Soil health refers to the ongoing ability of soil as a living ecosystem to maintain environmental quality, support crop productivity, and ensure human health. Evaluating and enhancing soil health is crucial for ensuring more productive and resilient agricultural systems. The aim of this work is to assess soil health using both on-farm and computational methods. The study was carried out on a slope with textural variation at Ponta Grossa–Paraná State, Brazil. The slope was divided into three segments based on altitude and clay content: upper, middle, and lower positions. In each segment, twenty points were sampled, resulting in a total of sixty points along the slope. Soil health was analysed at these points by visual evaluation of soil structure (VESS), and samples were also collected to use the Soil Management Assessment Framework (SMAF) approach in the 0–0.10 m and 0.10–0.20 m soil layers. The indicators used in this approach were soil organic carbon, macroaggregates, bulk density, water-filled pore space, pH, phosphorus, and potassium. The data were analysed using analysis of variance, mean comparison with Tukey’s test (p < 0.05). In addition, principal component analysis was performed on the soil health index (SHI) and its components (chemical, physical, and biological) with clay content and VESS scores. The study discovered that the upper position had the highest clay content, lower visual scores (2.44), and a higher SHI (up to 0.80) compared to the middle (3.7 and 0.78) and lower positions (2.9 and 0.73). This study highlights the significant influence of soil texture, particularly clay content, on soil structural quality and health as assessed by VESS and SMAF. Higher clay content improved soil aggregation and health, while lower clay content in the middle and lower slope positions resulted in poorer structure. VESS proved to be an effective field-based tool for rapid assessment of soil health, complementing the more detailed SMAF framework. The integration of both methods is essential for the development of adaptive and sustainable soil management strategies.