My Grandfather has Hospice, but at home and family was there at all times with him and he was never left alone just with the Hospice.
My mom's mom and dad still are alive and live out on my parents land in their own home. My mom and dad's house is right next to theirs. No way in heck my mom would put them in a nursing home or send them to a Hospice. I will never do that to my parents either! You just can't trust people these days.
Unfortunately I didn't have a choice, Mother was in an assisted living facility before. Within a year they upped her medications to the tune of $500.00 a month. They were giving here meds that made her sleepy, which was supposed to be for her dizziness. How stupid. She was prone to falls. We took her home(long story) but when we got news hubby's job was taking him to Germany we had no choice, and with her dementia we had to. It was one of the hardest decisions.
She is well cared for. Our daughter lives nearby. As a nurse, she has visited the place and tells me she is impressed with her care. I believe we've been blessed.