James River Home Health Care LLC (fredericksburg)
Fredericksburg, Virginia — Spotsylvania County
James River Home Health Care LLC (fredericksburg) is a hospice provider that scores well above average overall, ranking in the 18th percentile in Virginia. They perform particularly well in clinical care practices and family communication, meeting or exceeding state benchmarks in these areas. Worth noting: their rate of visits in a patient's final days is below the state average and their Hospice Care Index falls below the state average. When speaking with them, ask about their approach to after-hours care, how they communicate changes in a patient's condition, and what support they offer to caregivers.
Wayven Quality Score
Excellent
In the bottom 82% in Virginia
Independent & data-driven — no paid listings
CompareQuality breakdown
Three pillars that make up the overall score. Tap to explore individual measures.
1 measure not reported
State avg: 60
State avg: 95.8
State avg: 95.8
State avg: 95.8
State avg: 95.8
Note: Family satisfaction scores are from the Virginia CAHPS Hospice Survey (state-level, not provider-specific). Providers in this state share these benchmarks.
State avg: 95.8
State avg: 95.8
8
HCI Score
out of 10
18%
Percentile
in Virginia
#92
State Rank
in Virginia
State avg: 9.2
State avg: 95.8
About this provider
James River Home Health Care LLC (fredericksburg) performs strongly in Process Integrity, placing them among the better providers in Virginia.
Ask about their staffing approach for end-of-life visits — their current rate is below the state benchmark.
Based on federal CMS quality data, updated February 2026.
Hospice Care Index Components
- Overall HCI score
- 8 / 10
- Continuous care / inpatient days
- 0
- Gaps in nursing visits
- 45.8
- Nurse care minutes per day
- 14.1
- Visits near death
- 87.1
- Per-beneficiary spending
- $12818
Process Quality Measures (HIS)
- Composite score
- 97
- Treatment preferences
- 100
- Beliefs & values
- 99
- Pain screening
- 99
- Pain assessment
- 96.4
- Dyspnea screening
- 100
- Dyspnea treatment
- 100
- Opioid bowel care
- Not reported
Utilization & Operations
- Visits in last days of life
- 43.1%
- Nurse care minutes / day
- 14.1
- Per-beneficiary spending
- $12818
- Avg daily census
- 23 patients
Patient Mix
- Cancer
- 22%
- Dementia
- 29%
- Heart disease
- 14%
- Respiratory
- 10%
- Stroke
- 10%
Data Sources
- CCN
- 491654
- CMS Region
- 3
All scores come directly from CMS. Providers cannot edit or influence their profile on this site.