Agentic AI, with goal-directed, proactive, and autonomous decision-making capabilities, offers a compelling opportunity to address movement-related risks in human activity, including the persistent hazard of falls among elderly populations. Despite numerous approaches to fall mitigation through fall prediction and detection, existing systems have not yet functioned as universal solutions across care pathways and safety-critical environments. This is largely due to limitations in consistently handling real-world complexity, particularly poor context awareness, high false alarm rates, environmental noise, and data scarcity. We argue that fall detection and fall prediction can usefully be formulated as anomaly detection problems and more effectively addressed through an agentic AI system. More broadly, this perspective enables the early identification of subtle deviations in movement patterns associated with increased risk, whether arising from age-related decline, fatigue, or environmental factors. While technical requirements for immediate deployment are beyond the scope of this paper, we propose a conceptual framework that highlights potential value. This framework promotes a well-orchestrated approach to risk management by dynamically selecting relevant tools and integrating them into adaptive decision-making workflows, rather than relying on static configurations tailored to narrowly defined scenarios.
Falls are one of the leading causes of injury and hospitalization among elderly individuals, making reliable fall awareness an essential capability for safety monitoring in residential environments. However, existing fall detection systems often rely on wearable devices or fixed sensing installations, which may suffer from low user compliance, limited spatial coverage, or degraded performance under occlusion and poor lighting conditions. In this work, we propose \textbf{EM-Fall}, an embodied fall detection framework deployed on a mobile humanoid robot. The system integrates millimeter-wave (mmWave) sensing with robotic mobility, allowing the robot to actively adjust its sensing viewpoint and maintain target observability across rooms and under occlusion. To address interference in complex residential environments, including pet motion and multipath artifacts, we design a human-centered perception pipeline combined with lightweight temporal modeling to capture motion evolution before, during, and after fall events. We evaluate the proposed system across eight real indoor environments with four participants and construct an in-home mmWave fall detection dataset. Experimental results show that the embodied mobile sensing paradigm improves monitoring continuity and maintains robust fall detection performance under diverse environmental conditions. The proposed framework provides a practical solution for robot-assisted safety monitoring in home environments.
Falls among elderly residents in assisted living homes pose significant health risks, often leading to injuries and a decreased quality of life. Current fall detection solutions typically rely on sensor-based systems that require dedicated hardware, or on video-based models that demand high computational resources and GPUs for real-time processing. In contrast, this paper presents a robust fall detection system that does not require any additional sensors or high-powered hardware. The system uses pose estimation techniques, combined with threshold-based analysis and a voting mechanism, to effectively distinguish between fall and non-fall activities. For pose detection, we leverage MediaPipe, a lightweight and efficient framework that enables real-time processing on standard CPUs with minimal computational overhead. By analyzing motion, body position, and key pose points, the system processes pose features with a 20-frame buffer, minimizing false positives and maintaining high accuracy even in real-world settings. This unobtrusive, resource-efficient approach provides a practical solution for enhancing resident safety in old age homes, without the need for expensive sensors or high-end computational resources.
Smart healthcare monitoring systems require precise action recognition to ensure well-being and timely intervention in critical situations such as falls, particularly for mobility-challenged individuals. Existing datasets are often clip-based, lacking the frame-level detail needed to recognize actions online, as they unfold. To address this, we introduce SAFER-Activities, a dataset for fall detection and physical activity monitoring, with a dedicated subset for wheelchair use scenarios. It comprises over 66 hours of video data captured by multiple cameras, with 85,310 action instances and frame-level annotations for 30 action classes. We benchmark action recognition on SAFER-Activities with 2D and 3D skeleton models, RGB models with frozen backbones, and multimodal fusion strategies, and evaluate on in-lab, out-of-distribution, and cross-dataset test sets. Skeleton-based models generalize best under domain shift; fusing frozen RGB features with the skeleton stream improves in-domain recognition over the baseline CNN1D, most clearly on the wheelchair subset, but degrades out of distribution. Cross-dataset and qualitative evaluations confirm that models trained on SAFER-Activities transfer well to unseen environments and external fall data. To support research on robust fall detection and activity monitoring, we release the dataset and code at https://safer-activities.github.io/.