Inappropriate medications can increase the risk of falls among older adults. This observational study of older adults presenting to the emergency department (ED) after a fall evaluated the impact of medication reconciliation that targets high-risk medications to reduce future falls. Among 577 participants, almost 54% were taking a high-risk medication and received medication recommendations from a pharmacist. At 12-month follow-up, researchers did not observe a statistically significant difference in repeat fall-related visits overall or a difference in repeat fall-related visits between patients who modified their medications compared to those who did not.