The nursing home resident has the right to come and go as she pleases. She is not incarcerated. However, the facility also has the right to protect itself from potential liability if the woman is injured in any way and it is under no obligation to assist with comings and goings that it feels are inadvisable. It may require the resident to sign a release of liability as a condition of continuing to stay at the facility. For information on resolving disputes with nursing homes, go here: https://www.elderlawanswers.com/resolving-disputes-with-nursing-homes-12240.