Due to the increase in the global aging population and its associated age-related challenges, various cognitive, physical, and social problems can arise in older adults, such as reduced walking speed, mobility, falls, fatigue, difficulties in performing daily activities, memory-related and social isolation issues. In turn, there is a need for continuous supervision, intervention, assistance, and care for elderly people for active and healthy aging. This research proposes an ambient assisted living system with the Internet of Medical Things that leverages deep learning techniques to monitor and evaluate the elderly activities and vital signs for clinical decision support. The novelty of the proposed approach is that bidirectional Gated Recurrent Unit, and Gated Recurrent Unit deep learning techniques with mutual information-based feature selection technique is applied to select robust features to identify the target activities and abnormalities. Experiments were conducted on two datasets (the recorded Ambient Assisted Living data and MHealth benchmark data) with bidirectional Gated Recurrent Unit, and Gated Recurrent Unit deep learning techniques and compared with other state of art techniques. Different evaluation metrics were used to assess the performance, findings reveal that bidirectional Gated Recurrent Unit deep learning techniques outperform other state of art approaches with an accuracy of 98.14% for Ambient Assisted Living data, and 99.26% for MHealth data using the proposed approach.