Homebound older adults are at an increased risk for depression, anxiety, and loneliness with limited opportunities to access the community and social gatherings. Telehealth increases access to care while eliminating transportation time and costs. Group therapy maximizes the opportunities for social participation and social support to reduce feelings of loneliness. This study aimed to determine if virtual group therapy is a feasible and effective method to provide occupational therapy services to local homebound veterans. Two veterans receiving home-based primary care services and one caregiver consistently attended a virtual group occupational therapy pilot program targeting health management and social participation at the Cincinnati VA. Qualitative and quantitative analysis indicated positive outcomes related to social participation, physical activity, and caregiver support following participation in the pilot program. The results support virtual group therapy as an effective method for client-centered occupation-based interventions for homebound older adults and their caregivers.