Athc-Hospice, LLC
92% would definitely recommend
83/ 100
Not rated
James River Home Health Care LLC (Fredericksburg)
Hospice · 4318 Carr Drive, Fredericksburg, VA 22408
Not rated Family caregiver survey rating
37/ 100
Below average
At a glance
- Ownership
- —
- Medicare-certified
- Since 09/29/2022 · CCN 491654
- Rank in Fredericksburg
- #4 of 5 hospices
- Rank in Virginia
- #70 of 97 scored hospices
- Average daily census
- 23 patients
- County
- Spotsylvania
- Service area
- 42 ZIP codes (see list)
Quality of care
Quality measures: better than the national average on 1 of 3 reported measures, worse on 1.
| Measure | This provider | State | National | vs. national |
|---|---|---|---|---|
| Composite process measure (7 care processes) | 98.2% | 96.6% | 96.2% | Better |
| Visits in the last days of life | 43.1% | — | 48.3% | Worse |
| Hospice Care Index (0-10) | 8 | 9.2 | 8.8 | About the same |
The composite process measure covers 7 care processes at admission. The Hospice Care Index runs 0–10.
What families say (CAHPS Hospice survey)
Survey results: better than the national average on 1 of 7 reported measures, worse on 3.
| Measure | This provider | State | National | vs. national |
|---|---|---|---|---|
| Team always communicated well | 83% | 81% | 82% | About the same |
| Always provided timely help | 83% | 76% | 78% | Better |
| Always treated patient with respect | 87% | 90% | 91% | Worse |
| Right amount of emotional and spiritual support | 91% | 90% | 91% | About the same |
| Always got help for pain and symptoms | 58% | 76% | 76% | Worse |
| Rated hospice 9 or 10 out of 10 | 81% | 81% | 83% | Worse |
| Would definitely recommend | 85% | 83% | 85% | About the same |
Hospice Care Index details
Claims-based indicators: better than the national average on 3 of 10 reported measures, worse on 6.
| Measure | This provider | State | National | vs. national |
|---|---|---|---|---|
| Continuous home care or inpatient care provided (% days) | 0% | — | 0.5% | About the same |
| Gaps in nursing visits (% elections) (lower is better) | 45.8% | — | 52.4% | Better |
| Early live discharges (% live discharges) (lower is better) | 11.4% | — | 7.3% | Worse |
| Late live discharges (% live discharges) (lower is better) | 20% | — | 37.4% | Better |
| Burdensome transitions, type 1 (% live discharges) (lower is better) | 14.3% | — | 8.5% | Worse |
| Burdensome transitions, type 2 (% live discharges) (lower is better) | 5.7% | — | 2.1% | Worse |
| Per-beneficiary spending ($) (lower is better) | $12,818 | — | $19,227 | Better |
| Nurse care minutes per routine home care day | 14.1 | — | 19.9 | Worse |
| Skilled nursing minutes on weekends (% of minutes) | 8.2% | — | 9.6% | Worse |
| Visits near death (% of decedents) | 87.1% | — | 89.3% | Worse |
These ten indicators are combined into the Hospice Care Index. Spending is per Medicare beneficiary.
Who this hospice cares for
Patient diagnoses
Cancer22%
Dementia29%
Stroke10%
Heart/circulatory disease14%
Respiratory disease10%
Other conditions16%
Where care is provided
Private home62%
Assisted living29%
Nursing facility9%
Location and service area
ZIP codes served (42)
20024, 20109, 20110, 20111, 20186, 20187, 22150, 22401, 22404, 22405, 22406, 22407, 22408, 22427, 22443, 22485, 22488, 22508, 22514, 22520, 22534, 22542, 22546, 22551, 22553, 22554, 22556, 22560, 22701, 22712, 22734, 22737, 22741, 22742, 22960, 23009, 23015, 23024, 23085, 23093, 23117, 23221
Other hospices in Fredericksburg
Medi Home Health & Hospice
79% would definitely recommend
52/ 100
Not rated
Mary Washington Hospice
86% would definitely recommend
47/ 100
Gentiva I
76% would definitely recommend
26/ 100
Not rated
Frequently asked questions
Is James River Home Health Care LLC (Fredericksburg) Medicare-certified?
Yes. James River Home Health Care LLC (Fredericksburg) (CMS Certification Number 491654) has been Medicare-certified since 09/29/2022, which means it meets federal requirements and Medicare will pay for covered hospice services.
How does James River Home Health Care LLC (Fredericksburg) compare to other hospices in Fredericksburg?
James River Home Health Care LLC (Fredericksburg) ranks #4 of 5 hospices based in Fredericksburg on the Scorecard score.
What areas does James River Home Health Care LLC (Fredericksburg) serve?
James River Home Health Care LLC (Fredericksburg) reports serving 42 ZIP codes to CMS, including 20024, 20109, 20110, 20111, 20186. Call (540) 898-5209 to confirm coverage of your address.
Source: CMS Provider Data Catalog (2026-09-23). Home Health Scorecard is not affiliated with James River Home Health Care LLC (Fredericksburg). Data may lag real-world changes; verify with the provider. Is this your agency? Report a correction.