We called hospice for my mother on 3rd recommendation by doctor to do so. She died in her bed at home the night they first came to see her.
We called hospice for my uncle after several recommendations by doctor, he died less than 1 week after they enrolled him. The hospital pushed him out the door because they did not want him to be there when he died. Believe it was the doctor, not the hospital. He had very widespread cancer. His condition was clearly terminal.
I have mixed emotions about hospice and very bad feelings about most nursing homes. They are the last resort options.
Care of elderly at home by family is the best option if it is possible. No one, will care for family like family.
Hospice is frequently in home. We just went through it earlier this year.