My brother Jim died in July 2014. It’s taken me this long to gather my thoughts for this review. For the last three months of Jim’s life, Skirball hospice staff helped me take care of my brother in my home. For the most part, all things considered, it was a positive relationship. Importantly, my brother, who died of liver cancer, experienced relatively little pain and nausea, thanks in large part to help, advice, and sound medication management from the Skirball staff. So why am I docking the hospice one star—and I seriously considered docking it two stars—in my rating? Primarily for this reason: NO ONE from the hospice visited my brother and me in the last week of my Jim’s life. Granted, we did not know then that these were his last days. But that said, I reached out to the hospice numerous times that week, desperate for help. Jim seemed to be growing weaker by the hour and I found myself struggling to help him to the toilet and keep him clean and comfortable. I was beside myself with worry, while Jim was in more agony than either of us could bear. The nurse who usually visited us on Fridays did not show up that day. On the weekend, I called the hospice hotline and the nurse assured me someone from her agency would come out to my house to help me. A few days later, when I did not hear back from the hospice, I called our usual nurse and requested her help. She said she would come, but not that day, for she had other business to attend to. Jim died the next day. Our nurse never even stopped by to express condolences. Jim enjoyed many of his final days. I struggle to remember that. That last week still haunts me.