SERENITY FIRST LLC
Provider Information
- Address
- 4915 FITZHUGH AVENUE
RICHMOND, VA 23230 - Ownership Type
- For-Profit
- Medicare Certified Since
- April 22, 2021
Are you this hospice's administrator? Update your information
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) | 2 |
| Volunteers | 0 |
7
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 SERENITY FIRST 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 2021.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how SERENITY FIRST 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.
64
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 weekends7.3%
Ranks better than about 42% 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 life88.7%
Ranks better than about 27% 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 visits32.7%
Ranks better than about 76% 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 care16.7%
Ranks better than about 6% 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 months22.9%
Ranks better than about 83% 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 care8.3%
Ranks better than about 44% 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$18,799 · 55th 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 1 required care step for new patients here.
- Visits in the last days of life36.4%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer18%
- Dementia39%
- Heart and circulatory disease20%
- Lung and respiratory disease6%
- Stroke9%
- Other conditions11%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Serving Families in Richmond
Serenity First LLC provides hospice care for residents living in Richmond, Virginia. They operate out of their office on Fitzhugh Avenue in Henrico County. This team focuses on comfort and support for patients facing a life-limiting illness. They help families manage symptoms while keeping their loved ones at home whenever possible. Choosing the right hospice is a big decision for your family. It helps to know that this local provider has been active in the Richmond area for several years. They aim to make these final months as peaceful as they can be. You deserve a team that listens to your needs and responds quickly. That is what this provider strives to do every single day for the people they serve.
About SERENITY FIRST LLC
Serenity First LLC is a for-profit hospice agency. They earned their Medicare certification on April 22, 2021. This certification means they meet federal standards for health and safety. Being a for-profit agency is common in the hospice industry today. It does not mean they provide less care than non-profits. The thing is, all Medicare-certified hospices must follow the same core rules for patient care. They receive payments from Medicare to cover services like nursing, pain management, and emotional support. You should feel comfortable asking them about their specific staff and how they handle after-hours calls. Most families find peace of mind once they meet the team face-to-face. Getting to know the nurses and aides can make a huge difference in your comfort level. Do not be afraid to ask how they support your specific cultural or spiritual needs.
Quality Performance
Understanding Hospice Care in Richmond
Richmond has a range of hospice options for families in need of end-of-life support. Many providers serve the Henrico County area, giving you choices during a hard time. Hospice is not just about the final days. It is about living the best life possible for as long as you can. Teams usually include a doctor, a nurse, a social worker, and a chaplain. They work together to treat the whole person, not just the disease. Some people wait too long to start hospice care. They think it means giving up hope. But really, it means choosing comfort and quality time with the people you love. You can start hospice as soon as a doctor confirms a life expectancy of six months or less. This gives the team more time to build a bond with your family. That connection is vital for everyone involved.
What to Ask When Choosing a Hospice Provider
You should interview a few different agencies before you make your final choice. Here are a few questions to help you get the right information. First, ask how quickly a nurse can get to your home if a crisis happens at night. You need to know that someone is always available. Second, ask how they handle pain and other tough symptoms. You want a team that is proactive, not just reactive. Third, ask about the volunteers they have. Volunteers can provide extra companionship for your loved one. Finally, ask if they have experience with your specific diagnosis. Some agencies have special training for certain illnesses. Take notes during these calls so you can compare your options later. Your gut feeling is important, too. Pay attention to how they treat you on the phone. Are they kind? Do they answer your questions clearly? You deserve a partner who makes you feel heard.
Keep Your Family Stories Alive
Your loved one has a lifetime of stories to share. Preserving these memories now is a gift to your whole family for years to come.
Start Preserving MemoriesOther Hospice Providers Nearby
VCU HEALTH HOSPICE AT HOME BY BAYADA
TRINITY HOSPICE
AMEDISYS HOSPICE OF RICHMOND
KIRVA HOSPICE
GENTIVA
SUNCREST HOSPICE RICHMOND
Helpful Guides for Families
What CMS Star Ratings Actually Mean for Your Family
Confused by hospice star ratings? Learn how CMS calculates these scores, what they reveal about care quality, and how to find the right provider for your family.
Understanding Medicare Hospice Benefits: A Family Guide
Navigating end-of-life care is complex. Our guide to Understanding Medicare Hospice Benefits helps you manage costs, coverage, and care with confidence today.
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.