Systems and methods for monitoring the performance of a caregiver are disclosed. The systems may be configured to monitor the movement of each subject in a network of subjects. One such system includes a plurality of strips adhered in spaced-apart relation on a mattress pad, upon which a subject is positioned. One or more transmitter is provided coupled to the plurality of strips. A processor is connected to the one or more transmitter. The processor is provided with operating software to record and report caregiver activity or both caregiver activity and subject activity.