Active and Assisted Living (AAL) technologies aim to improve the quality of life for older adults. While video-based AAL solutions enhance healthcare management, they also present significant privacy risks. To address these, we developed a video monitoring system with privacy-preserving filters, deployed in an assistive technology center. A qualitative study involving older adults and care stakeholders revealed diverse perceptions and experiences with the technology, providing insights for further development. The findings highlight the privacy-safety trade-off in video technologies and how our system's privacy mechanisms alleviate concerns. Additionally, we identified varying stakeholder perspectives and potential development avenues for video-based monitoring in the AAL context.