A hospice prognosis once meant that seniors who were living in care communities were required to leave that setting for a hospital or hospice facility. Such a mandate is no longer the case, as care communities, hospice workers, and the home caregiving industry are developing flexible ways to keep seniors in familiar surroundings to the very end. "We refer to this as dying in place," says Linda Gaetani, executive director of Denver VistaCare, the local branch of a national hospice organization that serves about 5,000 patients a day in 14 states. "Hospice and home caregivers working together offer a common model when the care becomes greater than the care community can support. So between the care provided by community, the home care staff paid by the family and hospice, that resident is generally able to remain in the home setting," Gaetani explains.