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But she is of poor health as well. My mother of course is POA for my father. My sister is a secondary POA for my father. If my mother is hospitalized can my sister exercise her POA to get my father the care possibly temporary admission to a nursing home if he would need in my mothers absence? My sister cannot take care of him on here own and I live too far away.

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Yes, that would be the role of the secondary POA.
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