Senior Living
One platform for resident wellness, medical emergency response, and community security
Alarm.com Wellness monitors resident activity passively, so falls, missed routines, and silent emergencies get caught even when residents cannot press a button. One platform covers wellness monitoring, security, cameras, and access control for operator-run independent living communities, assisted living facilities, memory care units, and group homes. Self-installed with guided setup.
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Silent emergencies, caught
Passive monitoring flags falls, missed routines, and prolonged inactivity automatically. Staff get a signal without anyone needing to press a button.
Staff leverage, not replacement
Caregivers stop running blanket rounds and start responding to specific signals. One dashboard. Prioritized alerts. Larger resident loads managed safely.
One platform for everything
Wellness monitoring, medical emergency response, security, cameras, and access control all on the same Alarm.com login. One vendor relationship instead of four or five.
The numbers operators need to know
One in four adults aged 65 or older falls each year. Demand for care is rising while the workforce that delivers it turns over faster than almost any other industry. Wellness monitoring is how operators close that gap without adding headcount.
1 in 4
Adults 65+ fall each year
Falls are the leading cause of injury death in older adults. About 3 million are treated in emergency departments annually for fall injuries. (CDC)
1 in 5
Falls cause serious injury
Broken bones, head injuries, and hip fractures are common outcomes. A single fall can end independent living entirely. (CDC)
81%
Of falls go unwitnessed
Most falls happen in bathrooms or bedrooms when no one is present. A pendant only helps if the resident can reach it and press it. (JAMDA, 2025)
Up to $2K
Monthly savings per resident
Alarm.com cites cost reduction of up to $2,000 per resident per month in some deployments, with savings reallocated to more specialized therapies.
Case study
Nighttime fall, dehydration averted
On the first night of a Medicare episode, a resident left bed without their pendant and fell in the bathroom. An Away From Bed alert fired in real time and caregivers intervened immediately. The resident was uninjured but could not get up on their own. Without Wellness, they would have remained on the floor for at least 10 hours.
Savings realized: $7,442 (avg. cost of dehydration hospitalization)
Case study
Bathroom frequency surfaces a UTI
A daughter noticed her 87-year-old mother had visited the bathroom 6 times overnight. She called in the morning and asked her mother to see a doctor. The mother tested positive for a UTI and was given oral antibiotics, averting her typical pattern of escalating to a bladder infection requiring IV antibiotics and hospitalization.
Savings realized: $2,399 (avg. cost of IV antibiotics in hospital)
Built for operator-run senior living settings
Independent living communities
Position wellness as a safety amenity that keeps residents independent longer and gives families peace of mind. Emergency alerts route to the building manager or concierge via the Alarm.com app. After-hours coverage relies on on-call staff through the same app. Communities that want a professional monitoring backstop can add it with the Wellness & Security or Wellness Complete plan.
- Personal Emergency and Up and About alerts routed to building manager or concierge via app
- After-hours on-call coverage through the same Alarm.com app
- Behaviors and Trends data surfaced to family members through opt-in notifications, not staff dashboards
- Differentiates your community without adding clinical staff or care licensing obligations
Assisted living facilities
Use the analytics layer to scale caregiver coverage across a larger resident load. Prioritized alerts replace blanket rounds, so staff respond to specific signals rather than checking every room on a schedule. Activity trends, sleep behaviors, and medication compliance data feed care plan updates and support state survey documentation.
- Per-resident baseline learning for individualized anomaly detection
- Still in Bed, Away From Bed, and Up and About notifications
- Missed Medication alerts for cabinet and dispenser monitoring
- Unusual bathroom visit frequency as an early UTI indicator
- Activity, sleep, and trend data for care plan reviews and state surveys
Memory care units
Residents often cannot reliably press a panic button. Contact sensors on exit doors and passive motion patterns do the lifting. Wellness becomes the silent emergency catch for residents who cannot self-report.
- Exit door sensors flag elopement attempts in real time
- Away From Bed alerts for nighttime wandering
- Unusual bathroom visit frequency surfaces early UTI indicators
- No staff cameras in private rooms. Privacy by design.
Group homes
All residents on one Alarm.com account. Personal Emergency, Away From Bed, and Up and About notifications route to whichever staff member is on shift, alongside intrusion detection and front door video on the same login.
