About Foresite

The Bristal at Lake Success, The Bristal at York Avenue, The Bristal at Mount Sinai, and The Bristal at Bethpage are proud to be among the first assisted living communities in New York State to implement the Foresite Fall Management system.

Regular health monitoring and reducing the risk of falls both play a critical role in maintaining the well-being of aging seniors. This is especially true for older adults with Alzheimer’s disease or dementia, who often cannot communicate when something might be wrong. The Bristal is pleased to offer the Foresite Fall Management system to residents at The Bristal at Lake Success, The Bristal at York Avenue, The Bristal at Mount Sinai, and The Bristal at Bethpage.

What is Foresite?

Foresite is a cutting-edge platform that combines wireless sensors, artificial intelligence, deep machine learning, visual monitoring systems, and predictive analysis. The system tracks a resident’s health, helps to identify potential health concerns, and provide immediate alerts should a fall occur.

How Does Foresite Work?

Installed in strategic locations in the resident’s apartment, Foresite’s infrared cameras captures gait and movement patterns. The cameras are unobtrusive and maintain privacy by only recording a silhouette image. Additionally, a plastic sleeve with wireless sensors is placed under the resident’s mattress, which monitors breathing, heart rate, and restlessness. The system is also designed to alert staff if a resident tries to get out of bed, so they can provide assistance.

Foresite establishes a baseline for each resident and then monitors key health indicators for any deviation. Changes in heart rate or respiration may signal an infection, while a shift in movement may indicate an elevated risk for a fall. In addition to generating health alerts, the system can also provide a comprehensive health report that can be shared with the resident’s medical provider.

What Does Foresite Mean for Families?

Foresite provides families with an extra measure of reassurance by monitoring for potential health concerns. For families with a loved one who has Alzheimer’s, dementia, or other memory-related cognitive disorders, falls and wandering (especially a night) are real concerns. Using the data provided by the Foresite system, The Bristal is able to work collaboratively with a resident’s family and medical team to provide truly customized care.

Forsesite: Frequently Asked Questions

Technology and Sensors

No, our technology is not what is traditionally referred to as a camera. The motion equipment is technically a 3D depth sensor. It only sees ‘blobs’ of colors; the image is not detailed enough to determine if a resident is a man or woman or if they are clothed or otherwise. Additionally, there is no one monitoring or watching the depth sensor images in real time.

There are 2 sensors in the rooms designed to collect data, none of them invade privacy or touch the individual. There is no person watching any data in real time. The data is sent to the computers which determine when to alert staff if there is a possible event or actual event happening so we can provide the best care earlier to our residents.

3D Depth Sensor (Fall/Motion Sensor)

These are mounted in the corner of the apartment, and also in the bathroom. They measure walking speed, the time it takes a resident to get up and move, step stride quality, and motion activity within the room – but does not depict or record actual images of the individual. The computer uses this data to determine is there is a potentially elevated risk for a person to have a fall, or if a mobility condition is changing, so we can address these with possible preventative measures. The depth sensors also provides an immediate alert to the staff if it detects a fall in any room so that we can respond and provide help as soon as possible.

Under the Mattress Bed Sensor

This measures heart rate, respiratory rate and sleep quality. The computer uses the data collected over time, as well as changes in new data to determine when to alert our staff if there is a potential health concern.

The sensors use a combination of infrared technologies to accurately capture video. The depth sensor projects infrared light, not viewable to the human eye, onto objects within the depth sensor field of view and then utilizes an infrared detector to recognize these light patterns. The light patterns produce 3-dimensional (depth) images that Foresite processes to form privacy protected objects, including human silhouettes.

Institutional review boards have labeled the depth sensors as ‘privacy protecting’ since they process only depth images, not a traditional picture that you may be used to seeing from a standard motion camera. Below is a sample of what an image from our depth sensors looks likes. The silhouette of the individual can be seen here in yellow:

Foresite Silhouette Image

Note that there are no distinguishable features, and the resident’s privacy remains protected.

Foresite has enabled physical and virtual security controls to safeguard resident data in compliance with HIPAA standards. There are no identifiers and all data is transmitted via number algorithms. If an instant alert is sent to staff, it is dispatched by apartment number.

No, there is no interference with medical devices.

Yes – the under mattress sensor works on elevated bed angles. The sensor itself is thin and is positioned horizontally under the area of the resident’s upper body.

The Foresite system being down does not affect the regular day-to-day care that The Bristal regularly provides to residents. Foresite is designed to be an additional tool for the care team, and is not a diagnostic system. The sensors do rely on electricity, so if there is a loss of power to the area where the sensors are plugged in, they will not collect data or issue instant alerts during that outage.

If a piece of equipment becomes disabled, the system will alert the care team. If available, sensors from an unoccupied apartment may be used if there is immediate need. A replacement sensor will be ordered and installed on its arrival.

Instant Alerts for Staff

Yes. One of the main capabilities of the Foresite system is to alert staff if a resident falls, based on data from the depth sensors. 96% of falls are alerted by the Foresite system.

The 3D depth sensors can detect motion, and have learned what a fall looks like. While no one is watching the images in real-time, the system is always monitoring, and the data is being processed and “read” by the system. As soon as the sensor detects a fall, alerts are sent to the staff through pagers and phones in our internal call system so that a staff member may quickly respond to the resident in need.

The two main types of alerts are immediate fall alerts and alerts regarding potential health concerns if changes in patterns are detected. Should a resident be at an elevated risk of a fall due to illness or injury, or if their individual care plan calls for it, the Foresite system is equipped to provide immediate alerts should a resident exit their bed during the night. This feature is available on a case-by-case basis depending on the resident’s needs.