Five Star Home Health Care

What Five Star Home Health Care does

Five Star Home Health Care LLC is a Medicare-certified, Joint Commission-accredited home health agency headquartered in Chantilly, Virginia, founded in 2004 and operating across Northern Virginia, the Shenandoah Valley, and Fredericksburg through three regional offices with a 501–1,000-person workforce. The company delivers integrated in-home clinical care — skilled nursing, physical/occupational/speech therapy, medical social work, chronic disease management, and dementia care — coordinated by a single Care Manager across a vertically aligned ecosystem of three sister entities: Five Star Home Health Care (skilled clinical services), Five Star House Calls (home-based primary care via physicians and nurse practitioners), and Retire in Place (private-duty personal care, transportation, meals, and companionship). Its operational technology stack includes Electronic Visit Verification (EVV), Remote Patient Monitoring with daily clinical review, and an Intake Nurse Navigator system that manages hospital-to-home transitions starting from day one of admission.

The business model is a hybrid Medicare-anchored payor mix. Primary clinical services are billed 80–100% to Traditional Medicare (Part A and Part B) with no out-of-pocket cost to qualifying homebound patients; supplemental revenue comes from Virginia Medicaid CardinalCare, TRICARE (Humana Military), VA Community Care Network (Optum), commercial insurers (Aetna, Anthem, CareFirst, Humana, UnitedHealthcare, FEP), and the Empower self-pay continuation program. Go-to-market is B2B2C referral-led: the company cultivates partnerships with primary care physicians, hospital discharge planners, orthopedic practices, assisted living communities, ACOs (Privia), and health systems (Sentara), supplemented by direct-to-consumer intake through a 24/7 live-nurse phone line and SEO-optimized web presence. Its product roadmap extends the core Medicare home health offering into CMS Innovation Center programs — GUIDE dementia care (launched 2025), ACCESS chronic disease model (2026), and LEAD ACO (2027) — positioning the company to capture value-based care revenue as the federal reimbursement model shifts away from fee-for-service.

Name

Five Star Home Health Care

Legal name

Five Star Home Health Care LLC

Website

https://fshhc.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

501–1,000 employees

Short description

Five Star Home Health Care is a Medicare-certified, Joint Commission-accredited home health agency serving Northern Virginia, the Shenandoah Valley, and Fredericksburg with integrated in-home nursing, therapy, primary care, and personal care coordinated by a single Care Manager across its sister companies.

Ownership category

akta.pro rank

Product category

Home Health Care Services

NAICS

Home Health Care Services (6216)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Medicare-Certified Skilled Home Health Agencies (HHA) (HLADAFAA)

akta.pro secondary industries

In-Home Dementia Care Services (Specialized Personal Care) (HLADACAI), Home-Based Chronic Disease Management (Skilled) (HLADAFAL), Personal Care / Non-Medical Home Care (Private Duty) (HLAFAEAB), Home-Based Primary Care / Medical House Call Practices (HLAFAEAI)

Keywords

• Home health care
• Skilled nursing services
• Home-based primary care
• Dementia care navigation
• Personal care assistance

Headquarters

HQ city

Chantilly

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Medicare Part A Home Health Services: Skilled nursing, physical therapy, occupational therapy, speech-language pathology, and medical social services billed under Medicare Part A. Covers 100% of home health care with no copay and no visit limit for qualifying patients who are homebound and require skilled care.
2. Medicare Part B Home-Based Primary Care: Provider visits billed to Medicare Part B as evaluation and management services. Sister company Five Star House Calls brings physicians and nurse practitioners to patients' homes. Most patients pay $0 out of pocket.
3. Private Pay / Self-Pay (Retire-in-Place): Daily caregiver services including personal care, transportation, home maintenance, meals, and companionship. Paid privately or through Medicaid Waiver. Flexible hourly shifts, daily visits, or live-in options.
4. Medicaid (Virginia CardinalCare): Virginia Medicaid program covering home health services for qualifying individuals.
5. Empower Program (Self-Pay Continuation): Self-pay continuation of home health services when Medicare or insurance coverage ends. Same trusted clinical team continues care with transparent pricing.
6. Veterans Programs (TRICARE, VA CCN): In-network with TRICARE (Humana Military) and VA Community Care Network (Optum) for skilled nursing, therapy, and personal care. Aid & Attendance benefit assistance available.
7. Commercial Insurance: In-network with Aetna, Anthem, CareFirst, Federal Employee Program, Humana, UnitedHealthcare, and other commercial insurers.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels9 records

