BL, in our case we had a choice, we could do in house hospice (which we chose) or there was a hospice facility close by. Its up to the family and obviously the person's condition as to whether you do in home or at a facility.
Hospice set up all sorts of support things, from an aide that came and bathed dad everyday, to a nurse that came once or twice a week for med checks, to a chaplin (how the hell that ever happened is beyond me, but mom actually let this chaplin stop by as long as they didn't discuss doctrine) to a massage therapist, it was just amazing. They also arranged for all the equipment that we needed, hospital bed, oxygen, etc.