Engine damaged from low oil level?

It sounds like she left the oil change too long and also did not top it up when required. In oher words, forgetfulness or neglect; you decide. It sounds like the valve lifters may have experienced excessive wear; how bad, I don’t know.

This vehicle should be checked out by a knowlegeable mechanic to get to know the true condition. It may need a cleanout with Seafoam to get all the crud out of the oil galleries.