if it was me, i'd listen to how the universe is beckoning you and definitely take the position.
it is an inpatient facility, not home health.
because of that, you will readily have access to all the help and resources you'll need.
the hiring mgr seems to have faith in you, and obviously s/he is not worried about you failing your pts.
and finally, because your heart's desire is so strong, i am from the camp that it should be your guide...
as our human intellects are much more fallible (often being driven by ego) and i have found that your heart cannot steer you wrongly.
negotiate for x amt orientation;
never be afraid to ask questions;
and do not afraid to say "no" when/if asked to do something that goes against 'your heart'...
for your heart is where truth resides.
best of everything, from a positively "spiritually radiant" nurse.
(although heron is spot on - hospice is soooo NOT about wiping brows and holding hands...hell no.)