We have had similar situations in our hospital. These patients sometimes seem "forgotten" by nursing staff. "Oh, they're hospice," has been overheard more than a few times, like they somehow don't deserve the same caring attention if not more than other patients. Just yesterday I had to write up a nurse for leaving a heparin gtt running for 15+ hours after they went on hospice (meaning they had a new case number without the heparin on their profile), without PTTs having been drawn for >48 hours. Then, today, same patient, I found out that a "now" order wasn't given until four hours later (and it was charted "audible congestion" - wouldn't have happened if the med was given on time and at frequency of order). You wonder sometimes how some nurses keep their license for so long.
Sorry this happened to your patient. Please make sure that management is made aware of this.