Hospice care amongst the elderly is not uncommon, as it specifically focuses on improving and supporting the lives of those who are either terminally ill or unable to support themselves. Over one million individuals are admitted into hospice care centers every year, and the numbers have only increased with time. However, this increase in patient quantity is accompanied with a higher risk of elder abuse within the hospice industry as a whole, as demonstrated by the five million older Americans who are abused every year. 1 Elder abuse within hospice settings is a public health issue that is not widely discussed. The abuse can appear in many forms and in all locations of patient care, from the home environment to hospice facilities. Elder abuse is wide ranging and includes physical, emotional, and sexual abuse, as well as neglect and abandonment. Older individuals, especially those who depend on care from others, are especially vulnerable to such abuse. In this literature review, we aim to uncover the truth about elder abuse in various healthcare settings. We begin with current research findings and general knowledge about elder abuse. Next, we address nonprofit versus for-profit hospice centers, as well as the responsibilities of the healthcare team to speak out against abuse. In doing so, we then propose direct, actionable solutions that are in the process or being implemented or should be implemented in order to prevent further abuse of the elderly.