When Every Moment Matters, We’re Here to Help

Compassionate home health and hospice care across Virginia.

From recovery and rehabilitation to comfort-focused hospice care, James River Home Health & Hospice delivers expert clinical care with dignity and compassion. Since 2013, we have served patients and families across Virginia with care designed around one simple belief: healing and comfort happen best at home.

What Patients Are Saying About Us

Deborah H.
7 hours ago
My husband received excellent care from Kee and Kelsey. We would recommend James River Health to all.
Matthew M.
1 day ago
Ian has been amazing helping my mother with her recovery. We are so thankful.
Michelle B.
1 day ago
Ian has been amazing helping my Mother with her recovery!
Tammy W.
1 day ago
Great service for PT, OT & nursing. Ian was really patient and worked well with my mom and her PT. I would definitely recommend this company for home healthcare.
James River Home Health & Hospice went above and beyond for my aunt and our family. After going through two other hospice providers, I felt completely alone—until James River stepped in. Their care felt like a warm hug. The entire team was kind, responsive, and always ready with a solution. Brittany, my aunt’s case manager, was helpful and supportive throughout her care. I am especially grateful to Andrea, the social worker, whose compassion and dedication meant more than words can express. Even after my aunt passed, Andrea continued checking on me, helping with funeral resources, and making sure I had the support needed to lay my aunt to rest with dignity. Thank you to Andrea, Brittany, and the entire James River team for being there during one of the hardest times of my life. Shante Thompson
Joanne C.
3 days ago
Ian came in as a relief for another PT and was really exceptional and knowlegeable. I always learnt something new each visit. Wish him all the best.
Beverly C.
4 days ago
James River Home Health came to our home following my husband’s hospitalization. They serviced us well andl worked effectively as a team. Ian was here most often. He was knowledgeable, compassionate, dependable and likeable. He strived to communicate with his team members to make service seamless. Also, Chris was excellent and made and followed through on some very helpful suggestions. We were very appreciative of their care.
Germaine O.
4 days ago
Mr. Clay Dillon is an exception OT young Man.He is very informative with ideas to help you Succeed in your goal. He see any way to give you information towards Ramps , transportation, material that could be beneficial to your needs. He is kind and show that he care about his patient. He motivates them by giving them positive comments to build up their confidence in getting them back to the things they use to do. He has a good sense of humor by getting their minds off of the negative thoughts and turn them in to positive thoughts. He spend time with You, not rushing and treats you with dignity and respect. If I had to recommend anybody from the OT therapy..It would be Mr. Clay!!. He is an Great Asset to James River Company because he shows that he enjoys what he do through the work that he does. Always with a Smile, address the client by their name, ask them what they would preferred to be called by, He includes the patient in the goal planning, he looks at the short term and long term goals to be successful in the over all goal to get you back to your Norm. Thank for All you have done for my mother : Evelyn Oliver, I appreciate YOU.🎉🎊🎉🎊🎉
David T.
3 weeks ago
Gail Wulf, Has been taking care of my wife for the pass several weeks and is doing a great job. We look forward to seeing her every week.
All the staff encountered has been very professional, helpful, and efficient. I am very pleased. I would recommend James River home health, Physical and Occupational Therapy again and again. Kahdijah is great to work with.
ITS ME AMARAH J.
4 weeks ago
Love (CNA) Kristina she is the best!!!!
Cherrie J.
4 weeks ago
Home health is great Kadijah, Kelsi
AAniyah C.
1 month ago
Kee is so Patient and Thorough we really appreciate Kee and her services!
Kali T.
1 month ago
James River home health is wonderful! Tamie is an excellent nurse ! Terence is the marketer for Home Health and he does an amazing job!
Roger C.
2 months ago
Natalie and Amanda took care of my mom HELEN HART Those 2 were the professionals Thank you both
Paula W.
3 months ago
Kent is such a wonderful person. I dont mind if he comes,just a perfect gentleman
Necole F.
3 months ago
I have been meaning to share a review of my experience with James River Home Health clinicians (Ian PTA, and Adriana, RN). These 2 medical professionals went above and beyond on many occasions in taking care of my dad. I wanted to say thank you for your care, compassion, professionalism, knowledge and understanding. You guys rank #1 in my book!
Valerie R.
3 months ago
James River Hospice has cared for my Mom for months. I cannot imagine getting better care and attention from any other place around. My Mom has been cared for with love and dedication since day one. I will never forget how they have helped me to get through this sad time. The Nurses, Aides, Pastor and Social Workers have all been so wonderful. Thank you from the bottom of my heart.
Stephen T.
3 months ago
I had to undergo surgery in April and James River Home Health was assigned to me by Spotsy Regional Medical Center. I feel blessed to have been cared for by Nikki and Kate. They were both friendly, knowledgeable, professional and showed great concern for my overall health, recovery and treatments. This morning [6/1/2026] was my last visit from Nikki and I was released from care. They were never more than a phone call away and when I needed help, they were able to calm my fears of the infusion equipment and instruct us in how to overcome the issue at hand. I recommend them highly as a partner in your recovery journey.
Since I’ve had the opportunity to be on the receiving end of the James river hospice family, I want to say most everyone has been amazingly supportive and helpful. However, one stands out ginormously Crystal Singleton has went out of her way on so many occasions and on so many levels to make sure my Aunt Rosa was taken care of. She never rushed her always wanted to know if I needed her to do more. It didn’t matter the mood my Auntie was in Chrystal’s christ like character was always love. I thank you so much for your service and pray that God will sustain you wherever you go. I can’t thank you enough for your service with my family. James River she was worth fighting for.
Lisa B.
4 months ago
The aide that comes to runk and pratt on Mon and Thur. Is wonderful caring and does he job very well staff and residents love her thank you for being there 😌
Lisa B.
4 months ago
Tammy with home health is wonderful and caring she comes to our facility and our residents love her thank you for all you do
Carl M.
4 months ago
James River heath care has been an excellent service. I have enjoyed them and the staff has been very helpful and excellent in working with. I have made great progress in recovering from my knee surgery.
Cynthia U.
4 months ago
I was given 2 weeks (twice a week) of PT at home after my knee surgery-such a blessing! The day after surgery, James River Home Health came to my home and started PT. My therapists were Mark and Brandon. They were the best. Not only for my PT but they knew exactly all the struggles I was facing in the weeks to come and were so knowledgeable. They completely put my mind at ease despite the pain I was going through. At 3 weeks, I went to Ortho VA for the rest of my PT. The staff were VERY impressed with the progress I had made. No wheelchair, cane or walker needed! At 4 weeks, I was able to reduce my visits to once a week. Now, I am 6 weeks out and am due to be discharged! I know I owe this to Mark and Brandon for the great start they gave me at home to put me way ahead of the healing process. Thank you guys!!! HIGHLY RECOMMENDED
Miranda Y.
4 months ago
Ian provided excellent care!!

