JAMES RIVER HOME HEALTH CARE LLC (FREDERICKSBURG)
Provider Information
- Address
- 4318 CARR DRIVE
FREDERICKSBURG, VA 22408 - Medicare Certified Since
- September 29, 2022
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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.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how JAMES RIVER HOME HEALTH CARE LLC (FREDERICKSBURG) compares to hospices nationwide.
14.1 minutes
of nurse care per routine home care day, on average
That is the 69th percentile among hospices nationally. The national median is about 12 minutes.
23
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 day14.1 min
Ranks better than about 69% 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 weekends8.2%
Ranks better than about 53% 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 life87.1%
Ranks better than about 23% 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 visits45.8%
Ranks better than about 59% 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 care11.4%
Ranks better than about 19% 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 months20%
Ranks better than about 87% 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 care14.3%
Ranks better than about 19% 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 hospice5.7%
Ranks better than about 8% 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$12,818 · 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 8 required care steps for new patients here, completed for 43.1% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment96.6%
- Breathing difficulty screening100%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed99%
- Visits in the last days of life43.1%
- All care steps completed98.1%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer22%
- Dementia29%
- Heart and circulatory disease14%
- Lung and respiratory disease10%
- Stroke10%
- Other conditions16%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
James River Home Health Care in Fredericksburg
James River Home Health Care LLC serves families living in Fredericksburg, Virginia. This provider offers hospice services to help patients manage their end-of-life care needs. They hold a Medicare certification that began in late September of 2022. Hospice care is a special service that focuses on comfort when a cure is no longer the main goal. It brings medical support directly to the patient where they live. That is often at home. This team works to keep patients comfortable and pain-free every day. Providing care in familiar surroundings helps people feel more at peace. It also allows loved ones to spend meaningful time together without managing complex medical equipment alone. Finding the right support in Spotsylvania County is a big step for your family. This agency provides a way to get that help locally.
About James River Home Health Care LLC
This agency has been Medicare certified since 2022. Medicare certification means the provider meets federal rules for safety and quality. These standards ensure that families get care that follows strict government guidelines. You should know that CMS tracks hospice performance across the country. They look at how well a team manages pain and how they treat symptoms. This provider has earned high marks for their quality of care based on these national measures. That is a positive sign for anyone looking at their options. When a provider shows strong results, it often means they have clear processes in place to help patients. Families should always ask about how these teams coordinate with primary doctors. Good communication between your doctor and the hospice team makes everything run better. It creates a smoother experience for the patient. You can feel better knowing they meet these set benchmarks for service quality.
Quality Performance
What Is Hospice Care Like in Fredericksburg?
Hospice care in Fredericksburg is built around a team approach. You get a group of people rather than just one person. This team typically includes nurses, social workers, and aides. These professionals visit the home to check on the patient. They adjust medications and provide emotional support for the whole family. The main goal is to keep the patient as comfortable as possible. They also help family members handle the stress of daily caregiving. Most services are covered by Medicare for those who qualify. This means you do not have to worry about the cost of basic hospice care. The team remains on call to answer questions at any hour of the day or night. This support network is designed to make the final months or weeks easier for everyone involved. Having experts just a phone call away provides real peace of mind.
What to Ask When Choosing a Hospice Provider
Choosing a hospice team is a personal decision. You need the right information to make a choice that fits your needs. Start by asking how quickly a nurse can arrive if a sudden problem happens. Fast response times matter when pain or symptoms change quickly. Ask how they handle care on weekends and holidays. You need to know that help is available whenever you might need it. Ask which specific staff members will visit your home most often. It is helpful to know who you will see during the week. Finally, ask how they support family members with grief and emotional care. A good hospice team does not just focus on the patient. They look after the needs of the whole family group. Write these answers down so you can compare them later. Taking this time helps you feel confident in your decision and your path forward.
Keep Your Family Stories Alive
Your family history is a treasure. We offer tools to help you record memories and preserve stories that matter for generations to come.
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