Hospice use among assisted living residents may support aging in place. A cross-sectional survey was used to characterize variation in the health and personal care needs of Oregon assisted living and residential care (AL/RC) residents who did and did not receive hospice services. All AL communities licensed in Oregon as of fall 2019 were asked to answer questions about three randomly selected residents. A final sample of 998 residents was included in the analysis. Multiple variable logistic regression was used to examine associations between resident- and community-level characteristics and hospice use. While hospice services provide supplemental support for AL residents’ end-of-life process, our findings show that residents often receive continued assistance from AL staff as their condition deteriorates.