Core offering

Five Star Home Health Care is a Medicare-certified, Joint Commission accredited home health agency that delivers integrated in-home clinical and personal care services across Northern Virginia. Its core offerings include skilled nursing, physical/occupational/speech therapy, medical social work, medication management, home-based primary care (via sister company Five Star House Calls), and daily caregiver services (via sister company Retire in Place), all coordinated through a single Care Manager model and a 24/7 Nurse Navigator intake.

Product overview

Five Star Home Health Care operates as a Medicare-certified home health agency providing integrated home-based health care services across Northern Virginia, Fredericksburg, and Winchester. The company delivers care through a unified model coordinated by a single Care Manager, combining clinical services (skilled nursing, therapy, social work) with daily living support. The core portfolio includes Medicare Home Health Care as the primary service, supplemented by sister companies Five Star House Calls (home-based primary care) and Retire-in-Place (assisted living at home). Additional specialized programs include the Medicare GUIDE dementia care program, Medicare ACCESS chronic disease model, Nurse Navigator intake coordination, medication management, maintenance therapy, and veteran-specific services. The company also offers an Empower self-pay program for continued care when insurance ends, and an Ortho360 orthopedic surgery program. All services are coordinated through three regional offices with 24/7 live intake support.

Differentiator

Problem solved

Functional benefit

Brands

• Five Star House Calls: Home-based primary care sister company bringing physicians and nurse practitioners directly to patients' homes for preventive care, diagnosis, and treatment plans.
• Retire in Place

Products and services

• Medicare Home Health Care Medicare Part A home health care covering skilled nursing, physical therapy, occupational therapy, speech-language pathology, medical social services, and medication management for qualifying homebound patients. Covered 100% by Traditional Medicare with no copay and no visit limits.
• Home-Based Primary Care (Five Star House Calls) Sister company Five Star House Calls bringing providers (physicians and nurse practitioners) directly to patients' homes for preventive care, diagnosis, treatment plans, chronic disease management, palliative care, and hospital-to-home transition. Includes Remote Patient Monitoring. Billed to Medicare Part B as evaluation and management services.
• Retire-in-Place Daily Caregiver Services Sister company Retire in Place delivering assisted living services in the patient's home, including personal care (bathing, grooming, dressing), transportation, home maintenance, meal preparation, house cleaning, and companionship. Self-pay or paid through Medicaid Waiver with hourly, daily visit, or live-in options.
• Intake Nurse Navigator Dedicated registered nurse managing admission to all services and coordinating hospital-to-home transitions starting from Day 1 of hospital admission. Coordinates skilled nursing, therapy, equipment, medications, and personal care under a single comprehensive care plan.
• Medicare Observation and Assessment

Quantifiable outcome

• 0 ER visits in 12 months (case study patient with 4 chronic conditions)
• +4 more outcomes

Named customers6 records

Segments5 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

18 partnerships are on record, tiered core and minor.

