.00 a month, less than either per-seat plan.
The annual difference against RingCentral's monthly list price comes to $6,492. 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 | $1,079.00 | $12,948.00 |
| Quo (Starter) | $19.00 per user | $1,026.00 | $12,312.00 |
| Nextiva (Core) | $23.00 per user | $1,242.00 | $14,904.00 |
| Ooma (Office Pro) | $24.95 per user | $1,347.30 | $16,167.60 |
| Dialpad (Standard) | $27.00 per user | $1,458.00 | $17,496.00 |
| RingCentral (RingEX Core) | $30.00 per user | $1,620.00 | $19,440.00 |
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 South Dakota
South Dakota has 1 geographic area code 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 |
|---|---|---|---|---|
| 605 | 745 | Central and Mountain | 1947 | 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 South Dakota
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 South Dakota, 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 South Dakota?
99 in 2023, according to Census County Business Patterns. They employed 5,364 people in mid-March.
Which South Dakota metro area has the most nursing care facilities?
Sioux Falls, SD-MN, with 21 establishments in 2023.
What does a phone system cost a 54-person nursing care facility?
$1,620.00 a month on RingCentral RingEX Core or $1,347.30 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $1,079.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a South Dakota 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.