Data from Virginia Adult Protective Services (APS) case files of 95 abused women aged 60 years and older were assessed to establish demographic trends; ability to care for self; type, pattern, and place of abuse; information on witnesses and alleged offenders; and case resolution and outcomes. The most common types of mistreatment reported were neglect, exploitation, and physical abuse. The women typically had several functional limitations and were dependent upon their family members for care. Most cases were not prosecuted, and the majority of women remain at risk for further abuse. Implications of these data for future research and practice are discussed.