The study was undertaken to assess the effectiveness of tailored exercise on levels of physical performance,mobility,and falls efficacy among old age home, in Poovanthi.The research approach used for the study was quantitative approach.The result shows that the effectiveness of tailored exercise programme on the level of Falls efficacy, physical performance and elderly mobility among elderly residing in old age home, Poovanthi. The calculated paired t test value on the level of physical performance 11.53 and on elderly mobility 10.17 and for the level of falls efficacy 10.80 was greater than table value, hence the research hypothesis accepted. It was interfered that tailored exercise program was effective in improving the level of physical performance, elderly mobility, and reduce level of falls efficacy .