James River Home Health Care Llc (Fredericksburg)
Fredericksburg, VA · Medicare-certified hospice (CCN 491654)
CMS process measure: 98.21 (state average 96.57 — above state average)
Serves: 42 ZIP codes (is yours included? →) · Phone: (540) 898-5209 · Verify on Medicare Care Compare ↗
Family caregivers surveyed by CMS said this hospice performed well: 85% would definitely recommend it, and its composite process score of 98.21 is above the Virginia state average of 96.57. CMS has not published an overall CAHPS star rating for this hospice.
James River Home Health Care LLC serves 42 ZIP codes from its office in Fredericksburg, Virginia, in Spotsylvania County.
Yes, James River Home Health Care LLC is Medicare-certified, with CCN 491654, certified since September 29, 2022, and the Medicare hospice benefit covers hospice care for eligible patients when a doctor certifies eligibility.
About this hospice
James River Home Health Care LLC, based in Fredericksburg, Virginia (Spotsylvania County), has been Medicare-certified as a hospice provider since September 29, 2022. CMS Care Compare does not list an ownership type for this hospice in the published data, so families should confirm this directly with the provider.
In the CMS CAHPS family caregiver survey, 85% of surveyed family members said they would definitely recommend this hospice, and 81% rated their experience 9 or 10 out of 10. CMS has not published an overall CAHPS star rating for this hospice, which is often the case when patient counts are small; this does not indicate poor quality, only that CMS has not issued that particular figure.
On CMS's composite process measure, which reflects how consistently core hospice care processes are delivered, this hospice scored 98.21, above the Virginia state average of 96.57. CMS also reports a care index score of 8 and notes that 43.1% of patients received visits in the final days of life, according to the most recent published data.
This hospice reports serving 42 ZIP codes from its Fredericksburg office. The Medicare hospice benefit covers hospice care for eligible patients; no cost or fee details are included here. All figures above come from CMS Care Compare data as most recently published; families are encouraged to verify current details directly with the hospice and on Medicare Care Compare.
Questions families ask
Does Medicare cover care from this hospice?
Yes. James River Home Health Care LLC is Medicare-certified (CCN 491654) since September 29, 2022, and the Medicare hospice benefit covers hospice care for eligible patients when a doctor certifies eligibility.
What do family caregivers say about this hospice in the CMS survey?
In the CMS CAHPS survey, 85% of family caregivers said they would definitely recommend this hospice, and 81% rated their experience 9 or 10 out of 10. CMS has not published an overall star rating for this hospice.
How does this hospice score on CMS quality measures compared to the state average?
Its composite process score is 98.21, above the Virginia state average of 96.57, according to CMS Care Compare data.
What areas and ZIP codes does this hospice serve?
This hospice reports serving 42 ZIP codes from its office in Fredericksburg, Virginia (Spotsylvania County).
Tip: use our Search by ZIP Code feature to check instantly whether your ZIP is among the 42 this hospice reports serving.
Is this hospice for-profit, non-profit, or government-run — and does it matter?
CMS Care Compare data provided does not list an ownership type for this hospice; please contact the hospice at (540) 898-5209 or check Medicare Care Compare to confirm.
How long has this hospice been Medicare-certified?
This hospice has been Medicare-certified since September 29, 2022.
What is the difference between hospice and palliative care?
Palliative care can be provided at any stage of a serious illness alongside curative treatment, while hospice care is focused on comfort for people who have chosen to stop curative treatment and are typically in the last months of life.
Does choosing hospice mean giving up treatment?
Choosing hospice means shifting the focus of care to comfort and quality of life rather than curing an illness; it does not mean giving up on care, support, or dignity.
Where is hospice care provided — at home or in a facility?
The data provided does not specify care settings for this hospice; please contact them at (540) 898-5209 or check Medicare Care Compare to confirm.
How do I start hospice care with this provider?
To start hospice care, contact James River Home Health Care LLC directly at (540) 898-5209 and verify current details on Medicare Care Compare.
What questions should I ask when choosing a hospice?
Families may want to ask about services offered, staffing, coverage area, and caregiver survey results; contact the hospice at (540) 898-5209 for specifics not listed in CMS data.
How do I verify this hospice on Medicare Care Compare?
You can look up this hospice using CCN 491654 at https://www.medicare.gov/care-compare/details/hospice/491654?state=VA.
Data: CMS Care Compare (Jul2026 refresh). Survey results are reported by family caregivers through the official CAHPS Hospice Survey; CMS publishes them only above response-count thresholds. Always verify current details with the hospice and Medicare before arranging care.