Temperature regulation is crucial for ensuring comfort and safety in healthcare and smart environments. This paper presents the design and implementation of an FPGA-based system for continuous, non-contact temperature monitoring and smart environmental control in healthcare settings. The system integrates MLX90614 (infrared temperature sensor) and DHT11 (room temperature sensor) to monitor thermal conditions and utilizes an infrared (IR) transmission module for wireless communication with external climate control devices. The proposed system ensures optimal patient comfort while minimizing manual interventions by healthcare professionals. Based on the processed temperature data, the FPGA executes control algorithms to adjust environmental devices, maintaining a patient-friendly atmosphere. Designed using Xilinx Artix-7 FPGA, the system utilizes parallel processing capabilities to achieve low-latency real-time monitoring and precise environmental control. The Verilog-based implementation ensures reliability, and adaptability for future enhancements, including additional biomedical sensors and advanced automation features. By integrating non-contact temperature sensing, real-time data processing, and wireless climate control, this work demonstrates the potential of FPGA technology in improving smart healthcare environments.