

If someone you love is facing a serious illness, our hospice team is here to help you understand your options, manage their comfort, and make the days ahead feel less overwhelming.
Hospice care is fully covered by Medicare, Medicaid and private insurance for eligible patients with no out-of-pocket cost for most families.
If someone you love is facing a serious illness, our hospice team is here to help you understand your options, manage their comfort, and make the days ahead feel less overwhelming.
Hospice care is fully covered by Medicare, Medicaid and private insurance for eligible patients with no out-of-pocket cost for most families.
Here’s why families across Virginia trust James River when care matters most.
Choosing a hospice or home health provider isn’t just about finding someone who can do the job. It’s about finding a team you can trust during one of life’s most vulnerable moments.
James River Hospice stands apart through 24/7 RN availability, ACHC-accredited quality standards, higher visit frequency than most providers, and a locally rooted team that genuinely cares about Virginia families. Since 2013, we’ve served thousands of patients with responsive, compassionate, individualized care in the comfort of their own home.

Committed to the Highest Standards

ACHC Accreditation
We’ve earned accreditation from the Accreditation Commission for Health Care (ACHC), which means our clinical care, safety practices, and quality outcomes have been independently verified against national healthcare standards.

Licensed and Insured
Medicare and Medicaid Certified – We meet all Centers for Medicare & Medicaid Services (CMS) conditions of participation and are listed on Medicare’s Care Compare database.

Locally Trusted
For over a decade, families, physicians, hospitals, skilled nursing facilities, and assisted living communities across Virginia have trusted us to deliver compassionate, high-quality care when it matters most.

One of the most common questions families ask is:
“Where does hospice happen?”
Hospice care is provided wherever your loved one calls home, whether that’s a private residence, assisted living community, nursing facility, or group home.
That means your loved one can remain in a familiar setting, surrounded by the people and comforts they know best, while our team provides expert medical care and compassionate support.
For most families, hospice care costs nothing out of pocket.
Hospice services are:
100% covered by Medicare for eligible patients
Covered by Medicaid for eligible patients
Often covered by private insurance plans
Coverage typically includes:
Visits from the hospice care team
Medications related to the hospice diagnosis
Medical equipment and supplies delivered to your home
Emotional, spiritual, and family support for patients and families
Bereavement support for loved ones after a loss
Our team walks you through benefits and coverage before care begins, so there are no surprises.
Many families wait, hoping for more time or worrying that choosing hospice means the end is near. That hesitation is natural.
But starting hospice earlier often allows patients to be more comfortable, with better pain and symptom management and fewer hospital visits. It also creates more space for meaningful moments with the people who matter most. Families often feel more supported and less overwhelmed during this time.
Hospice isn’t about giving up. It’s about making each day as comfortable, peaceful, and connected as possible.


Many families wait, hoping for more time or worrying that choosing hospice means the end is near. That hesitation is natural.
But starting hospice earlier often allows patients to be more comfortable, with better pain and symptom management and fewer hospital visits. It also creates more space for meaningful moments with the people who matter most. Families often feel more supported and less overwhelmed during this time.
Hospice isn’t about giving up. It’s about making each day as comfortable, peaceful, and connected as possible.
We’ve removed the barriers that make accessing care frustrating. Here’s how we work together:

Step 1: Call Us Anytime
Reach our team at (804) 269-8742 or request a consultation online. You'll speak with someone who listens without rushing you.

Step 2: Meet With a Care
Specialist
A hospice nurse or home health clinician will visit your loved one wherever they are: at home, in the hospital, or in a skilled nursing facility.

Step 3: Begin Care Quickly
Once you're ready, we can often start services the same day or within hours. You'll meet your care team, receive all necessary medical equipment and supplies, and have direct contact information for 24/7 support. From that moment forward, you're never alone in this.
Choosing hospice means giving your loved one the comfort and dignity they deserve, and giving your family the support you need. Call us today at (804) 375-2432, or send us a message online, if you’re thinking about starting hospice care in Richmond and Central Virginia.

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