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Consumer healthcare Internet of Things (IoT) devices are gaining popularity in our homes and hospitals. These devices provide continuous monitoring at a low cost and can be used to augment high-precision medical equipment. However, major challenges remain in applying pre-trained global models for anomaly detection on smart health monitoring, for a diverse set of individuals that they provide care for. In this paper, we propose PRISM, an edge-based system for experimenting with in-home smart healthcare devices. We develop a rigorous methodology that relies on automated IoT experimentation. We use a rich real-world dataset from in-home patient monitoring from 44 households of People Living With Dementia (PLWD) over two years. Our results indicate that anomalies can be identified with accuracy up to 99% and mean training times as low as 0.88 seconds. While all models achieve high accuracy when trained on the same patient, their accuracy degrades when evaluated on different patients.