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If a spouse in involved though, and he lives in the home, It could be that she may not have to sign over the house as long as he lives there. Or they may have to sign it over but he will be allowed to continue living there (state to state differences).
It's best for you to consult a senior care lawyer. A stop at the local area for aging, or a senior center should be able to give you some guidance there.
Good Luck