Due to the increase number world population of elderly citizen, as well as those who live in solitude, there is an immediate need to develop an intelligent monitoring system at home. Many elderly live independently but living alone can be difficult, if not dangerous, for seniors with declining cognitive abilities. In this research, we present an intelligent monitoring system based on IOT to monitor the elderly. The proposed home health care and monitoring architecture or ICE (IOT Cares for Elderly) will be based on Intel Edison platform. There are sensors integrated in the system to measure human vital sign, sleeping and movement pattern. The output readings will be transmitted to a main ICE central system to detect any abnormalities, give health advises, and even call for help if elderly is in emergency. Moreover, output readings are also transmitted to cloud storage where it is able to provide real time information for close family member and care takers through the development of ICE web and telephone application. This proposed system has many potential and would allow elderly to live healthily and safely despite being alone at home. © 2018 IEEE.