Falls among older adults represent a critical public health issue, being one of the leading causes of severe injuries and accident-related mortality. because of this, Fall Detection Systems face significant challenges due to the complexity of environments and variability in movement patterns. On this matter, Data fusion, including method-level, sensor-level, feature-level, and decision-level approaches, offers a promising method to enhance detection accuracy. However, decision-level fusion remains under-explored, despite its potential to integrate outputs from multiple classifiers to address these limitations. This article presents a comparative study on the performance of decision-level fusion strategies in fall detection systems, employing different configurations of sensors, classifiers, and decision fusion algorithms. A dataset was collected using four sensor modalities: Accelerometer, Infrared Camera, Light Detection and Ranging, and Radar. Three classifiers were employed, and five decision-level fusion strategies were evaluated. Performance was assessed across three levels of simulated noise using four metrics: accuracy, sensitivity, specificity, and precision. The implementation of decision-level fusion strategies resulted in improvements in the performance of fall detection systems. Accuracy increased from 85% without decision-level fusion to 93% using Random Forest. Among deterministic strategies, Voting with Accuracy achieved competitive results. Light Detection and Ranging, demonstrated robustness under noise, while other sensors showed varying sensitivity to noise. These results demonstrate the importance of utilizing decision-level fusion strategies, as they lead to improvements in system performance. This enhancement is achieved by leveraging the complementarity of multiple technologies, allowing systems to adapt effectively to diverse and dynamic environments. This functionality is particularly useful in standalone or closed solutions, where such complementarity can address inherent limitations and enhance overall system capabilities.