I am sorry to hear your neighbor is going through that. Luckily he has you for a neighbor, who can handle this sort of thing pretty well I imagine, with your hospice background. Poor man though! I feel for him. Is he married or all alone? 

https://elsaelsa.com/astrology/how-does-the-square-aspect-manifest/  

I have 0-1 degree Leo moon. So 4 squares !

Pluto sun moon

is this a grand cross transit?

Should I take the day off and stay home?

Both Moons involved. This is personal.

At least it is transit. 

Looks like I will be FEELING whatever it is.

Two people at my mother-in-law's asst living died today. My husband knew one of them, well. His sister's cat also died.

I just think this thing will make itself known.

It already sure has. I mean people die all the time- but when they are all close to you, that makes an impact!