- Single account covers all residents (4 to 16)
- Same app as security and front door camera
- Transparent, affordable pricing at small scale
Enterprise Wellness Dashboard
Every resident, every unit, one view
The Enterprise Wellness dashboard gives operators and staff a single view across all resident units in a community. Alerts, activity status, and behavioral trends for every resident appear in one place, without switching between individual accounts. Multi-site operators see all communities from the same dashboard.
All residents at a glance
Staff see every resident's current activity status, recent alert history, and wellness summary without opening individual accounts.
Prioritized alert queue
Active alerts surface at the top so staff can triage quickly. Personal Emergency, Away From Bed, and inactivity alerts are clearly distinguished from routine activity.
Multi-site for regional operators
Operators with more than one community see all locations from one dashboard. No logging in and out of separate accounts to check on each property.
Eleven notification types, ten of which require no action from the resident
Consumer pendants fire one kind of event: the resident pressed the button. Alarm.com Wellness fires eleven, most of them triggered automatically by the resident's own routine deviating from their learned baseline.
Personal Emergency
Resident-initiated
Resident presses a panic button or pendant. The modern equivalent of a medical alert, routing instantly to designated staff. With the Professional Monitoring add-on, alerts also route to a 24/7 monitoring center that contacts staff by role and dispatches emergency services if needed.
Unexpected Activity
Passive
Activity is detected at a time or in a location that falls outside the resident's learned routine. Surfaces behavioral changes that may indicate agitation, confusion, or an emerging health pattern worth investigating.
Up and About
Passive
No activity detected for longer than expected. The primary silent emergency catch for falls and incapacitation when the button was never pressed.
Away From Bed
Passive
Bed sensor unoccupied at an unusual hour. Catches nighttime wandering in memory care before the resident has moved out of view.
Still in Bed
Passive
Resident has not gotten up by the expected time. Flags illness, cognitive episodes, or falls before the next scheduled round.
Missed Medication or Sensor Not Activated
Passive
A resident's medication cabinet was not opened during the scheduled window. Staff get a prompt to check in before a missed dose goes unnoticed until the next round.
Safe Inside
Passive
Staff confirm a resident is up and moving inside their unit without a physical knock. Useful for low-disruption welfare checks during overnight or quiet hours.
Sensor Activity
Passive
A notification fires the moment a specific motion or contact sensor activates. Used for granular alerting on a particular sensor, such as confirming a resident has reached the kitchen or that a specific door has opened.
Sensor Closed or Occupied
Passive
A resident has settled into bed, sat down in their chair, or a monitored door has closed. Used to confirm expected behavior at scheduled times.
Sensor Left Closed or Occupied
Passive
A resident has been in bed, in their chair, or in a room longer than expected. Flags situations where they may be unable to get up or leave on their own.
Sensor Left Open or Vacant
Passive
A monitored door has been left open or a bed has gone unoccupied longer than expected. Used for exit door elopement alerts and extended overnight bed vacancy.
Privacy and dignity by design
No staff cameras in private resident rooms. Activity is tracked through motion sensors, contact sensors, and bed and chair occupancy sensors. Operators and staff only have access to cameras in common areas. A resident can optionally have cameras in their own unit, but those are scoped so only the resident has access.
Alerts surface only when patterns suggest something is off, not on every movement. Residents retain agency through emergency buttons. The passive layer exists so the absence of a button press does not become the absence of a response.
The platform is designed with access controls, encrypted data transport, and activity audit logs suitable for HIPAA-adjacent care environments. Role-based permissions ensure staff see only what their role requires, and every data access is logged. Whether or not HIPAA technically applies to your facility, that documentation posture holds up under family scrutiny, state surveys, and insurer review.
No in-room cameras
Sensors only. Staff never see video from private resident spaces.
Signal, not surveillance
Alerts fire on deviations from the resident's own baseline, not every movement.
Resident agency
Emergency pendants let residents call for help directly, on their terms.
HIPAA-adjacent design
Role-based access, encrypted transport, and audit logs meet the expectations of families, surveyors, and insurers.
