James River Home Health Care LLC
A hospice in Lynchburg, Virginia 24501
3831 Old Forest Road Suite 3, Lynchburg, Virginia 24501. (434) 849-8614.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 5 deficiencies cited in the last three years
- Not rated family caregiver rating
- 9of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
5 deficiencies cited in the last three years
The middle of the 13 hospices serving ZIP code 24501 had 4.5.
The last inspection on record was on Aug 14, 2025: an initial inspection by the Accreditation Commission for Health Care.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
When those deficiencies happened
5 deficiencies in 1 month of the last 36. Last cited Aug 2025. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Aug 14, 2025: initial inspection by the Accreditation Commission for Health Care5 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 103 words
“Upon patient record review, 1 of 14 (Patient #2) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy • Drug therapy currently associated with laboratory monitoring Patient #2 - The medication profile contained MiraLax oral powder daily for constipation. There was no evidence of a diluent to be added. This was corrected onsite. The profile was updated onsite.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 380 words
“Upon patient record review, 5 of 14 (Patient #2,3,6,7,12) did not have evidence in the patient record that the hospice has developed an individualized written plan of care for each patient. The plan of care must reflect patient/family goals and interventions based on the problems identified in the initial, comprehensive, and updated comprehensive assessments. The plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions. Patient #2 - Upon record review, noted the nursing comprehensive dated 09/03/24, noted patient is experiencing uncontrolled pain. The medication profile noted patient was utilizing a Fentanyl patch and oxycodone for pain control. The plan of care interventions did not The plan of care did not contain interventions to address pain. Patient’s medication profile also included Eliquis as a blood thinner. There was no evidence of problems, goals or interventions related to risk of bleeding. This was updated onsite. Patient #3 - The medical record showed a diagnosis of degenerative senile dementia with behaviors. The medication profile noted Seroquel, trazadone, and Depakote to control these behaviors. The plan of care did not contain interventions to address neuro behaviors. This was updated onsite. Patient #6 - The medication profile showed patient was utilizing a DuoNeb via nebulizer. There was no evidence of problems, goals or interventions related to respiratory issues. The medication profile also included Jardiance for treatment of diabetes. There was no evidence of problems, goals or interventions related to the endocrine system. The medical record contained an order for cephalexin 250 mg three times a day for ten days. There was no evidence of problems, goals, interventions related to infection. This was updated onsite. Patient #7 - The medical record showed patient has a primary diagnosis of Parkinson’s Disease along with a related diagnosis of diabetes. There was no evidence of problems, goals, or interventions related to the endocrine or neuro systems. There was a physician order dated 07/28/25 for Keflex for treatment of a UTI. There was no problems, goals, or interventions related to infection. These were all updated onsite. Patient #12 - The medication profile showed patient was taking Eliquis as a blood thinner. There was no evidence of problems, goals or interventions related to the bleeding risk. This was updated onsite.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Upon patient record review, 1 of 14 (Patient #2) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient #2 - The medical record contained a physician order for MiraLax 17gm daily for constipation. There was no order for a diluent for this medication. This was corrected onsite with an updated physician order.”
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Review of the plan of care (42 CFR 418.56(d))
The inspectors’ words, 94 words
“Upon client record review, 1 of 14 (Patient #1) did not have evidence that the IDG in collaboration with the attending physician reviewed, revised and documents the individualized plan as frequently as the patient’s condition requires but no less frequently then every 15 calendar days. Patient #1 - Upon record review, noted that the IDG console had an IDG meeting dated 10/10/24 with a missing signature. Upon review of this IDG update, the signature of attendance from the Medical Director was left blank therefore, no evidence of this discipline’s participation to review/revise individual POC.”
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Level of activity (42 CFR 418.78(e))
“Upon observation, there was no evidence the annual report documents the use of volunteers providing day to day administrative and/or direct patient care services in an amount that, at a minimum, equals 5 percent of the total patient care hours of all paid hospice employees and contract personnel. Upon review of the 2024 annual report, the volunteer percentage was noted at 3.62%.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Aug 14, 2025 | Initial inspection by the Accreditation Commission for Health Care | 5 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Sep 22, 2022.
- CMS doesn’t list its type of ownership.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 14.1 nurse care minutes per routine home care day, 6.3% of skilled nursing minutes at weekends and a visit near death for 94.7% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 44% at home, 48% in assisted living, 7% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 14.1 min |
| Skilled nursing minutes at weekends | 6.3% |
| Visits near death | 94.7% of patients who died |
Who owns it?
- James River Intermediate Holdings, LLC owns 100% directly since Jan 23, 2020.
- 9 owners or officers are people: Shane M Maley (corporate officer, 100%); Shane M Maley (corporate director, 100%); Shane M Maley (runs it (operational or managerial control), 100%); Torino Jennings (managing employee (on the payroll), 100%); Stephanie Willis (managing employee (on the payroll), 100%); Stephanie Willis (runs it (operational or managerial control), 100%); Tricia W. Rowsey (managing employee (on the payroll), 100%); Tricia W. Rowsey (runs it (operational or managerial control), 100%); Alesha Holman (managing employee (on the payroll), 100%).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| James River Intermediate Holdings, LLC | Owns 5% or more directly | 100% | Jan 23, 2020 |
| James River Buyer, Inc. | Owns 5% or more through other companies | 100% | Jun 7, 2024 |
| James River Holdco, LLC | Owns 5% or more through other companies | 100% | Jun 7, 2024 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 74% rated it 9 or 10 out of 10, and 73% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 91.41% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 57% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | Not rated |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 9 of 10 |
How does it compare nearby?
- Of the 13 hospices CMS’s data show serving patients in ZIP code 24501, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4.5; this one had 5.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| Centra Health, Hospice of the Hills | 0 |
| Westminster at Home (Hospice) | 4 |
| James River Home Health Care LLC This hospice | 5 |
| Good Samaritan Hospice Inc. | Not given |
| Amedisys Hospice Care | 9 |
| Gentle Shepherd Hospice Inc. | 2 |
| Hospice of Virginia | 24 |
| Centra Bedford Hospice | 0 |
| Gentiva II | 11 |
| Centra Hospice Farmville | 1 |
| Heartland Hospice (Roanoke) | 24 |
| Nayar Hospice Bedford LLC | 18 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
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Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.