Service Areas

Compassionate Care Close to Home

We bring skilled nursing, therapy, and supportive care directly to your loved one, whether they are at home, in an assisted living community, in a skilled nursing facility, or in a hospital.

Seven Service Areas. One Standard of Care.

Each office is staffed by a dedicated, multidisciplinary care team that includes physicians, registered nurses, certified nursing aides, licensed social workers, chaplains, and trained volunteers.

Every member of our team is focused on one goal: providing the highest quality of care to each patient and meaningful support to every family we serve. Regardless of which office coordinates your loved one’s care, you can expect the same warmth, responsiveness, and clinical excellence that has defined James River since 2013.

Select the location closest to you to learn more about your regional care team, the counties we serve, and how to get started.

A middle-aged Asian woman smiling and leaning down to hug her elderly mother, who is seated in a wheelchair and looking back at her with affection.

Hospice and Home Health Service Areas

Our care teams serve patients and families across Virginia, delivering comfort-focused care wherever your loved one calls home. Select your region to learn more about hospice or home health care in your area.

Our Care Travels to You

You do not need to come to us. Our hospice and home health services are provided wherever your loved one calls home, including private residences, assisted living communities, and skilled nursing facilities throughout our service areas.

If you are unsure whether we serve your community, call us directly. We are happy to help you find the right support, even if that means connecting you with another trusted provider in your area.

What to Expect When You Call Us

Reaching out about hospice or home health care for a loved one can feel like a big step. We want you to know that calling us is just a conversation. There is no obligation, no pressure, and no complicated process.

When you contact our team, here is what typically happens:

1. You speak with a real person.

Our staff are available around the clock to answer questions and listen to your family’s situation.

2. We learn about your loved one’s needs.

A member of our clinical team will gather basic information to understand what kind of support would be most appropriate.

3. We explain your options clearly.

We will walk you through what care could look like, who is involved, how it is covered, and what to expect in the days ahead.

4. We move at your pace.

There is no rush. We want you to feel informed and confident before any decisions are made.