Making the Right Decision for Someone You Love

The questions come fast and the pressure to decide quickly can be overwhelming.

Is hospice the right choice? Does Medicare cover this? Am I doing the right thing?

You should not have to figure this out alone.

James River Home Health & Hospice was founded in 2013 to fill exactly that gap. Compassionate, responsive care that puts families first. We have been walking beside Virginia families ever since.

A friendly caregiver with long dark hair holds up an open James River Home Health services brochure, reviewing the information with an elderly woman seated next to her

About James River Home Health & Hospice

Built on a Foundation of Compassion, Knowledge, and Trust

James River Home Health and Hospice was founded in July 2013 by a team with deep roots in medical equipment and home-based care services. That background gave our founders a unique perspective on what families truly need when facing serious illness. They saw firsthand how fragmented, impersonal care left families feeling lost and unsupported. They knew there was a better way.

What drives us:

  • We believe comfort is a right, not a privilege.
  • We believe families shouldn’t have to navigate this alone.
  • We believe quality care requires quality people.
  • We believe in accountability.
  • We believe in being there.

Our commitment to you is simple: We’ll treat your loved one the way we’d want our own family treated. We’ll listen to your concerns, respect your choices, and walk beside you every step of the way.

Home-Based Hospice and Home Health Care Across Virginia

James River Home Health and Hospice serves patients and families across Virginia with two distinct but connected services depending on where your loved one is in their care journey.

Hospice Care

For individuals with a life-limiting illness who are choosing comfort and quality of life over curative treatment. Our interdisciplinary team manages pain and symptoms, provides emotional and spiritual support, and walks alongside your family through one of life’s hardest chapters. Covered by Medicare, Medicaid, and most private insurance plans.

Care includes skilled nursing, personal care, emotional and spiritual support, medical equipment and supplies, caregiver education, and 24/7 registered nurse availability.

Learn more about hospice care

Home Health Care

For patients recovering at home after surgery, hospitalization, or illness. Skilled nursing, physical therapy, occupational therapy, speech therapy, and medical social work delivered directly to your door. Designed to restore independence, prevent hospital readmission, and help your loved one get back to the life they know.

Covered by Medicare Part A and Part B for eligible patients.

Learn more about home health care:

Trust, Credentials, and Recognition

Committed to the Highest Standards

ACHC Accreditation

We’ve earned accreditation from the Accreditation Commission for Health Care (ACHC), which means our clinical care, safety practices, and quality outcomes have been independently verified against national healthcare standards.

