Sooner - HUGE hugs. Since i can't have hospice, I'm not great at giving advise other than if they are not meeting your needs, move on. I don't believe you should have received a drug w/o a nurse being there to explain how you are to use it and if it would interfere with anything else he is already on. Are they using the pharmacy you always used? If so, you could call the pharmacist and ask. That shouldn't be your responsibility right now, but I'd do it since you are not getting the proper help.
I hope when you spoke with the boss, you definitely explained that your problem is more with times not counting than with the help. Yes, mornings are the hardest times. It sounds like maybe that hospice doesn't employ enough aides as I imagine mornings is the toughest for most people. I don't think you are being picky. It's hard when we expect help and then don't received it, esp if it was said we would.
I might call that second Hospice you were planning to talk with and get them out. Explain what you feel you are missing from you current and see if they seem to think they could do better. If they say they can, remind them you will drop them like a hot potato if they are just blowing smoke.
I hoping today is better for you. And no I don't think you are being too picky, unless they said upfront that they could not guarantee times. And the med, that's not being picky at all.
Hugs,
sue