Abstract: A situation-based monitoring system monitors various activities of persons in rooms of a home or residential care facility, determines when the person is in distress and communicates that fact to appropriate personnel. The system includes a programmable processor connected with sensors in the monitored area. The sensors detect various physical parameters associated with the monitored persons, such as motion or the identity of the persons themselves. From the sensed conditions, the processor determines when a distress situation or condition exists (e.g., a person has fallen) and communicates information about the distress condition to a notification device. Various situations may be configured differently for different people. The communication can either be an alarm indicating a condition requiring immediate attention, or may be information-only.