A smart home-care lighting system includes a lighting device having a portion that is light transmittable. The lighting device receives therein an illumination module for purpose of illumination, a detection module for detecting an outside environment, an alarm module and a sound effect module operable in combination with the detection module for indication and alarming, and an image pickup module for capturing and recording images. The lighting device also includes, arranged therein, a microprocessor and a main control module for transmitting and storing personal habits and health information. The device is arranged such that image can be captured in ranges that does not overlap to provide a surveillance range of 360-degree full view and operation can be made with the main control module for determination for proper action to be taken and may be used in combination with household appliances to construct a smart home-care system that benefit home members.