This paper reviews the evidence supporting exercise interventions for fall prevention in older adults, emphasizing the need for a comprehensive, long-term approach. Key modifiable risk factors, such as balance deficits, unsteady gait, and weakness, can be effectively addressed with tailored, high-intensity exercise programs. Incorporation of community evidence-based fall prevention programs into clinical care recommendations may help older adults achieve an adequate exercise dose to achieve fall prevention outcomes. The type, amount, and ability to achieve a sufficient balance challenge vary across community programs. Clinicians should carefully match programs to the individual needs of older adults for best outcomes.