JAMES RIVER HOME HEALTH AND HOSPICE
Provider Information
- Address
- 9100 ARBORETUM PARKWAY SUITE 290
RICHMOND, VA 23236 - Ownership Type
- For-Profit
- Medicare Certified Since
- May 15, 2017
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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) | 8 |
| Licensed Practical Nurses (LPN) | 0 |
12
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 JAMES RIVER HOME HEALTH AND HOSPICE 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 2017.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how JAMES RIVER HOME HEALTH AND HOSPICE compares to hospices nationwide.
13.3 minutes
of nurse care per routine home care day, on average
That is the 61st percentile among hospices nationally. The national median is about 12 minutes.
114
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 day13.3 min
Ranks better than about 61% 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 weekends7.2%
Ranks better than about 41% 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 life91.2%
Ranks better than about 36% 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 visits50.1%
Ranks better than about 54% 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 care7.6%
Ranks better than about 42% 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 months28.8%
Ranks better than about 72% 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 care11%
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 hospice0.8%
Ranks better than about 53% 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)81st 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$11,791 · 17th 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 55.4% of patients or more. Most hospices score above 90 percent.
- Pain screening99.7%
- Pain assessment99.7%
- Breathing difficulty screening99.4%
- Breathing difficulty treatment99.7%
- Treatment preferences discussed100%
- Beliefs and values discussed99.6%
- Bowel care for patients on opioids100%
- Visits in the last days of life55.4%
- All care steps completed98.4%
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%
- Dementia20%
- Heart and circulatory disease14%
- Lung and respiratory disease15%
- Stroke9%
- Other conditions20%
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 and Hospice
James River Home Health and Hospice serves families in Richmond, Virginia. This provider offers hospice services to support patients during their final stages of life. They have earned certification from Medicare to provide care since May 2017. The team holds accreditation from CHAP. This group sets high standards for how hospice agencies operate. It shows they meet specific benchmarks for safe and reliable care. Choosing an accredited agency gives you a clear sign of their commitment to patients. Families in the Chesterfield area can look to this provider for professional end of life support. Their team focuses on managing symptoms and comfort for their patients. They work within the local community to help those who need it most. Having a local partner makes a real difference when you need help fast. Their office sits on Arboretum Parkway in the 23236 zip code area.
Agency Details
This agency operates as a for-profit organization. They employ a total of 12 staff members to manage their daily operations. The clinical team includes 8 registered nurses who provide direct care to patients. They do not have licensed practical nurses on their current staff list. CHAP accreditation acts as a seal of approval from an independent group. These groups check that agencies follow strict rules for safety and quality. It ensures they meet the same standards as other top providers across the country. You should know that for-profit status does not change the basic requirements for hospice care. All Medicare certified agencies must follow the same federal rules for patient treatment. This provider has a history of service dating back several years. They use their resources to keep staffing levels focused on registered nursing. This structure allows their nurses to lead the care plan for each patient in their program.
Quality Summary
What Is Hospice Care Like in Richmond?
Hospice care in Richmond focuses on comfort and dignity for patients near the end of life. Local agencies provide care wherever the patient calls home. This often includes private houses or assisted living centers. The goal is to manage pain while supporting the family through a hard time. Most teams include nurses, aides, and social workers who visit on a regular schedule. This specific agency relies on a team of 8 registered nurses to handle clinical needs. They coordinate with your doctor to adjust care plans as health changes occur. Having enough nurses is vital for quick responses to new symptoms. Richmond families can expect a team that understands the local health system. They work to keep patients comfortable in their own surroundings. This approach avoids hospital stays when they are not needed. It keeps the patient in a familiar place with people they love.
What to Ask When Choosing a Hospice Provider
Picking the right hospice team is a big decision for your family. You should feel comfortable with the staff and their plan for care. Ask these questions to learn more about how they work. First, ask how quickly a nurse can get to your home after you call. Second, ask how they handle pain management during the night or on weekends. Third, ask how often the nurse will visit the patient in a typical week. Finally, ask what kind of support they offer to family members who are grieving. These answers help you see if their style matches your needs. Do not be afraid to ask for details about their team size. You want to know who will be at the bedside. Clear communication makes the whole process much easier for everyone involved. Take your time to get the answers you need before you sign any paperwork.
Preserve Your Family Stories
Your memories are precious. Record your loved one's life stories to keep their voice and wisdom for the future generations of your family.
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