In this paper, we have presented an integrated framework for healthcare management of Ambient Assisted Living for quantitative assessment of wellness related to an elderly in terms of their daily activities performance. The importance of the middleware in the integrated platform, its elements and services for the effective healthcare monitoring of an elderly is revealed. The emphasis of the middleware description is to provide the details of the technological intricacies related to the smart home monitoring system. The assimilated technologies in the middleware of the home monitoring system have led to an effective wellness determination of an elderly living alone in their own home.