This 24/7 caregiver of years had an excellent, in-home experience under trying circumstances with a difficult death of a beloved, blind mother dying of heart failure. Nurses and aids were smart, generous with their time, very compassionate (understood tears) and helpful (even while under pressure with staff stretched thin as they handled COVID). My mother being a non-COVID patient was given full attention and corporate did a good job of scheduling. When I called with emergencies at night, VITAS operators always answered quickly, helped me get her as comfortable as possible and always sent a nurse to the home as follow-up. Nurses also did some hard, gross care that eased her (care others would probably have ignored as I was ignorant of the need). One nurse came on duty early to help the day she died, just to support me. Another aid soothed her agitation with, who would have thought, foot messages which calmed her. VITAS’ advice was also invaluable from “sleep whenever you are not bedside” to a booklet with advice to “talk about these things with your loved one while you can” to “this is how to administer medicines” to dressing and making her body beautiful, “but you do not need to see the body actually removed from the room” which really helped in the grieving process. Care was all at home. As a caregiver, taking daily notes was vital as it improved the teams ability to help. I cannot discuss a facility. But our family’s experience with the local VITAS’ team was not just good - it was superb. They took good care of my mother and also cared for me. I am sorry you are looking into Hospice. I know how hard it it. But you can love to the very end and be faithful to take care of your loved one to the last breath. VITAS will help you succeed in the goal to let your loved one die as comfortable as possible as he or she wishes (not in a hospital) but in their own bed.