Nursing home facilities can be safe places for many elderly patients to receive care. However, there are cases of abuse that highlight the risks older patients can face. Nurses working in such facilities are in a position to spot signs of abuse and report them. Nurses should speak up and speak out to advocate for vulnerable patients. Talk to the patient’s physician about concerns and speak to a direct supervisor. Every state has its own laws regarding the responsibilities of nurses to report their suspicions or knowledge of abuse. Nurses should familiarize themselves with these laws. As a nurse, you have the opportunity to contribute to a calm, caring, and safe environment for the elderly in nursing homes.