Introduction This article examines the feasibility and outcomes of a pilot study of Group Occupational Therapy for Falls, a fall risk management program designed for individuals with chronic stroke. Method This was a single-arm pilot study. All 10 participants had chronic stroke (>6 months), self-reported falling or fear of falling, and used a mobility device. Group Occupational Therapy for Falls included six sessions and focused on individual fall risk factor management. Assessments were completed before and after the intervention and assessed management of fall risk factors (five assessments, including the Falls Control Scale and Falls Prevention Strategy Survey), fear of falling (yes/no) question, falls self-efficacy, and activity and participation with the IMPACT (ICF Measure of Participation and ACTivity). Alpha was set at .10 owing to the small sample size and feasibility/pilot-study design. Results Group Occupational Therapy for Falls was feasible and management of fall risk factors improved overall, with significant improvements noted in the Falls Control Scale ( p = .046) and Falls Prevention Strategy Survey (.064). The number of people with FoF significantly decreased ( p = .076). Conclusion Group Occupational Therapy for Falls for fall prevention after stroke should be further developed and assessed in people with stroke as a promising intervention that may manage fall risks and possibly fall rates in the future.