Health condition of cement concrete pavements in field is difficult to characterize due to the random action of traffic loads and environmental variations. It is also difficult to accurately get the deformation merely based on theoretical or simulation analysis, for the heterogeneous material and complicated interfacial bonding properties of multilayered concrete pavements. Therefore, in situ health monitoring is particularly significant for structural condition assessment. To contribute this topic, improved fiber Bragg grating sensors have been designed and embedded in the two-layered pavement to measure the strain, deformation, and temperature. Deformation information of the cement concrete pavement under environmental action in about 3 years has been analyzed. Data analysis indicates that the longitudinal and transverse deformations of the pavement have behaved in nonuniform distribution, and local points suffered from the large tensile strains. The vertical measurement data declared that local interfacial micro void defects existed in the soil base and kept stable during the following 3 years. The temperature variation inside the pavement was highly correlated with the environmental temperature, and the variation amplitude was relatively smaller than the environmental temperatures, with the maximum amplitude smaller than 4°C. The load and temperature transfer principles in different layers have also been checked. Generally, the monitoring data in field from the year 2020 to year 2023 have declared that the concrete pavement has good performance to resist the combined action of traffic loads and environmental temperatures. The study can help to understand the actual structural performance of cement concrete pavements in field based on the optical fiber sensing system.