How it compares
Most senior living communities start with consumer pendants and grow into purpose-built monitoring platforms as their needs expand. Both routes work for their specific jobs. The question for small and mid-sized operators is whether they want to manage four or five vendor relationships or consolidate onto one platform that does all of it.
| Medical Alert Pendant | Standalone Activity Monitoring Platform | Surety Resident Wellness | |
|---|---|---|---|
| Silent emergency coverage (when resident cannot press button) | None. Requires button press. | Yes, via passive monitoring | Yes: Up and About, Away From Bed, and inactivity alerts |
| Learns each resident's individual baseline | No | Some platforms | Yes, graded against each resident's own history |
| Multi-resident staff dashboard | No | Yes | Yes, Enterprise Wellness dashboard across all resident units |
| Integrated with security, access control, cameras | No | No. Standalone system. | Yes, same Alarm.com login as everything else |
| Multi-site operator view | No | Enterprise plans only | Yes, via Enterprise multi-site dashboard |
| Contract model | Month to month or annual | Typically multi-year enterprise | Month to month, no long-term contracts |
| Scales to small group homes | Yes | Typically priced for larger facilities | Yes, transparent pricing scalable to 4-resident homes |
| Vendor count for a fully equipped community | 1 (pendant only) | Up to 6 separate vendors | 1. Surety Business covers all. |
Fewer vendors means lower overhead and better margins
Multiple vendors
6 contracts · 6 invoices · 6 support relationships
Surety Business
1 account · 1 invoice · 1 support team · $$$ savings
Consolidating onto one platform does not reduce the benefits residents receive. It reduces the cost of delivering them. The overhead of six separate vendor relationships, each with its own hardware lifecycle, renewal cycle, and per-unit fees, stays in your facility instead of funding six vendor structures.
The time savings compound on top of the cost savings. Six vendors means six support contacts to call when something breaks, six renewal negotiations every contract cycle, six training sessions when you onboard new staff, and six separate logins your team has to keep straight. With one platform, your staff checks one app, your administrator manages one account, and your maintenance team learns one hardware ecosystem. That reclaimed time is not abstract overhead. It is hours per week your team spends on operations instead of vendor and platform management.
Part of a complete community security system
Wellness monitoring sits on the same Alarm.com platform as intrusion detection, access control, video surveillance, and energy management. One login. One vendor. One bill. The night manager checks the same app for a fall alert, an exterior door event, and a hallway camera clip. Access control that lets the day shift in through a credentialed door is the same system that flags an after-hours exit in a memory care unit.
User permissions are role-based and configured per login. A CNA sees resident wellness alerts and emergency notifications. A house manager adds common-area cameras and building arm/disarm. A regional director gets cross-site dashboards. Consolidated vendors, not consolidated access.
Intrusion Detection
Security alarm monitoring for common areas and building perimeter
Video Surveillance
Cameras for lobbies, hallways, dining, and exterior
Access Control
Credentialed entry and elopement prevention on the same platform
Multi-Site Management
Enterprise dashboard for chains and regional operators
How it works
Installed by your own staff, not an outside contractor
Sensors mount with adhesive or a single screw and pair wirelessly to the Alarm.com hub. In larger communities, installation is typically handled by in-house IT, maintenance, or facility management staff. In smaller assisted living facilities and group homes, operators often install the system themselves. Either way, guided setup walks through each step and most per-unit installs are done in an hour or two.
Pick a plan
Choose the Resident Wellness plan that fits your community's needs. All plans are month to month with no long-term contract required.
Order equipment
We ship PERS pendants, motion sensors, door and contact sensors, and optional bed and chair sensors directly to your facility.
Install and activate
Your IT, maintenance, or facility management staff installs sensors and pairs them to the hub using guided setup. No low-voltage license or outside contractor required.
Ongoing monitoring
The platform learns each resident's individual baseline. Anomalies surface as prioritized staff alerts or reach a 24/7 professional monitoring center.
Why Surety Business
Month to month, no contracts
All Surety Business plans are month to month. No multi-year commitments, no cancellation penalties. Purpose-built senior care platforms typically require enterprise contracts. Surety does not.
Transparent, published pricing
Pricing is posted on this page. No dealer markups, no hidden fees, no quote requests required to see what it costs. More affordable than traditional senior care monitoring vendors or purpose-built platforms.
