About James River Home Health And Hospice
Hospice overview and quality summary
James River Home Health And Hospice is a for-profit hospice care provider in Richmond, VA, serving patients and families in Chesterfield County and the surrounding area. Medicare certified since 2017, James River Home Health And Hospice has provided 9 years of end-of-life and palliative care to the community.
James River Home Health And Hospice serves an average of 114 patients per day, covering 98 ZIP codes across its service area. 71% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
James River Home Health And Hospice holds a 2-star CMS rating based on caregiver surveys. Families are encouraged to review the detailed quality measures below. The facility's Hospice Care Index score is 10 out of 10, a composite measure of care quality and efficiency. 2 physicians are affiliated with this hospice.
When choosing hospice care in Richmond, VA, consider quality ratings, caregiver satisfaction surveys, the hospice's experience with your loved one's condition, and the service area. Since hospice care is typically delivered in the home, the responsiveness and availability of the care team are critical factors.
At a Glance
Caregiver Satisfaction
CAHPS Hospice Survey results from bereaved family caregivers
Below Average
CMS CAHPS Hospice Star Rating
James River Home Health And Hospice has received a 2-star quality rating from CMS, based on caregiver survey results. Families in Richmond, VA considering this hospice should review the detailed survey results below and discuss quality measures with the care team.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
86% of caregivers gave a top rating for emotional & spiritual support, below the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
87% of caregivers gave a top rating for treated with respect, below the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
65% of caregivers gave a top rating for help with symptoms, below the national average of 74%.
Team Communication
How well the hospice team communicated with the family
76% of caregivers gave a top rating for team communication, below the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
66% of caregivers gave a top rating for getting timely care, below the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
67% of caregivers gave a top rating for training for family caregivers, below the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
75% of caregivers gave a top rating for overall rating (9-10), below the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
78% of caregivers gave a top rating for would recommend, below the national average of 84%.
Source: CMS CAHPS Hospice Survey · Vertical markers indicate national average
Quality Process Measures
CMS hospice care quality indicators vs. national benchmarks
Treatment Preferences Documented
Patients whose treatment preferences were discussed and documented
100.0%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
99.4%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
99.9%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
99.7%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
99.6%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
99.1%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
100.0%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
98.3%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
James River Home Health And Hospice's Hospice Care Index (HCI) score is 10 out of 10, above the national average of 8.8. This composite score reflects stronger-than-average performance across measures of nursing continuity, care transitions, and presence near death.
55.4% of James River Home Health And Hospice's patients received visits from the hospice team in their final days of life, significantly above the national average of 47.9%. This is one of the most meaningful quality indicators — having the hospice team present during the final hours provides critical comfort to both patients and families.
Visits Near Death
Patients with visits in last 3 days of life
91.2%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
13.3
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
7.2%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
50.1%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
7.6%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
28.8%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
11%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
0.8%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0.4%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$11,791
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
James River Home Health And Hospice's patient population is primarily composed of individuals with cancer (22%), followed by dementia (20%), other conditions (20%), respiratory disease (15%), cardiovascular disease (14%), stroke (9%).
Care Settings
Where hospice care is delivered
James River Home Health And Hospice delivers 71% of its care in patients' homes, with 20% in assisted living settings, 7% in nursing facility settings, 1% in skilled nursing settings, 1% in hospital settings. The hospice serves an average of 114 patients per day.
Patient's Home
Assisted Living
Nursing Facility
Skilled Nursing
Hospital
Doctors at James River Home Health And Hospice
2 affiliated physicians
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About James River Home Health And Hospice
What is the CMS rating for James River Home Health And Hospice?
James River Home Health And Hospice has a 2-star quality rating from CMS based on the CAHPS Hospice Survey of bereaved family caregivers, which evaluates satisfaction across areas including symptom management, communication, and emotional support.
What conditions does James River Home Health And Hospice primarily treat?
James River Home Health And Hospice's patient population includes cancer (22%), dementia (20%), other conditions (20%), respiratory disease (15%), cardiovascular disease (14%), stroke (9%). This reflects the hospice's experience managing these conditions.
Where does James River Home Health And Hospice provide care?
James River Home Health And Hospice provides care in patient's home (71%), assisted living (20%), nursing facility (7%), skilled nursing (1%), hospital (1%).
How large is James River Home Health And Hospice?
James River Home Health And Hospice serves an average of 114 patients per day and covers 98 ZIP codes in its service area.
How many doctors are affiliated with James River Home Health And Hospice?
2 physicians are affiliated with James River Home Health And Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·