Hospice Care and Home Health Services in Fredericksburg VA

Serving Fredericksburg and the surrounding counties, James River provides skilled home health and compassionate hospice care tailored to the needs of each patient and family.

What Patients Are Saying About Us

Stephen T.
7 days 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.
Courtney I.
2 months ago
Services have been awesome! CNA Lovelyn is the best and very attentive ❤️ resident’s love her!
Harley B.
2 months ago
Awesome organization. They care.
Robin K.
2 months ago
Could not recommend JRHH more highly. In particular, Tim and Debbie. Truly gave me my life back !! Thank you ❤️
Jewell T.
2 months ago
They are the best! :) Abegail the Social Worker is so patient and kind.
Penelope L.
2 months ago
James River Home Health and Hospice (JRH) was a huge asset for my family during my husband’s care. The Service provided by Lovelyn Smith to my husband, Tim, and her caring and confident attitude, put me at ease knowing that she knew what she was doing. Lovelyn was the perfect person to be there for, not only my Tim and myself, but for my daughter also. You can well understand the tremendous stress my daughter and I were under as we watched my Tim, and my daughters Dad, begin to fail. At one point my daughter somehow felt that there had to be something she did wrong or her Dad wouldn’t be so sick. Not only did Lovelyn help my daughter understand end of life events, but she was tender and loving to my daughter, and showed great empathy for both of us. Please let Lovelyn know that both my daughter and me will always have a special place in our heart for her. We love her for all she did for our dear Tim. I would be remiss if I didn’t mention the Nurse, Natalie, who also was assigned to my Tim. She also was exceptional. The most difficult thing I had to do was to try to explain to my Tim that he couldn’t go to the ER when he asked me to take him. It would absolutely break my heart! I’m crying now just thinking about it. Natalie would always be there for me to talk to and she was so calm and reasonable with her explanations to my Tim, it would put him at ease. I thank God for both Lovelyn and Natalie, and for JRH. No amount of words can do justice to the extent of their relationship, friendship and love they showed our family.
Kathy S.
2 months ago
James River hospice gives me excellent support. Thanks to Natalie and lovelyn for making sure I have everything I need to take care of my father in law. I am so thankful for all of their help and for always being there for my family.
F O.
2 months ago
Great service and interpersonal team. Precious, Parnell, Natalee, Lovelyn are awesome!! James River are lucky to have them.
Bryce L.
2 months ago
We’ve had a great experience working with James River Hospice. Their team is compassionate, responsive, and truly dedicated to providing high-quality, patient-centered care. They work seamlessly with our staff and always prioritize the comfort and dignity of our residents. A special shoutout to Precious, who consistently goes above and beyond. Her kindness, attentiveness, and genuine care make a meaningful difference every day. We truly appreciate everything this team does! ⭐
Devon B.
2 months ago
I love James River Hospice!! They give such amazing care to our residents. We can always count on Precious to give the most compassionate care, that our residents deserve. I would most definitely recommend them to anyone.
Nas J.
2 months ago
My experience has been great with James River hospice! Precious has been amazing with the patients and staff. Very polite lady
gogocharlesco
3 months ago
James Rivers has been outstanding in their care for my wound. Nicky, Denise, Kate, Katey and all those who have contributed to my well-being have been above and beyond my expectations. Would highly recommend. Great service with a smile. 5 stars.
Tony U.
3 months ago
Punctual, Knowledgeable, very nice. If I need home healthcare again I'll be calling. Thank you James River.
Bridget W.
1 year ago

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.