Service Areas

Compassionate Care Close to Home

We bring skilled nursing, therapy, and supportive care directly to your loved one, whether they are at home, in an assisted living community, in a skilled nursing facility, or in a hospital.

Seven Service Areas. One Standard of Care.

Each office is staffed by a dedicated, multidisciplinary care team that includes physicians, registered nurses, certified nursing aides, licensed social workers, chaplains, and trained volunteers.

Every member of our team is focused on one goal: providing the highest quality of care to each patient and meaningful support to every family we serve. Regardless of which office coordinates your loved one’s care, you can expect the same warmth, responsiveness, and clinical excellence that has defined James River since 2013.

Select the location closest to you to learn more about your regional care team, the counties we serve, and how to get started.

A middle-aged Asian woman smiling and leaning down to hug her elderly mother, who is seated in a wheelchair and looking back at her with affection.

Hospice and Home Health Service Areas

Our care teams serve patients and families across Virginia, delivering comfort-focused care wherever your loved one calls home. Select your region to learn more about hospice or home health care in your area.

Our Care Travels to You

You do not need to come to us. Our hospice and home health services are provided wherever your loved one calls home, including private residences, assisted living communities, and skilled nursing facilities throughout our service areas.

If you are unsure whether we serve your community, call us directly. We are happy to help you find the right support, even if that means connecting you with another trusted provider in your area.

What to Expect When You Call Us

Reaching out about hospice or home health care for a loved one can feel like a big step. We want you to know that calling us is just a conversation. There is no obligation, no pressure, and no complicated process.

When you contact our team, here is what typically happens:

1. You speak with a real person.

Our staff are available around the clock to answer questions and listen to your family’s situation.

2. We learn about your loved one’s needs.

A member of our clinical team will gather basic information to understand what kind of support would be most appropriate.

3. We explain your options clearly.

We will walk you through what care could look like, who is involved, how it is covered, and what to expect in the days ahead.

4. We move at your pace.

There is no rush. We want you to feel informed and confident before any decisions are made.

What Patients Are Saying About Us

Arelis V.
1 day ago
My OT Clay is the best, he has helped me overcome some of my weaknesses, taught me excercise, gave me a new perspective and gave me some other approach in my life. He also was patient and handled me with care.
Emma P.
5 days ago
The occupational therapist Clay did good on my evaluation and even though he said I did not need his services at this timr he was very helpful and informative showing me exercises to do and checking my home for safety, a caring person.
Martha M.
1 week ago
On a scale 1 to 10, I would give Clay a 10. He not only did his job, I found him to be respectful and polite. He is a good listener. He gave me information that open my eyes to my recovery. I found him to be a blessing.
Tricia J.
2 weeks ago
Our experience with Jamesriver and Ian has been wonderful. He is not only professional, he is very knowledgeable in his work. I definitely will recommend Jamesriver.
mary M.
2 weeks ago
My sister has been working with the occupation therapist Clay he had worked diligentl with my sister going the extra mile. Great listener, very knowledgeable, patient and easy to his follow instructions and advise. She was very impressed and pleased with him and his service as her occupation therapist
Felicia B.
2 weeks ago
James River Hospice Winchester was amazing experience for our family with my grandfather. Maya RN, Kailey Aide, and Chaplin Craig were so sweet, caring and compassionate. Couldn’t ask for better services during this difficult time.
Kim C.
2 weeks ago
I can’t say enough about my therapist Ian. He was very responsive to my questions and concerns. He came with planned activities but would change them if needed based on my needs and level of concern. I am on active chemo and he understood that it might affect our time. Ian was professional and courteous at all times.
Bea K.
3 weeks ago
I always looked forward to my time with Ian! He was so good at explaining exactly what we were trying to accomplish and was always very patient with me.
Natasha T.
3 weeks ago
Ian was amazing to work with! He was very knowledgeable and communicative throughout the entire process. His positive upbeat personality shined bright and encouraged my mom to complete sessions. A truly wonderful experience!
Rosa Y.
3 weeks ago
We have had the pleasure of working with Ian for PT for my mom. He’s always patient and pleasant and extremely helpful and supportive.
Elizabeth S.
4 weeks ago
The James Rived Occupation Therapist Clay was very nice and he gave me som excellect Exercises which were very helpful
Catherine M.
4 weeks ago
Clay the Occupation Therapist with James River was stopped to soon because I needed more movement in my hand to gain more strength, but the things he taught me I believe can make a difference if I keep doing them because I do see change for the better and for that I am grateful.
Kristine B.
1 month ago
Clay was great. Did a good job with everything that he told me I needed to do. He said, I was pretty good self. Sufficient and that he did a great job with all his information, great guy.
Rebecca M.
1 month ago
James River Health and Ian did great work with my mom after her fall. Ian is a great communicator and kept me in the loop. Mom trusted him completely. Ian and the other physical therapists got mom walking again with greater stability and more confidence!
Shimeka T.
1 month ago
Clay was a very professional occupational therapist he made sure my father had all of his equipment he kept my father exercising and laughing joking we truly gonna miss him helping us out and we thank him so much and really appreciate it
Photo from customer review
Reginald H.
1 month ago
Clay has been a great therapist for me he is helping me get a ramp and a powerchair that’s going to help me live a little longer because I can’t stop falling, for that I am grateful to him and Jsmes River
Gwen B.
1 month ago
Ian is amazing at pt! So helpful and has really helped my mom improve
Laurene S.
1 month ago
Ian was an exceptional therapist for my 93 year old mother. He showed great care and compassion and was very knowledgeable in her care.
Wallace J.
1 month ago
Clay was a very good OT therapist I really did enjoy working with him he me alot
Lisette
2 months ago
Clay is an awesome man and is very decades in helping me to meeting my goat he has been working with me for a while and I hope he can continue working with me to meet more goals he's a very likable person
Tanya F.
2 months ago
Ian was absolutely wonderful, he was extremely caring, thoughtful and very patient. He always took the time to answer questions even after hours. Words cannot express how grateful I am for his kindness and his sincere dedication to his work.
Hazel P.
2 months ago
My home health Nurse Gail Wulf RN, is outstanding, very informative, and I am very very pleased with her care.
Stacy L.
2 months ago
We just want to Thank Sarah Devore and Ian so much for all the hard work and support and patience and compassion that they showed my Dad Matt Dean who is 86 years old was unable to walk on his own nor getting showered and dressed and now they are miracle workers for us because he’s back up and going and feisty once again! Sarah/Ian have become part of our family and greatly appreciate everything they have done for us !! Much Love and gratitude! Stacy Locke
Candace C.
2 months ago
Shout out to Ian for his care for both of my parents. He was great at communicating with me /daughter about scheduling, and even more so dealing with my parents very different personalities. Nothing phased him. He consistently encouraged and motivated them towards excellance! Thank you for your thoughtful care to them!
Gina M.
2 months ago
Wo derful attentive staff. Very friendly and easu to work with. Highly recommended!

We are here whenever you are ready. Whether you are just starting to explore options or you need care to begin right away, our team is one call away. There is no pressure and no wrong time to reach out.