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I don't know about the legal aspects of it, but typically it would be a spouse who knows the situation well enough to take action. It is also the spouse whose income will be impacted. It is usually the spouse who can fill out applications and provide information needed.

Sometimes the spouse is not able to do these things. The spouse may have health or cognitive problems and also need help. Children often step in to help out in arranging things for both parents (or parent step-parent).

Sometimes a child has POA, but that doesn't apply until the parent can no longer make decisions for herself, and typically they would need more than assited living at that point.

If it is a question about who should DECIDE on whether assisted living placement is appropriate, and there is a conflict of opinions, that is a different can of worms.

What is the specific situation you are concerned about?
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