Business phone system for nursing care facilities in Virginia
354 nursing care facilities operated in Virginia in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 354CBP 2023
- Employees
- 28,148mid-March 2023
- Per 100k residents
- 4.0U.S. 5.3
- State rank
- 18th of 51by count
Nursing care facilities in Virginia by the numbers
County Business Patterns counts 354 establishments in Virginia classified as Nursing Care Facilities (Skilled Nursing Facilities) (NAICS 623110) for 2023. They employed 28,148 people in mid-March and reported $1.3 billion in annual payroll. That is the 18th highest count among the 51 states and DC with published figures. Nursing care facilities make up 0.17% of the 210,842 business establishments in the state.
Per 100,000 residents (2024 estimate) Virginia has 4.0 nursing care facilities, 24.6% below the national rate of 5.3. The average establishment has 79.5 employees against 78.7 nationally. Payroll per employee is $46,363, 4.2% above the U.S. figure of $44,479.
| Measure | Virginia | United States |
|---|---|---|
| Establishments | 354 | 18,126 |
| Mid-March employees | 28,148 | 1,426,754 |
| Annual payroll | $1,305,020,000 | $63,460,785,000 |
| Employees per establishment | 79.5 | 78.7 |
| Payroll per employee | $46,363 | $44,479 |
| Establishments per 100,000 residents | 4.0 | 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.
Where nursing care facilities in Virginia are concentrated
Census published nursing care facility counts for 14 metro or micropolitan areas that include part of Virginia. The largest is Washington, DC-VA-MD-WV, with 207 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 40% of the statewide total; the rest are outside any published area or in areas Census suppressed.
| Area | Establishments | Employees | Per 100k residents |
|---|---|---|---|
| Washington, DC-VA-MD-WV | 207 | 15,421 | 3.2 |
| Virginia Beach, VA-NC | 76 | 5,732 | 4.2 |
| Richmond, VA | 55 | 3,882 | 4.0 |
| Roanoke, VA | 26 | 2,525 | 8.2 |
| Kingsport, TN-VA | 19 | 1,554 | 6.1 |
| Lynchburg, VA | 15 | 1,103 | 5.6 |
| Charlottesville, VA | 11 | 775 | 4.8 |
| Bluefield, WV-VA | 10 | — | 10.4 |
| Blacksburg, VA | 8 | 699 | 4.4 |
| Harrisonburg, VA | 8 | 630 | 5.8 |
| Staunton, VA | 8 | 617 | 6.2 |
| Danville, VA | 7 | 840 | 6.9 |
| Winchester, VA-WV | 5 | 432 | 3.3 |
| Martinsville, VA | 4 | — | 6.3 |
Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.
Team sizes at nursing care facilities in Virginia
11.6% of Virginia's nursing care facilities with employees had fewer than five people in March 2023, compared with 12.9% nationally. 16.1% 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 | 41 | 11.6% | 12.9% |
| 5–9 employees | 16 | 4.5% | 4.0% |
| 10–19 employees | 23 | 6.5% | 5.2% |
| 20–49 employees | 37 | 10.5% | 14.3% |
| 50 or more employees | 237 | 66.9% | 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 Virginia 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. That holds for nursing care facilities in Virginia as much as anywhere.
A few of the calls that come in to nursing care facilities in Virginia:
- A family member calls for an update on a resident.
- A family calls to schedule a care conference.
- A hospital discharge planner calls about an admission.
What nursing care facilities text about
Facilities text visiting updates and care-conference reminders to families.
Texting from a local number in Virginia requires carrier registration (10DLC), a one-time $49 fee on Callata.
What a phone system costs a nursing care facility in Virginia
Nursing care facilities in Virginia average 79.5 employees, so the comparison uses an 80-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 80 users on RingCentral RingEX Core cost $2,400.00 a month and 80 on Ooma Office Pro cost $1,996.00. Callata comes to $1,599.00 a month for 80 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $9,612 less than RingCentral for a nursing care facility in Virginia 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 | $1,599.00 | $19,188.00 |
| Quo (Starter) | $19.00 per user | $1,520.00 | $18,240.00 |
| Nextiva (Core) | $23.00 per user | $1,840.00 | $22,080.00 |
| Ooma (Office Pro) | $24.95 per user | $1,996.00 | $23,952.00 |
| Dialpad (Standard) | $27.00 per user | $2,160.00 | $25,920.00 |
| RingCentral (RingEX Core) | $30.00 per user | $2,400.00 | $28,800.00 |
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 Virginia
Virginia has 10 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 |
|---|---|---|---|---|
| 540 | 786 | Eastern | 1995 | 826 |
| 757 | 785 | Eastern | 1996 | 948 |
| 804 | 781 | Eastern | 1973 | 686 |
| 703 | 775 | Eastern | 1947 | 571 |
| 571 | 632 | Eastern | 2000 | 703 |
| 434 | 509 | Eastern | 2001 | none |
| 276 | 373 | Eastern | 2001 | none |
| 826 | 125 | Eastern | 2022 | 540 |
| 948 | 101 | Eastern | 2022 | 757 |
| 686 | 31 | Eastern | 2024 | 804 |
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 Virginia
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 Virginia 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 Virginia?
354 in 2023, according to Census County Business Patterns. They employed 28,148 people in mid-March.
Which Virginia metro area has the most nursing care facilities?
Washington, DC-VA-MD-WV, with 207 establishments in 2023.
What does a phone system cost an 80-person nursing care facility?
$2,400.00 a month on RingCentral RingEX Core or $1,996.00 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $1,599.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a Virginia 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.