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

Valerie R.
3 days 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.
4 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.
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.
1 month 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.
1 month 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.
1 month 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.
1 month 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.
1 month ago
Ian provided excellent care!!
Joanne C.
2 months ago
Jessica the Speech Therapist is simply the best. She always communicated on time, when she would come and was flexible about it. Very Professional. Wish we had more visits with her. Still waiting on PT and OT.
Jennell D.
2 months ago
Our experience with physical therapy through James River Home Health was very positive. The care provided was thorough, supportive, and well-suited to my mom’s needs, especially considering she has Alzheimer’s. Ian, the physical therapist, was excellent. He showed a great deal of patience, kindness, and understanding during each visit. He took time to explain things clearly, worked at a pace that was comfortable for her, and created a calm, reassuring environment. His approach made a meaningful difference in how she engaged with therapy. From a PT perspective, I have no complaints. With Alzheimer’s my mom cries a lot but whenever she had PT with Ian her mood was different when he left.
Teejay J.
2 months ago
Very professional care was given to my elderly.
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.
Crystal G.
2 months ago
We currently use JRHHH and love our nurse, Adrieaunna! Very professional and caring to my dad during this time.
Carrie H.
2 months ago
Received great care from Adrieaunna!!!
Michelle F.
2 months ago
Adrie is amazing one of kind! She shows so much compassion for her patients. Between her communication skills and reliability it puts our minds at ease knowing our loved on is in great care. True calling! Love her!
David M.
2 months ago
What wonderful care was given. It is special when someone is made to feel safe, comfortable, and like they matter! Nurse Adrieaunna is a God send!
Xavier D.
2 months ago
My grandmother’s experience with Ian, the physical therapist has been amazing. He is the epitome of a clinician who not only treats the outer but the inner of a patient. Often she calls me to rent and rave about her conversations with him and how good he made her feel and how he encouraged her and how she really enjoyed therapy with him. Ian Ian listens to my grandmother. He encourages her, but also he pushes her because he knows that she’s capable of more five stars across the board.
Doreen P.
2 months ago
I give 5 stars for patience and understanding.
Frederick F.
2 months ago
Ian provided my dad with home health pt and I was very satisfied with the service he provided.He was attentive and nourishing to my dad.
Rhonda T.
2 months ago
Mom has used James River Home Health in the past and has always had great service. She is working with Ian again and we can’t say enough good things about him. He is very knowledgeable and extremely caring when it comes to working with mom. Mom was very happy to have Ian working with her again!
Edith B.
2 months ago
James river home health has been wondering to me. Chris has been very patient and is helping me through my rehab process.
Lori M.
2 months ago
Ian was an absolute God send. He knew which exercises to do without causing more discomfort and which ones would help strengthen. Highly recommend James River Home Care
Cheryl P.
2 months ago
The best part of this experience with James River is when Ian came to help my mother with regaining her mobility. He was very supportive, encouraging and motivating. He honestly went over and beyond to get her the DME ( Durable Medical Equipment) she needed. Ian honestly became apart of our family and it was hard for my mom when the services ended. With older people it is hard for them to trust people in their homes but Ian worked his magic quickly and also became a Companion. Thank you very much Ian for taking great care of my mother. We really appreciate and miss you. 🙏🏾❤️
Gerren S.
2 months ago
James River was very very helpful with my mom while she was going through chemotherapy, Ian help my mother regain the use of her legs, to be able to move around the house. Thank you for all you have done the Short family truly appreciate you Ian your great …

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.