my father had an end stage neuro-muscular disorder and spent the last year of his life here with Hospice involved. I am a registered nurse by trade. The care he received was ok but I was very disappointed in how they really did not communicate with my mother. The hospice staff was from an outside agency and did fairly well. They did not really understand the safety precautions in dealing with my father who was non verbal near the end of his life and would not ask for help. Most of the time they did not use the safety belts to transfer him, they just used his pants to help to stand him and transfer because it was less effort on their part but more uncomfortable for my father. If my mother or I called for help for him it might be 30 minutes before the call lite was answered and if we were there they rarely stopped in to see him to see if we or he needed anything. We were there daily but I hesitate to think how often he was really watched at night when they were short staffed. He did fall out of bed a lot at night and was often soaking wet in his depends. We rarely ever saw an R.N., it was usually 1 LPN and a lot of aides. Since he did not communicate, they would usually leave him in his room unless we were there to get him out and involved. So overall my experience was somewhat negative. Because we were lucky to have hospice and we were able to be there most days he was able to die with dignity surrounded by family.