Is home hospice good for a parent that does not want to go to a nursing home or facility?

I want to point out that you need to consider the caregiver as well as the parent in this scenario. Even the best home hospice is not going to provide 24 hour care and a large portion of what needs to be done will rest on the shoulders of the caregiver, up to and including their final moments. Be sure you have the support and fortitude to take this on before going that route.

Susie, your profile hasn't been filled out, so it's hard to answer your question without more information.

Hospice is end of life care. If s/he needs more caregiving than you can give, Home Health or personal care assistants would be a logical next step.

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It can be very good for a parent who is in the final stage of his or her disease and only wants comfort care. It does not provide the level of care of an nh or alf. The person is expected to have day-to-day care in their home, and the hospice organization provides specialized and periodic care. My husband's hospice nurse came two or three times a week, for example. I was still there with him fulltime, and we continued with the personal care attendant as well.

If this parent is not in an end-of-life situation, perhaps simply having some in-home care would be a good idea.

It can work very well for many people. Look for a non profit hospice organization that serves your area. They will be glad to discuss all options with you and your family.