JAMES RIVER HOME HEALTH CARE LLC
Provider Information
- Address
- 3831 OLD FOREST ROAD SUITE 3
LYNCHBURG, VA 24501 - Medicare Certified Since
- September 22, 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 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.
39
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 weekends6.3%
Ranks better than about 30% 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 life94.7%
Ranks better than about 59% 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 visits51.3%
Ranks better than about 52% 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 care2.3%
Ranks better than about 77% 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 months36.4%
Ranks better than about 51% 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 care15.9%
Ranks better than about 14% 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 hospice2.3%
Ranks better than about 33% 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$21,918 · 70th 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 57% of patients or more. Most hospices score above 90 percent.
- Pain screening98.3%
- Pain assessment94.9%
- Breathing difficulty screening98.3%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed98.3%
- Visits in the last days of life57%
- All care steps completed93.2%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Dementia42%
- Heart and circulatory disease19%
- Lung and respiratory disease10%
- Other conditions17%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
About James River Home Health Care LLC
James River Home Health Care LLC serves the Lynchburg, Virginia area from their office on Old Forest Road. They offer hospice services to families in need of support during a difficult time. This provider has been certified by Medicare since September 2022. They work to provide care that meets federal standards for quality and safety. Choosing a hospice agency is a big decision for your family. You want a team that follows clear rules and keeps their promises to patients. This team is ready to help you manage health needs at home. They focus on comfort for the person you love. It is a local option for those living in Lynchburg City.
About James River Home Health Care LLC
This agency operates as a Medicare certified provider. Certification means they follow specific rules set by the government to ensure a high standard of care. Families should look for this status because it shows the agency has passed regular inspections. It also means they meet strict requirements for staff training and patient safety. Since they started their hospice program in 2022, they have focused on meeting these federal expectations. What this means for you is that the care follows a proven framework. They are required to report data on their performance to the government. This keeps them accountable to the public. You can feel better knowing they are checked by outside experts. They aim to provide consistent support for every family they serve. That is how they maintain their standing as a provider of care in the local community.
Quality of Care
What Is Hospice Care Like in LYNCHBURG?
Hospice care in Lynchburg offers support for families in their own homes. The goal is to keep your loved one comfortable and free from pain. A team of nurses, social workers, and aides usually visits the home to check on the patient. They work with your doctor to make sure the care plan is right. You might wonder how often they visit. The team adjusts their visits based on what the patient needs at that moment. Some days might require more attention than others. The staff is there to answer your questions and help with daily tasks. They provide emotional support too. Many families find that having this extra help makes a real difference. It allows you to spend more time just being a family. You do not have to handle everything on your own anymore. That is the main purpose of these local services.
What to Ask When Choosing a Hospice Provider
You should feel confident before you pick a provider. Start by asking how quickly a nurse can get to your home if an emergency happens. It helps to know if they have staff available on nights and weekends. Ask them how they handle pain management for their patients. You want to know their plan for keeping your loved one calm and comfortable. Ask about the specific team members who will visit. Will you see the same nurse every time? This helps you build a relationship with the people in your home. Ask them to explain their experience with the specific health condition your loved one has. Do they provide extra services like music therapy or volunteers? These small things can add a lot of comfort to the daily routine. Make sure you get clear answers to these questions before you decide. Your peace of mind matters most.
Keep Your Family Stories Alive
Preserve the memories and wisdom of your loved ones for future generations to cherish.
Start Your LegacyOther Hospice Providers Nearby
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BLUE RIDGE HOSPICE, INC
LEGACY HOSPICE & PALLIATIVE CARE
Helpful Guides for Families
Understanding Hospice Levels of Care: A Family Guide
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Hospice vs Palliative Care: Understanding the Difference
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Some stories are worth writing down
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