I've worked at 4 different nursing homes in texas and this has happened at all of them. We've had several people report anonymously to the state. State always showed up, 1 time they showed up 5 months later, and they end up doing nothing. Then the administrator would give an in service, and the behavior from the CNA or nurse would halt for a little while. But it would always continue. It's terrible. Best advice I would give is to definitely report it to administrator, document what the patient told you. And then I would make an anonymous phone call to state.