Five consecutive years as Alarm.com Gold Partner
Surety Business delivers the full Alarm.com commercial platform including security, video, access control, energy management, wellness monitoring, and fleet on a self-managed basis with direct support.
Scales from 4-resident group homes to multi-site chains
The same platform serves a 6-resident group home on a single account and a regional operator with eight communities on the Enterprise Wellness multi-location dashboard.
Plans
Resident Wellness Plans
All plans are priced per unit per month with no long-term contracts. Volume discounts are available for larger communities. Equipment ships directly to your facility for self-installation with guided setup, or you can hire a local low-voltage contractor for a larger rollout.
Resident Wellness
Wellness Monitoring- Personal Emergency Response (PERS) pendants (in-unit range)
- ADL monitoring with per-resident behavioral baselines and anomaly detection
- Sleep behaviors (Total Sleep Time, Go to Bed Time, Wake Up Time)
- Restroom visits, kitchen visits, and overall activity level
- Medication compliance monitoring (medication cabinet activity)
- Exits and entries tracking
- Silent emergency detection (Up and About, Away From Bed, Missed Medication)
- Fall-detection pendant compatibility
- Exit door monitoring and elopement alerts for memory care
- Real-time caregiver notifications
- Activity reports for care plans and state survey documentation
- Enterprise Wellness multi-unit and multi-site dashboard
Resident Wellness & Cameras
Wellness + CamerasEverything in Resident Wellness, plus:
- Private cameras, resident access only
- Sharable with family if resident desires
- Sharable with staff if resident desires
- Interior or exterior cameras available
- High-resolution 4MP video
- Easy access from mobile app or computer
- Up to 4 cameras per unit (or more with add-on)
- 24/7 continuous recording (SD card or SVR)
- Recording can be triggered by sensor activity
- 3,000 cloud storage clips/month
- Person, vehicle, and animal detection
- Video analytics notifications
- 2-way voice from Alarm.com app
Resident Wellness & Security
Wellness + SecurityEverything in Resident Wellness, plus:
- Remote security alarm arming and disarming
- Scheduled security alarm arming and disarming
- Security alarm code management
- Severe weather alerts
- Smart arming (automatic arming)
With Professional Monitoring add-on:
- Emergency medical dispatch
- Police and fire dispatch
- Wireless 2-way voice from wellness hub
- Portable PERS pendants with 2-way voice (works anywhere)
2-way voice through the wellness hub or portable pendant is initiated by the monitoring center in response to a pendant press. Professional Monitoring is required for 2-way voice response.
Resident Wellness Complete
All-InclusiveEverything in all 3 plans:
- All Resident Wellness features
- All Resident Wellness & Cameras features
- All Resident Wellness & Security features
- Best value
Standard PERS pendants pair with the Alarm.com wellness hub and work within building range. For residents who travel to medical appointments or visit family off-campus, the Alarm.com IndiGo cellular pendant works independently of the hub and covers anywhere with cellular service. Contact us to add IndiGo.
Professional monitoring add-on
Available For: Wellness & Security · Wellness CompleteWhen a resident triggers a Personal Emergency alert, a trained monitoring center agent responds immediately: contacting your staff in priority order by role, dispatching emergency medical services if staff are unavailable, and optionally connecting directly with the resident via two-way voice through the wellness hub or a portable pendant. The same monitoring center provides 24/7 security alarm monitoring and dispatches police or fire when needed.
Alarm.com's central station monitoring service is tied to a security alarm account on the platform. That's why professional monitoring is available on Wellness & Security and Wellness Complete, not on Wellness-only plans.
Volume discounts available for larger communities. Contact us for multi-unit pricing.
Get Started
Talk to the team about your community
Whether you run an independent living building, a memory care unit, an assisted living facility, or a group home, we can help you figure out the right setup. Send us a message and our team will get back to you.
In-depth guide
How wellness monitoring prevents hospitalizations in senior living communities
A detailed look at how passive activity monitoring catches silent emergencies, the documented ROI from avoided hospitalizations, and how communities use the platform for exit door monitoring, early UTI detection, and elopement prevention.
Read the full guide →FAQ