Is it like this everywhere?

Ok I need to vent. I have worked in this LTC for 4 yrs, 3 as an aide, 1 as an LPN. Since I have worked there, there have been 2 CNA's, one on day shift, one on evening shift. They both are verbally and at times physically abusive to the res. they both defy authority, if u ask them to do something they don't agree with.. as simple as laying a res. down or taking a set of vitals they flip and refuse and on top of that they think ...actually they do run those shifts (i'm 11-7) Well occassionaly i work those shifts and have a horrible time getting them to do anything.. I worked with them both when i was an aide and i have heard one of them tell res. " you need to die" "we're poisoning you" "shut up" they both refuse to care for some res. and family members have actually kicked these two out of several res. rooms and these two aides are not allowed to go back in there! well I have personally reported the two of them SEVERAL times, talked to the DON, did no good, talked to the administrator, did no good, called state.. nothing got done cuz of course they arent gonna act like that in front of state.. I am at my whits end.. there are tons of other stuff going on where i work.. tx not getting done, meds not ordered.. some res going 2 to 3 days without meds because they werent ordered.. narcs missing and it keeps getting worse.. is it like this everywhere? Or does this place need to be shut down? I am honestly afraid for my license at times.. any input/advice?