While the prevalence of hearing loss has been investigated in the adult population at large, little research has examined hearing loss in the context of heart failure, a disease which afflicts older adults with multiple geriatric and cardiovascular comorbidities. Using data from the 2005-2006 and 2009-2010 waves of the National Health and Nutrition Examination Survey (NHANES), a cross-sectional nationally representative survey of the noninstitutionalized U.S. civilian population, we studied 1,658 adults aged 70 years and older who underwent audiometric testing. Our findings suggest that older adults with heart failure have a 17% higher risk of hearing loss, compared to older adults without heart failure. This association remained significant (ARR: 1.12 [CI: 1.01-1.24]), after adjusting for demographic, clinical, and noise-related factors. While hearing loss has the potential to adversely affect health outcomes, it can also adversely impact patient-provider communication. Our findings suggest that increased research and awareness of this invisible disability is needed in this patient population.