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

Natasha T.
3 days 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 days 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.
1 week ago
The James Rived Occupation Therapist Clay was very nice and he gave me som excellect Exercises which were very helpful
Catherine M.
1 week 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.
2 weeks 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.
3 weeks 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.
3 weeks 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.
3 weeks 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.
3 weeks ago
Ian is amazing at pt! So helpful and has really helped my mom improve
Laurene S.
3 weeks 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.
3 weeks ago
Clay was a very good OT therapist I really did enjoy working with him he me alot
Lisette
4 weeks 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.
1 month 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.
1 month ago
My home health Nurse Gail Wulf RN, is outstanding, very informative, and I am very very pleased with her care.
Stacy L.
1 month 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.
1 month 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.
1 month ago
Wo derful attentive staff. Very friendly and easu to work with. Highly recommended!
Marnetta C.
2 months ago
Kelsi is a great nurse who looks after her patients.She takes time with them and ask questions about them so she can further assist them.
Deborah H.
2 months ago
My husband received excellent care from Kee and Kelsey. We would recommend James River Health to all.
Matthew M.
2 months ago
Ian has been amazing helping my mother with her recovery. We are so thankful.
Michelle B.
2 months ago
Ian has been amazing helping my Mother with her recovery!
Tammy W.
2 months 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.
Ms. “Tae” T.
2 months ago
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.
2 months 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.
2 months 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.

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.