Aim: To assess the prevention in falls among elderly people after adherence to the modifications done in old age home up to 2 years. Objectives

• To determine whether occupational therapy home modifications reduces the incidence of falls or not over a 2 years long duration.
• Evaluate and then repair previous modification throughout the study duration i.e. for 2 years.

Procedure: Sample size of 24 elder persons included and evaluates the needed modification in the old age home by identifying which components are more concerned about falls. Then intervention was given by adhering to the modifications done in old age home up to 2 years. Post –test (2016), Pre-test and post-test (2018) was conducted using “Falls efficacy scale – International’’. Result: The paired ‘t’ tests shows significant change over the fear of falls in elder people by doing home modifications for all 24 subjects. Conclusion: Adherence to modifications in old age home helps in preventing falls among elderly people.