What Patients Are Saying About Us

Lisette
2 days ago
Clay is an awesome man and is very decades in helping me to meeting my goat he has been working with me for a while and I hope he can continue working with me to meet more goals he's a very likable person
Tanya F.
1 week ago
Ian was absolutely wonderful, he was extremely caring, thoughtful and very patient. He always took the time to answer questions even after hours. Words cannot express how grateful I am for his kindness and his sincere dedication to his work.
Hazel P.
1 week ago
My home health Nurse Gail Wulf RN, is outstanding, very informative, and I am very very pleased with her care.
Stacy L.
1 week ago
We just want to Thank Sarah Devore and Ian so much for all the hard work and support and patience and compassion that they showed my Dad Matt Dean who is 86 years old was unable to walk on his own nor getting showered and dressed and now they are miracle workers for us because he’s back up and going and feisty once again! Sarah/Ian have become part of our family and greatly appreciate everything they have done for us !! Much Love and gratitude! Stacy Locke
Candace C.
2 weeks ago
Shout out to Ian for his care for both of my parents. He was great at communicating with me /daughter about scheduling, and even more so dealing with my parents very different personalities. Nothing phased him. He consistently encouraged and motivated them towards excellance! Thank you for your thoughtful care to them!
Gina M.
2 weeks ago
Wo derful attentive staff. Very friendly and easu to work with. Highly recommended!
Marnetta C.
3 weeks ago
Kelsi is a great nurse who looks after her patients.She takes time with them and ask questions about them so she can further assist them.
Deborah H.
4 weeks ago
My husband received excellent care from Kee and Kelsey. We would recommend James River Health to all.
Matthew M.
4 weeks ago
Ian has been amazing helping my mother with her recovery. We are so thankful.
Michelle B.
4 weeks ago
Ian has been amazing helping my Mother with her recovery!
Tammy W.
4 weeks ago
Great service for PT, OT & nursing. Ian was really patient and worked well with my mom and her PT. I would definitely recommend this company for home healthcare.
Ms. “Tae” T.
4 weeks ago
James River Home Health & Hospice went above and beyond for my aunt and our family. After going through two other hospice providers, I felt completely alone—until James River stepped in. Their care felt like a warm hug. The entire team was kind, responsive, and always ready with a solution. Brittany, my aunt’s case manager, was helpful and supportive throughout her care. I am especially grateful to Andrea, the social worker, whose compassion and dedication meant more than words can express. Even after my aunt passed, Andrea continued checking on me, helping with funeral resources, and making sure I had the support needed to lay my aunt to rest with dignity. Thank you to Andrea, Brittany, and the entire James River team for being there during one of the hardest times of my life. Shante Thompson
Joanne C.
4 weeks ago
Ian came in as a relief for another PT and was really exceptional and knowlegeable. I always learnt something new each visit. Wish him all the best.
Beverly C.
4 weeks ago
James River Home Health came to our home following my husband’s hospitalization. They serviced us well andl worked effectively as a team. Ian was here most often. He was knowledgeable, compassionate, dependable and likeable. He strived to communicate with his team members to make service seamless. Also, Chris was excellent and made and followed through on some very helpful suggestions. We were very appreciative of their care.
Germaine O.
1 month ago
Mr. Clay Dillon is an exception OT young Man.He is very informative with ideas to help you Succeed in your goal. He see any way to give you information towards Ramps , transportation, material that could be beneficial to your needs. He is kind and show that he care about his patient. He motivates them by giving them positive comments to build up their confidence in getting them back to the things they use to do. He has a good sense of humor by getting their minds off of the negative thoughts and turn them in to positive thoughts. He spend time with You, not rushing and treats you with dignity and respect. If I had to recommend anybody from the OT therapy..It would be Mr. Clay!!. He is an Great Asset to James River Company because he shows that he enjoys what he do through the work that he does. Always with a Smile, address the client by their name, ask them what they would preferred to be called by, He includes the patient in the goal planning, he looks at the short term and long term goals to be successful in the over all goal to get you back to your Norm. Thank for All you have done for my mother : Evelyn Oliver, I appreciate YOU.🎉🎊🎉🎊🎉
David T.
2 months ago
Gail Wulf, Has been taking care of my wife for the pass several weeks and is doing a great job. We look forward to seeing her every week.
All the staff encountered has been very professional, helpful, and efficient. I am very pleased. I would recommend James River home health, Physical and Occupational Therapy again and again. Kahdijah is great to work with.
ITS ME AMARAH J.
2 months ago
Love (CNA) Kristina she is the best!!!!
Cherrie J.
2 months ago
Home health is great Kadijah, Kelsi
AAniyah C.
2 months ago
Kee is so Patient and Thorough we really appreciate Kee and her services!
Kali T.
2 months ago
James River home health is wonderful! Tamie is an excellent nurse ! Terence is the marketer for Home Health and he does an amazing job!
Roger C.
2 months ago
Natalie and Amanda took care of my mom HELEN HART Those 2 were the professionals Thank you both
Paula W.
4 months ago
Kent is such a wonderful person. I dont mind if he comes,just a perfect gentleman
Necole F.
4 months ago
I have been meaning to share a review of my experience with James River Home Health clinicians (Ian PTA, and Adriana, RN). These 2 medical professionals went above and beyond on many occasions in taking care of my dad. I wanted to say thank you for your care, compassion, professionalism, knowledge and understanding. You guys rank #1 in my book!
Valerie R.
4 months ago
James River Hospice has cared for my Mom for months. I cannot imagine getting better care and attention from any other place around. My Mom has been cared for with love and dedication since day one. I will never forget how they have helped me to get through this sad time. The Nurses, Aides, Pastor and Social Workers have all been so wonderful. Thank you from the bottom of my heart.

We are here whenever you are ready. Whether you are just starting to explore options or you need care to begin right away, our team is one call away. There is no pressure and no wrong time to reach out.