Licensed and Insured

Medicare and Medicaid Certified – We meet all Centers for Medicare & Medicaid Services (CMS) conditions of participation and are listed on Medicare’s Care Compare database.

Locally Trusted

For over a decade, families, physicians, hospitals, skilled nursing facilities, and assisted living communities across Virginia have trusted us to deliver compassionate, high-quality care when it matters most.

One Team, Full Continuum
of Care

Because we offer both hospice and home health, we understand the full spectrum of care needs. If your situation changes, if home health transitions to hospice, or if you’re unsure which service fits, we’ll guide you through the options and make sure you receive the right care at the right time.

A diverse group of healthcare professionals from James River Home Health & Hospice posing together in an office setting, with two women in the foreground holding a glass excellence award.

Serving Virginia With Seven Convenient Locations

For over a decade, James River Home Health & Hospice has been a trusted partner to families across Virginia. We understand the communities we serve because we’re part of them: our nurses, aides, and therapists live and work in the same towns where we provide care.

We proudly serve patients in:

A color-coded map of Virginia showing the service areas and contact information for James River Home Health & Hospice across seven regional hubs.

Seven locations mean faster response times. With offices strategically located across Virginia, we can reach your loved one quickly, whether it’s an urgent symptom change, a scheduled visit, or a middle-of-the-night crisis.

Not sure if we serve your area? Call us at (855) 415-5744. If we can’t reach you directly, we’ll help you find a trusted provider who can.

Getting Started

We’ve removed the barriers that make accessing care frustrating. Here’s how we work together:

Step 1: Call Us Anytime

Reach our team at (855) 415-5744 or request a consultation online. You’ll speak with someone who listens without rushing you.

Step 2: Meet With a Care Specialist

A hospice nurse or home health clinician will visit your loved one wherever they are: at home, in the hospital, or in a skilled nursing facility.

Step 3: Begin Care Quickly

Once you’re ready, we can often start services the same day or within hours. You’ll meet your care team, receive all necessary medical equipment and supplies, and have direct contact information for 24/7 support. From that moment forward, you’re never alone in this.

Is This Care Right for You? Here’s Who We Help

James River Home Health & Hospice serves a wide range of patients across Virginia, from those navigating serious illness to those recovering and working toward independence. If you’re wondering whether our services might be right for your family, here’s a clearer picture of who we care for.

Hospice Care

Individuals with a life-limiting illness whose doctor believes they have six months or less if the disease follows its expected course. Hospice isn’t about giving up, it’s about shifting focus from curing disease to ensuring comfort, managing symptoms, and honoring quality of life.

Common conditions we support include:

  • Advanced cancer
  • Congestive heart failure (CHF)
  • Chronic obstructive pulmonary disease (COPD)
  • End-stage kidney or liver disease
  • Advanced dementia or Alzheimer’s disease
  • ALS (Lou Gehrig’s disease)
  • Parkinson’s disease
  • Stroke with significant complications
  • Terminal diagnoses from any cause

Home Health

Patients recovering at home who need skilled nursing or therapy but don’t require hospitalization or 24-hour care. Home health helps you regain strength, manage chronic conditions, and avoid hospital readmission.

Common situations we support include:

  • Recovery after surgery (joint replacement, cardiac surgery, abdominal procedures)
  • Stroke rehabilitation
  • Fall recovery and injury rehabilitation
  • Post-hospital discharge care
  • Chronic disease management (diabetes, heart failure, COPD, wound care)
  • IV therapy and infusion management
  • Complex medication management

Home health is short-term and goal-focused – designed to help you recover, regain function, and return to independence.

What is Hospice Care

Hospice care is specialized medical care for individuals with a life-limiting illness. It focuses on comfort and quality of life rather than curing the illness. Hospice eligibility is determined when a physician certifies that a patient has a life expectancy of six months or less if the illness follows its natural course..

Visit Hospice Care »

Where Does Hospice Care Happen? (It’s Not a Place)

Hospice and home health are services we bring directly to you, not places you go. We provide care wherever you’re most comfortable such as private homes or apartments, assisted living communities, nursing facilities, memory care centers, or residential care settings.

Learn More »

Understanding Coverage and Cost

For eligible Medicare and Medicaid patients, hospice services are fully covered at no cost to you. Most home health services are fully covered by Medicare Part A or Part B when you're homebound and under a physician's care plan.

Explore Who Pays for Hospice Care »

Let’s Talk About Your Options

If you’re wondering whether hospice or home health is right for your loved one, or if you simply need someone to talk to about what comes next, we’re here. Call us anytime at (855) 415-5744. Our team is available 24 hours a day, 7 days a week to answer your questions, provide guidance, and help you make the best decision for your family.