Compassionate Care in the Setting That’s Most Comfortable
Hospice care is delivered wherever your loved one lives, whether that’s a private home, apartment, assisted living facility, memory care community, or skilled nursing facility. Unlike hospital-based care, hospice brings medical expertise, symptom management, and 24/7 support directly to your loved one’s familiar surroundings.
Our team serves families throughout Virginia, and surrounding communities. No matter where your loved one currently lives, we bring comprehensive hospice care to them, not the other way around.
Hospice Care in Your Private Home
What It Looks Like: Most hospice patients receive care in their own home, whether that’s a house, apartment, condo, or family member’s residence. Our team visits regularly based on your loved one’s needs, providing medical care, personal assistance, and support while your loved one remains in the most familiar and comfortable environment possible.
Who Visits Your Home:
Registered Nurses Visits on schedule to manage symptoms, adjust medications, provide wound care, and monitor your loved one’s condition.
Certified Nursing Assistants Come multiple times a week to help with bathing, dressing, grooming, toileting, and personal care, always with dignity and respect.
Social Workers Visit as needed to provide counseling, help with advance directives, connect families with community resources, and offer emotional support.
Chaplains Offer spiritual care tailored to your family’s beliefs and traditions.
Volunteers Provide companionship, light assistance, and respite for family caregivers.
Why Families Choose Home-Based Hospice:
- Your loved one stays in familiar surroundings with personal belongings, pets, and routines intact
- Family members can be present without visiting hour restrictions
- Privacy and comfort are maintained
- Meals, bedtime routines, and daily rhythms continue without disruption
- Children, grandchildren, and close friends can visit freely
We support family caregivers every step of the way, teaching you how to provide care, when to call for help, and how to recognize changes in condition. You’re never alone in this.
Learn what to expect from hospice at home → What to Expect
Hospice Care in Assisted Living Facilities
What It Looks Like: If your loved one lives in an assisted living community, they don’t have to leave when hospice becomes necessary. Our team coordinates closely with facility staff to provide hospice services in addition to the residential care your loved one already receives.
How It Works:
- Hospice Provides Medical Care – Our nurses, aides, social workers, and chaplains visit regularly to manage symptoms, provide personal care, and support your family, just as we would in a private home.
- Assisted Living Continues Daily Care – The facility continues to provide meals, housekeeping, medication reminders for non-hospice medications, and general assistance with daily living.
- We Work Together Seamlessly – James River Home Health & Hospice coordinates with facility staff to ensure nothing falls through the cracks. We communicate about medication changes, care plan updates, and any concerns that arise.
Hospice Care in Memory Care Communities
What It Looks Like: Patients with dementia or Alzheimer’s disease often live in specialized memory care units. When hospice becomes appropriate, our team provides care directly within the memory care setting, no transfer required.
How We Support Dementia Patients:
- Manage pain and symptoms even when communication is limited
- Provide specialized personal care for patients with mobility or behavioral challenges
- Support families navigating difficult end-of-life decisions around eating, hydration, and comfort measures –
- Coordinate with memory care staff who understand the patient’s routines and behaviors
- Offer education on what to expect as dementia progresses
Our team has extensive experience with advanced dementia care, and we approach every patient with patience, dignity, and respect for their unique needs.
Hospice Care in Skilled Nursing Facilities
What It Looks Like:
If your loved one lives in a skilled nursing facility (nursing home), they can receive hospice care there. Hospice services are provided in addition to, not instead of, the facility’s nursing care.
How It Works:
- Two Levels of Care Combine – James River Home Health & Hospice adds specialized end-of-life care, symptom management, emotional support, and family counseling.
- Coordinated Team Approach – We work directly with facility nurses, physicians, and staff to ensure your loved one’s comfort.
- Medications and Equipment – Hospice provides medications related to the terminal illness and symptom control. We also supply specialized equipment that’s not already provided by the facility.
Short-Term Inpatient Hospice Care
What It Is:
In rare cases when symptoms cannot be managed at home or in a residential facility, James River Home Health & Hospice arranges short-term inpatient care in a contracted hospital or hospice facility for acute symptom management.
When It’s Used:
- Severe, uncontrolled pain requiring IV medication or complex titration
- Respiratory distress needing intensive monitoring
- Unmanageable nausea, vomiting, or dehydration
- Wounds or medical complications requiring hospital-level care -Safety concerns that cannot be addressed in other settings
This is General Inpatient Care, fully covered by Medicare and most insurance, and it’s used only when medically necessary to control acute symptoms.
Learn about the levels of hospice care → 4 Levels of Hospice Care
Our Service Areas Across Virginia
James River Home Health & Hospice serves families in seven locations across Virginia:
- Richmond (Headquarters) Our largest service area, covering Chesterfield, Henrico, Richmond City, Hanover, Powhatan, and surrounding counties.
- Fredericksburg Serving Fredericksburg, Stafford, Spotsylvania, Caroline, and King George counties.
- Farmville Covering Farmville, Prince Edward, Cumberland, Buckingham, and surrounding communities.
- Lynchburg Serving Lynchburg, Campbell, Bedford, Amherst, and Appomattox counties.
- Winchester Our newest location serving the Shenandoah Valley and Northern Virginia, including Winchester, Frederick County, Clarke County, and surrounding areas.
- Harrisonburg Providing hospice care in Harrisonburg, Rockingham County, and the Shenandoah Valley.
- Roanoke Serving Roanoke City, Roanoke County, Salem, and the surrounding region.
Not sure if we serve your area? Call us at (855) 415-5744 and we’ll let you know immediately. If we don’t serve your location, we’ll help connect you with a trusted hospice provider who does.
View all office locations and contact information → Service Area
Comfort in Familiar Surroundings
Call James River Home Health & Hospice at (855) 415-5744 to learn how we can provide compassionate care in your loved one’s home, assisted living facility, memory care community, or skilled nursing residence. The place where someone receives care matters, especially at the end of life.
Hospice brings expert medical care wherever your loved one feels safest. You don’t have to choose between quality care and the comfort of home. You can have both.