• Five Star House Calls (Sister Company)coreStrategic or Co-development PartnerSister company providing home-based primary care through physicians and nurse practitioners visiting patients in their homes. Fully integrated with Five Star Home Health Care nursing, therapy, and caregiver services. One coordinated team supporting patients at home.
• Retire in Place (Sister Company)coreStrategic or Co-development PartnerSister company bringing assisted living services into patients' homes - personal care, transportation, meals, companionship, home maintenance. Coordinates with home health care and primary care services.
• TRICARE (Humana Military)coreChannel Partner/ Reseller/ DistributorIn-network with TRICARE home health program. Active duty family members, retirees, and dependents receive skilled nursing, therapy, and personal care at home with no out-of-network costs.
• VA Community Care Network (Optum)coreChannel Partner/ Reseller/ DistributorIn-network with Veterans Affairs Community Care Network administered by Optum. Veterans qualifying for community care receive home health services when VA care is not available nearby or timely.
• Medicare (Traditional)coreChannel Partner/ Reseller/ DistributorMedicare-certified agency providing home health services covered under Medicare Part A and Part B. Covers 100% of home health care with no out-of-pocket cost for qualifying patients.
• Medicaid (Virginia CardinalCare)coreChannel Partner/ Reseller/ DistributorIn-network with Virginia Medicaid CardinalCare program for home health services.
• AetnacoreChannel Partner/ Reseller/ DistributorIn-network commercial insurance provider covering home health care services.
• AnthemcoreChannel Partner/ Reseller/ DistributorIn-network commercial insurance provider covering home health care services.
• CareFirstcoreChannel Partner/ Reseller/ DistributorIn-network commercial insurance provider covering home health care services.
• HumanacoreChannel Partner/ Reseller/ DistributorIn-network commercial insurance provider covering home health care services.
• UnitedHealthcarecoreChannel Partner/ Reseller/ DistributorIn-network commercial insurance provider covering home health care services.
• Federal Employee ProgramcoreChannel Partner/ Reseller/ DistributorIn-network for Federal Employee Program members covering home health care services.
• Privia ACOcoreStrategic or Co-development PartnerAccountable Care Organization partnership for coordinated, value-based care delivery.
• Sentara HealthcoreStrategic or Co-development PartnerHealth system partnership for coordinated patient care and referrals.
• Medicare GUIDE Program (CMS)coreStrategic or Co-development PartnerCMS Innovation Center initiative providing dementia care navigation, caregiver respite, and home safety assessments covered by Traditional Medicare at no cost to eligible beneficiaries.
• Medicare ACCESS Model (CMS)coreStrategic or Co-development PartnerUpcoming CMS model focused on chronic disease care with technology-enabled support, telehealth, and remote monitoring for better outcomes.
• Veterans Aid & AttendancecoreChannel Partner/ Reseller/ DistributorAssistance available for VA Aid & Attendance benefit applications. Monthly payments to qualified Veterans and surviving spouses for personal care at home.
• Hospice ProvidersminorStrategic or Co-development PartnerCoordination with hospice for end-of-life care. Home health aide services work alongside hospice when patient is on hospice.

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Encompass Health (Enhabit): One of the largest U.S. home health and hospice operators post-Enhabit spin-off. Comparable Medicare-certified home health services, hospice, and therapy offerings with national geographic reach.
• Amedisys: Major home health, hospice, and high-acuity care provider with strong Medicare and value-based care positioning. Direct overlap with Five Star's Medicare home health and chronic disease management services.
• LHC Group (UnitedHealth Group / Optum): Large national home health, hospice, and home-and-community-based services provider, now part of UnitedHealth/Optum. Comparable Medicare-certified home health, ACO-aligned delivery, and value-based care orientation.
• Aveanna Healthcare: National provider of home health, hospice, and private duty nursing services. Comparable pediatric and adult home health delivery, with significant private-pay and Medicaid exposure akin to Five Star's Retire in Place arm.

Direct peers

• BrightSpring Health Services: Diversified home and community-based health services platform spanning home health, hospice, pharmacy, and personal care. Closely comparable to Five Star's integrated home health, primary care, and personal care model.
• Pennant Group: Home health, hospice, and senior living operator with a regional cluster strategy. Comparable focus on integrated home-based services, decentralized leadership model, and value-based care orientation.
• Addus HomeCare: Provider of personal care, home health, and hospice services with strong Medicaid and private-pay exposure. Closely comparable to Five Star's Retire in Place (personal care) and Medicare home health offerings.
• BAYADA Home Health Care: Large nonprofit home health provider offering skilled nursing, therapy, and personal care services across multiple states. Comparable integrated home-based service model with strong pediatric and adult segments.
• Interim HealthCare: Franchised home health, hospice, and personal care provider with broad national footprint. Comparable Medicare-certified home health and personal care service lines aimed at aging-in-place populations.
• Help at Home: Leading personal care and home care services provider focused on Medicaid and dual-eligible populations. Comparable to Five Star's Retire in Place and Medicaid Waiver caregiver offerings with similar self-direction care models.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/fshhc
• Facebookfacebook.com/fshhc
• LinkedInlinkedin.com/company/five-star-home-health-care

Compliance8 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Subsidiaries2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Five Star Home Health Care