NAYAR HOSPICE LLC
Provider Information
- Address
- 300 ASHCAKE RD
ASHLAND, VA 23005 - Ownership Type
- For-Profit
- Medicare Certified Since
- May 28, 2019
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CMS Quality Ratings
Composite score combining quality measures and patient survey results.
Based on the CMS Hospice Care Index — 10 operational quality indicators including visits near death, nursing minutes, and care transitions.
CAHPS Hospice Survey — family caregivers rate communication, symptom management, respect, and overall experience.
CMS scores as of May 2026. Quality of Care derived from CMS Hospice Care Index. Patient Satisfaction from the CMS CAHPS Hospice Survey. Overall is the equally-weighted average of both. All source data published by the Centers for Medicare & Medicaid Services.
Staffing & Capacity
| Role | Staff Count |
|---|---|
| Registered Nurses (RN) | 1 |
| Volunteers | 0 |
4
Total Employees
Staffing data as reported to the Centers for Medicare & Medicaid Services.
Inpatient Care and Medical Equipment
Hospices report these services to Medicare when they are certified. This is what NAYAR HOSPICE LLC reported, not a check of what it offers today. Confirm current arrangements with the hospice.
- Short-term inpatient care
- Arranged through another hospital or nursing home
- Type of inpatient care
- Both general inpatient care and respite care
- Medical supplies and equipment
- Brought in through an outside supplier
Short stays in a hospice inpatient unit, hospital, or nursing home for pain or symptoms that cannot be managed where the patient lives, or to give family caregivers a break.
Equipment and supplies tied to the terminal illness and the plan of care, such as a hospital bed, oxygen, wound supplies, or a wheelchair.
Medicare lets hospices provide these services through arrangements with other organizations. Either way, the hospice stays responsible for the covered care in the patient’s plan of care.
Reported by this hospice to the Centers for Medicare & Medicaid Services when it was certified in 2019.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how NAYAR HOSPICE LLC compares to hospices nationwide.
12.3 minutes
of nurse care per routine home care day, on average
That is the 51st percentile among hospices nationally. The national median is about 12 minutes.
14
patients in care on an average day
A rough measure of size. Smaller can mean more personal. Larger can mean more resources.
How this hospice compares nationally
Bars show national standing on measures from the CMS Hospice Care Index. A fuller bar means this hospice does better than more of the hospices CMS tracks.
- Nurse care minutes per home care day12.3 min
Ranks better than about 51% of hospices nationally on this measure.
What this measures
The average minutes of nursing care per day for patients getting routine care at home, based on Medicare claims. More nurse time usually means more hands-on support.
- Skilled nursing on weekends5%
Ranks better than about 15% of hospices nationally on this measure.
What this measures
The share of skilled nursing time delivered on Saturdays and Sundays. Symptoms do not wait for weekdays, so weekend coverage matters.
- Nurse visits in the last days of life91.3%
Ranks better than about 37% of hospices nationally on this measure.
What this measures
The share of patients who got nurse visits in their final days of life. This is when families tend to need the most support.
- Gaps in nursing visits67%
Ranks better than about 30% of hospices nationally on this measure.
What this measures
How often patients went more than a week without a nursing visit. Fewer gaps mean steadier attention.
- Patients discharged alive early in care7.3%
Ranks better than about 44% of hospices nationally on this measure.
What this measures
The share of patients who left hospice alive within the first week of care. A rate of 0% means it did not happen to any of their patients.
- Patients discharged alive after 6 months41.8%
Ranks better than about 36% of hospices nationally on this measure.
What this measures
The share of patients discharged alive after six months or more in hospice care.
- Hospital transfers near the end of care10.9%
Ranks better than about 31% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, spent time in the hospital, then came back to hospice.
- Hospital stays that interrupt hospice0%
Ranks better than about 55% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, went to the hospital, and died there soon after.
- Days at higher levels of care (CHC or GIP)52nd percentile
What this measures
The share of care days delivered at higher levels, such as continuous home care or inpatient care. Shown only as a national rank because small percentages round to zero.
