The invention provides a care recording device, a care recording system, a care recording program, and a care recording method, with which recording related to the state of activity of a care recipient and recording related to assistance actions of a caregiver can be carried out simultaneously and in a simple manner while using a simple and inexpensive system configuration, thereby improving the efficiency of caregiving work. This care recording device has: a photographic data acquisition unit 341 that acquires photographic data from a camera photographing a care recipient; a person assessment unit 342 that detects a photographed person and assesses whether the person is a care recipient or a caregiver; a care recipient state assessment unit 343 that assesses the type of state of a care recipient and stores care history information, wherein the state type is associated with a date and time, in a care history storage unit 337; and an assistance action assessment unit 344 that, when a caregiver is included, assesses the type of assistance action of the caregiver, and stores the assistance action type in the care history storage unit 337 while associating same with the care history information.