A system and method determines the location of a resident during an emergency within a monitored area having a plurality of residences such as when a wireless emergency call transmitter is activated. In accordance with one aspect, a wireless emergency call transmitter is positioned within the area and includes a radio frequency (RF) transmitter that is resident activated during an emergency for transmitting an RF signal containing a transmitter code indicating the identity of the emergency call transmitter. The emergency call transmitter includes a receiver section that receives an infrared or acoustic signal containing a location code identifying a room or other location. This signal is received from a location monitor that had received the RF signal from the emergency call transmitter. In response to receiving the infrared or acoustic signal, the emergency call transmitter transmits an RF signal containing the location code.