When a nursing home or assisted living home collects a resident's income, depositing the same, deducts for rent and other services provided by the facility (haircuts, manicures, co-payments for medical/pharmacy expenses), and acts as a fiduciary for this resident to the extent of services provided by the facility. I do not know the ultimate authority to whom the facility is answerable. It seems that if a resident has no family or has not given POA to someone, the facility is ultimately answerable to the State.