- Medicare spending per patient$12,863 · 22nd percentile
What this measures
What Medicare paid per patient for this hospice's care. Higher or lower spending is not a quality judgment by itself.
Care steps completed at admissionShow detailsMedicare tracked 9 required care steps for new patients here, completed for 52.3% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment86.7%
- Breathing difficulty screening100%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids97.4%
- Visits in the last days of life52.3%
- All care steps completed91.1%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer37%
- Dementia13%
- Heart and circulatory disease14%
- Other conditions18%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Compassionate Care in Ashland
Nayar Hospice LLC provides end-of-life care for patients and their loved ones in Ashland, Virginia. They focus on comfort, dignity, and support during a difficult time. The team serves the local community from their office on Ashcake Road. Their mission centers on helping families manage the physical and emotional challenges of a terminal illness. When you choose them, you get a team that understands the local landscape. It is not just about medical care. It is about supporting the whole person and their family throughout the journey. They provide services right where you live, ensuring you stay in a familiar environment. That matters when you need peace of mind most. The team works hard to keep your loved one comfortable. They serve Henrico County and surrounding areas with a focus on quality and heart. Finding the right fit is a big step for any family.
About NAYAR HOSPICE LLC
Nayar Hospice LLC has been Medicare-certified since May 28, 2019. This means they meet federal standards for the care they provide to patients. They operate as a for-profit organization. Some families worry about that distinction, but the quality of care is what really counts. Their track record shows a strong commitment to meeting patient needs over the last few years. You should know that all Medicare-certified hospices must follow strict rules regarding care and safety. This provider has shown they can hit those high marks. Choosing a provider is a deeply personal decision for your family. The thing is, you want a team that feels like an extension of your own family. They are located at 300 Ashcake Rd in Ashland, which makes them a central choice for many in the region. They offer a balance of professional medical oversight and genuine, human connection every single day.
Top-Tier Quality Care
Understanding Hospice Care in ASHLAND
Hospice care is a special way to support people facing a serious illness. The goal is to focus on comfort rather than a cure. In Ashland, families have access to teams that include doctors, nurses, and social workers. They work together to address pain and emotional stress. Many people wait too long to start hospice. They think it means giving up. The truth is, it often improves the quality of the time you have left. It allows for more meaningful moments at home. You can get help with medications, equipment, and personal care. And the support does not stop with the patient. These teams also help family members cope with grief and complex decisions. It is a full circle of support. When you live in a place like Ashland, you have the benefit of local providers who know the community well. That local connection makes a real difference in how care is delivered.
What to Ask When Choosing a Hospice Provider
Asking the right questions helps you feel confident in your choice. Start by checking if the team can visit your home quickly if an emergency happens. That is vital. Ask how they handle pain management during the night or on weekends. You also want to know how the team supports family caregivers who are tired. It is a tough job, and you need a partner who understands that. You might ask: How many nurses will be assigned to my loved one? How does the team handle communication with our primary doctor? Can you tell me about the bereavement support you offer after a loss? These questions give you a clear picture of what to expect. Don't be afraid to ask for clarity. A good provider will be happy to explain their process. They should make you feel heard and respected from the very first phone call you make.
Preserve Your Family’s Story
Every life has a unique story worth saving for the future. Capture your loved one's memories and lessons in a way that lasts for generations to come.
Start Preserving MemoriesOther Hospice Providers Nearby
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Helpful Guides for Families
Starting the End-of-Life Conversation: A Family Guide
Starting the end-of-life conversation is hard. Our guide provides scripts, expert tips, and Medicare insights to help you navigate this talk with confidence.
A Complete End of Life Planning Checklist for Families
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Hospice at Home vs. Inpatient: Choosing the Right Care
Deciding between hospice at home and inpatient hospice? Discover the pros and cons of each care setting to help you make the right choice for your loved one.
Some stories are worth writing down
Between the calls and the paperwork, many families wish they had asked more about the person at the center of it all. A recorded conversation, a favorite recipe, the story behind an old photo. Small things now can mean a great deal later. Our legacy guides show simple ways to start.