In this paper, an IoT sensor node, based on smart Bluetooth low energy (BLE), for the health monitoring of artworks and large wooden structures is presented. The measurements from sensors on board the node are collected in real-time and sent to a remote gateway. The sensor node allows for the monitoring of environmental parameters, in particular, temperature and humidity, with accurate and robust integrated sensors. The developed node also embeds an accelerometer, which also allows other mechanical quantities (such as tilt) to be derived. This feature can be exploited to perform structural monitoring, exploiting the processing of data history to detect permanent displacements or deformations. The node is triggered by acceleration transients; therefore, it can also generate alarms related to shocks. This feature is crucial, for instance, in the case of transportation. The developed device is low-cost and has very good performance in terms of power consumption and compactness. A reliability assessment showed excellent durability, and experimental tests proved very satisfactory robustness against working condition variations. The presented results confirm that the developed device allows for the realization of pervasive monitoring systems, in the context of the IoT paradigm, with sensor nodes devoted to the monitoring of each artwork present in a museum or in a church.