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The bottom line is "yes, with some exceptions."

If they couldn't, it would open the nursing home up to charges of false imprisonment and/or kidnapping. Now, if the person is mentally or physically incapable of caring for themselves and/or they're "a danger to the community," it's a different story, and such people may well be under restrictions. But a person who is simply old but otherwise in reasonable physical and mental health and who happens to live in a "nursing home" can leave any time they choose, with or without "signing themselves out" (the "signing out" procedure is probably part of a contract with the nursing home, but failing to do it means the worst that happens to you is that the nursing home tells you you're no longer welcome there and will need to find a new place to live ... it's not actually illegal to leave without telling them).

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Q: Can an elderly person sign their self out of nursing homw?
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