Iowa Hospice Worker Pleads Guilty to Abusing Elderly Patient

Audrey Engler admitted to only moving the dependent adult "one time a day" and failing to provide proper care.

Published on Feb. 4, 2026

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Audrey Engler, a 25-year-old hospice worker in Iowa, has pleaded guilty to intentional dependent adult abuse resulting in serious injury. Engler was charged after an elderly woman under her care was found living in filthy conditions, with bed sores, burns, and other signs of neglect before she died. Engler admitted to only moving the woman once a day and not providing the necessary care and compassion.

Why it matters

This case highlights the serious issue of elder abuse and neglect, especially within the home care industry. It raises concerns about the oversight and training of in-home caregivers, as well as the need for stronger regulations and accountability to protect vulnerable elderly patients.

The details

According to the criminal complaint, police were alerted after the elderly woman died on August 15. They found the woman living in deplorable conditions, with bed sores, burns, ulcers, and sitting in her own feces. Engler was the assigned caregiver, but admitted to only moving the woman once a day and not providing adequate care or compassion. The woman's case manager also reported that the patient's money was going to Engler, and a nurse said Engler discouraged frequent visits.

  • On August 15, the elderly woman died after being under Engler's care.
  • On July 21, the woman was hospitalized after her mattress caught fire.

The players

Audrey Engler

A 25-year-old Iowa hospice worker who pleaded guilty to intentional dependent adult abuse resulting in serious injury.

The Victim

An elderly woman under Engler's care who was found living in filthy conditions with bed sores, burns, and other signs of neglect before she died.

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What they’re saying

“Engler admitted that she only moved the woman "one time a day" and that she "could have taken care of the dependent adult better and could have checked on her more and could have had more compassion for her.”

— Audrey Engler (Law&Crime)

What’s next

Engler is set to be sentenced on March 23 and could face up to 10 years in prison under Iowa law.

The takeaway

This case highlights the urgent need for stronger oversight and accountability in the home care industry to protect vulnerable elderly patients from neglect and abuse. It underscores the importance of thorough training, regular check-ins, and a culture of compassion among in-home caregivers.