Business phone system for nursing care facilities in West Virginia
130 nursing care facilities operated in West Virginia in 2023. Where they are, how big their teams are, and what phone service costs them.
- Establishments
- 130CBP 2023
- Employees
- 9,105mid-March 2023
- Per 100k residents
- 7.3U.S. 5.3
- State rank
- 35th of 51by count
The nursing care facility industry in West Virginia
West Virginia had 130 nursing care facilities in 2023, according to Census County Business Patterns (NAICS 623110, Nursing Care Facilities (Skilled Nursing Facilities)). They employed 9,105 people in mid-March and reported $346.1 million in annual payroll. That is the 35th highest count among the 51 states and DC with published figures. Nursing care facilities make up 0.36% of the 35,839 business establishments in the state.
Per 100,000 residents (2024 estimate) West Virginia has 7.3 nursing care facilities, 37.8% above the national rate of 5.3. The average establishment has 70.0 employees against 78.7 nationally. Payroll per employee is $38,016, 14.5% below the U.S. figure of $44,479.
| Measure | West Virginia | United States |
|---|---|---|
| Establishments | 130 | 18,126 |
| Mid-March employees | 9,105 (moderate noise) | 1,426,754 |
| Annual payroll | $346,138,000 (moderate noise) | $63,460,785,000 |
| Employees per establishment | 70.0 | 78.7 |
| Payroll per employee | $38,016 | $44,479 |
| Establishments per 100,000 residents | 7.3 | 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.
West Virginia's largest markets for nursing care facilities
Census published nursing care facility counts for 14 metro or micropolitan areas that include part of West 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 37% 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 |
| Huntington, WV-KY-OH | 24 | 1,709 | 6.5 |
| Wheeling, WV-OH | 23 | 1,363 | 17.0 |
| Weirton, WV-OH | 16 | — | 14.1 |
| Charleston, WV | 13 | 996 | 6.4 |
| Cumberland, MD-WV | 11 | 1,047 | 11.7 |
| Hagerstown, MD-WV | 10 | 928 | 3.2 |
| Beckley, WV | 10 | — | 9.0 |
| Bluefield, WV-VA | 10 | — | 10.4 |
| Clarksburg, WV | 8 | — | 9.0 |
| Morgantown, WV | 6 | 538 | 4.2 |
| Parkersburg, WV | 6 | — | 6.8 |
| Winchester, VA-WV | 5 | 432 | 3.3 |
| Fairmont, WV | 5 | 307 | 9.0 |
Source: Census County Business Patterns 2023; population from Census Vintage 2024 estimates.
Team sizes at nursing care facilities in West Virginia
9.3% of West Virginia's nursing care facilities with employees had fewer than five people in March 2023, compared with 12.9% nationally. 12.4% 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 | 12 | 9.3% | 12.9% |
| 5–9 employees | 4 | 3.1% | 4.0% |
| 10–19 employees | 6 | 4.7% | 5.2% |
| 20–49 employees | 26 | 20.2% | 14.3% |
| 50 or more employees | 81 | 62.8% | 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 West 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.
A few of the calls that come in to nursing care facilities in West Virginia:
- A hospital discharge planner calls about an admission.
- A family calls to schedule a care conference.
- A pharmacy calls to confirm medication orders.
Texting residents and families
Facilities text visiting updates and care-conference reminders to families.
Texting from a local number in West Virginia requires carrier registration (10DLC), a one-time $49 fee on Callata.
What a phone system costs a nursing care facility in West Virginia
Nursing care facilities in West Virginia average 70.0 employees, so the comparison uses a 70-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 70 users on RingCentral RingEX Core cost $2,100.00 a month and 70 on Ooma Office Pro cost $1,746.50. Callata comes to $1,399.00 a month for 70 users ($99 a month with 5 users included, then $20 per additional user), below both.
Over a year, that is $8,412 less than RingCentral for a nursing care facility in West 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 | $1,399.00 | $16,788.00 |
| Quo (Starter) | $19.00 per user | $1,330.00 | $15,960.00 |
| Nextiva (Core) | $23.00 per user | $1,610.00 | $19,320.00 |
| Ooma (Office Pro) | $24.95 per user | $1,746.50 | $20,958.00 |
| Dialpad (Standard) | $27.00 per user | $1,890.00 | $22,680.00 |
| RingCentral (RingEX Core) | $30.00 per user | $2,100.00 | $25,200.00 |
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 West Virginia
West Virginia has 2 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 |
|---|---|---|---|---|
| 304 | 785 | Eastern | 1947 | 681 |
| 681 | 499 | Eastern | 2009 | 304 |
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 West Virginia
Callata is a business phone system priced at $99 a month with 5 users included, then $20 per additional user. Callata Office includes up to 3 local business numbers, unlimited inbound calling, 1,500 pooled outbound US and Canada minutes per user each month, a browser softphone that can also ring your cell, voicemail with transcription, call recording with AI summaries, business-hours routing and E911 on every number.
Porting a number you already use in West 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 West Virginia?
130 in 2023, according to Census County Business Patterns. They employed 9,105 people in mid-March.
Which West 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 a 70-person nursing care facility?
$2,100.00 a month on RingCentral RingEX Core or $1,746.50 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $1,399.00 on Callata ($99 a month with 5 users included, then $20 per additional user).
Do I need to register to text customers from a West 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.