Observe to determine whether staff failed to: 

Knock/ask permission to enter room or wait to enter until permission given       

Explain service or care to be provided 

Include resident in conversations while providing care or services 

Provide visual privacy of resident’s body while transporting through common areas, or uncovered in their room but visible to others 

Cover a urinary catheter bag/other body fluid collection device 

Respond to the resident’s call for assistance in a timely manner 

Clothing and face soiled after meals 

Poorly fitting clothing 

Staff did the following: 

Used a label for resident (e.g., “feeder” or “honey”) 

Posted confidential clinical/personal care instructions in viewable areas 

Dressed resident in institutional fashion (e.g., hospital type gown during day) 

Labeled clothes with resident’s name visible  

Searched the resident, the room, and/or their personal belongings without the resident or resident representative’s permission or explaining the reason for the search. 

Any other identified dignity concerns?