I would do a label before quilting. I made a couple for my MIL that walked before I got smart. ALSO, take a picture of it and make sure the staff gets a copy for her file. I put the picture in a word doc (front and back) and tell them the colors and where the labels are. That way if another resident borrows it they know to return it. ALSO, be careful of the fabric colors -- if you are lucky they wash like colors together (and most of it is washed with chlorine bleach). My MIL is in a wheel chair. The first one I made was 36"x48", but that did not work for her. She gave me very specific instructions about the lap quilt. She wanted hers narrower at the top than the bottom and the corners rounded. I used either my sewing machine or later my embroidery machine to embroider her name in large letters in all the borders. I have also made her some soft fleece blankets -- she did not want anything that hung off the bed since the weight was uncomfortable (again she was in bed and I measured what she wanted and made it to her measurements).