Systems and methods to monitor a person in a residence are provided. A particular method includes receiving data from a set-top box (STB) device at a monitoring service. The data includes location information from a location system in a residence that monitors a location of a person in the residence. The data includes usage information regarding usage of a plurality of devices in the residence. The data also includes a time stamp associated with the location information and the usage information. The method includes analyzing the data based on a profile of the person to determine whether one or more alert conditions are satisfied. The method also includes sending a notification when the one or more alert conditions are satisfied.