It sounds as if what’s at the heart of your question is not so much what power a particular legal document gives over a person in a nursing facility, but
concern that the resident is being treated badly—or even abused. It is the duty of the facility, not the person who admitted him or her, to make sure that residents there receive good and fitting care.
If you are a friend or family member who is concerned that the facility’s care is lacking, negligent, or abusive, there are a number of steps to take to deal with the problem.
Contact the facility administrator. Before turning to outside sources for help, try to resolve minor complaints within the nursing facility. Put complaints in writing to the facility administrator and ask for a written response—giving him or her a fair chance to address your concerns.
Contact an ombudsman. Every nursing facility is assigned an ombudsman—a person outside the facility and not associated with the company who is responsible for investigating complaints, reporting allegations of elder abuse, and helping residents solve problems through mediation. Contact the local Ombudsman Program Coordinator for help.
Contact an advocacy organization. A number of local organizations can offer you a seasoned and impartial assessment of whether your particular complaint needs action, along with specific help on how to get it. To find out what’s available in your area, contact your local Area on Aging.
Contact the state regulatory agency. Finally, if you could not resolve your problem through the above sources, consider filing a complaint with the state agency that enforces nursing home laws and regulations. The National Citizen’s Coalition for Nursing Home Reform should be able to provide contact information.