A patient support apparatus system and patient support apparatus, such as a bed, cot, stretcher, operating table, recliner, or the like, include a litter frame, a support deck, a sensor configured to detect caregiver activity, a transceiver communicating with a server, and a controller. The controller is configured to send alerts or messages to the server when caregiver assignment errors or caregiver inattention issues are identified. An alert is sent when a caregiver has not attended to a patient within a certain period of time, or when a caregiver has not been assigned to a particular patient or a particular location within a healthcare facility to which a patient has been assigned. The patient support apparatus and system are in communication with other healthcare facility systems and devices that gather and share information and data to alert caregivers in an effort to avoid patient neglect.