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I have an elderly grandmother who is 86 years old and who has dementia that up until now my mom has been responsible for her. She has power of attorney and is the appointment caregiver. Mom is sick and dying from cancer and is mostly in a coma form. She never got to sign the papers over to me. What happens to my grandma. She has dementia and can barely sign her name and I doubt they would deem her sound of mind enough to do it anyway even if i could pull her signing her name off.

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littlemisskitty, You mom can't sign over a POA. Find the POA document and see if it names a secondary POA, hopefully that is you. If you can't find one, contact grandma's caseworker (social services) about what to do.
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Where is grannie living right now?
If she's in a facility - NL, AL - then something is going to be definetly needed to be done very soon as they will need DPOA or a guardianship on file. And then rhetes dealing with paying for her stay & bank issues.

BUT if grannie is living with family, this allows for more flexibility.
So where's grannie living?

You have a lot to deal with. Try to take " me " breaks in this long journey.
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I'm so sorry. This sounds really tough. Only your grandmother could authorize you as POA and since she is not of sound mind it would not be possible. POA can't be simply transferred.

You may have to get Guardianship if you wish to take over the care of your grandmother. Good luck to you.
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