Systems and methods to monitor a person in a residence are provided. A particular method includes receiving data at a monitoring service from a set-top box (STB) device. The data includes a location in a residence of a person being monitored. The location may be obtained from a location system in the residence. The data also includes an associated time stamp for the location. 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 providing a notification when one or more of the alert conditions are satisfied.