The rapid growth of the Internet of Things (IoT) brings sweeping changes in various industries. Healthcare industries have become a prime example where the Internet of Healthcare Things (IoHT) is making significant progress, particularly in how we approach real-time patient care. Traditional systems for monitoring older people and people with special needs are frequently expensive, require a large workforce, and fall short of providing real-time data. This paper introduces the '3-Tier Health Care Architecture,' an integrated approach to mitigating these issues. This architecture capitalizes on IoHT technologies and is constructed around three principal tiers: Sensor, Fog, and Cloud. The Sensor Tier employs Health Metrics Acquisition Units (HMAUs) fitted with an nRF5340 Development Kit, capturing an extensive range of health-related metrics via wearable sensors. These metrics are then relayed to the Local Processing Units (LPUs) in Fog Tier, which operates on Raspberry Pi Zero 2 W microprocessors for the initial data processing before forwarding to the cloud. The Cloud Tier uses a hybrid CNN-LSTM Machine Learning (ML) model to perform Real-Time Healthcare Monitoring (RTHM) status assessments and includes an Early Warning System for immediate alert issuance. The proposed architecture is resilient, scalable, and efficient, serving as a fortified and all-encompassing solution for RTHM. This enables quick medical interventions, thus elevating healthcare quality and potentially life-saving. © 2024 - IOS Press. All rights reserved.