Authors Yogesh YadavDepartment of CS/IT, AISECT University, India Abstract The rapid growth of aging populations worldwide has increased the demand for intelligent, reliable, and real-time healthcare monitoring solutions. This research proposes a Cloud-Connected IoT Framework for Real-Time Fall Detection and Assisted Living Support, designed to enhance safety, autonomy, and quality of life for elderly individuals. The proposed system integrates wearable and ambient IoT sensors, including accelerometers, gyroscopes, and vital-sign monitoring devices, to continuously capture motion and physiological data. A lightweight edge-processing module performs preliminary fall detection using machine learning algorithms, while cloud infrastructure enables large-scale data storage, advanced analytics, and remote access for caregivers and healthcare professionals. The framework employs sensor fusion techniques to improve fall detection accuracy and reduce false alarms. Real-time alerts are transmitted via secure communication protocols to caregivers, emergency contacts, and healthcare centers upon detecting abnormal motion patterns or confirmed fall events. The cloud layer supports longitudinal health data analysis, predictive risk assessment, and adaptive model updates through continuous learning mechanisms. The system also incorporates data encryption and authentication methods to ensure patient privacy and cybersecurity compliance. Simulation and prototype evaluation demonstrate reduced response time, high detection accuracy, and improved reliability compared to conventional standalone monitoring systems. The proposed cloud-connected IoT architecture provides a scalable, energy-efficient, and robust solution for smart assisted living environments, contributing significantly to next-generation elderly healthcare and remote patient monitoring systems. Keywords Internet of Things (IoT) Cloud Computing Fall Detection Assisted Living Elderly Care Wearable Sensors Smart Healthcare Edge Computing Real-Time Monitoring Sensor Fusion Citation of this Article Yogesh Yadav. (2025). Cloud-Connected IoT Framework for Real-Time Fall Detection and Assisted Living Support. Journal of Artificial Intelligence and Emerging Technologies (JAIET). 2(10), 22-26. Article DOI: https://doi.org/10.47001/JAIET/2025.210003 Licence Copyright (c) 2026 Journal of Artificial Intelligence and Emerging Technologies. This work is licensed under a Creative Commons Attribution Non Commercial 4.0 International Licence. References Berg RL et al.; National Academy of Sciences; Institute of Medicine (US): 1992.Falin Wu, Hengyang Zhao, Yan Zhao and Haibo Zhong, Fei Hu: Internatitonal Journal of Telemedicine and Applications: 2015.George F. Fuller, COL, MC, USA, White House Medical Clinic, Washington, D.C.; Am Fam Physician, 2000.M.E. Tinetti and M. Speechley, Prevention of Falls Among the Elderly‖, The New England Journal of Medicine, vol. 320, no. 16,1989, pp. 1055-1059.Evaluation of Waist-mounted Tri-axial Accelerometer Based Fall-detection Algorithms During Scripted and Continuous Unscripted Activities‖, Journal of Biomechanics, vol. 43, no. 15,2010, pp. 3051-3057.World Health Organization. (2021). Falls Fact Sheet.Rubenstein, L. Z. (2006). Falls in older people. The Lancet.Tinetti, M. E., et al. (1988). Risk factors for falls among elderly persons. NEJM.Kangas, M., et al. (2015). Comparison of accelerometer-based fall detection algorithms. IEEE Transactions on Biomedical Engineering.Mubashir, M., et al. (2013). Survey on fall detection systems. Neuro computing.Noury, N., et al. (2007). Fall detection principles. EMBS Conference.Igual, R., et al. (2013). Challenges in fall detection systems. Sensors.Bourke, A. K., et al. (2007). Evaluation of accelerometer-based fall detection. Medical Engineering & Physics.Li, Q., et al. (2009). Real-time fall detection using wearable sensors. IEEE EMBS.Khan, S. S., et al. (2018). IoT-based healthcare monitoring systems. IEEE Access.Zhang, T., et al. (2006). Fall detection by wearable sensors. IEEE Transactions.Patel, S., et al. (2012). Monitoring health using wearable sensors. IEEE Pervasive Computing.Shi, W., et al. (2016). Edge computing paradigm. IEEE IoT Journal.Chen, M., et al. (2014). Machine learning for IoT healthcare. IEEE Communications Magazine.Majumder, S., et al. (2017). Smart homes for elderly healthcare. IEEE Journal of Biomedical and Health Informatics.