When do you say enough is enough?

Hi everyone!
Just got a job in a LTC facility after 5 years off raising my wee ones. My first days were awful. Place smells like urine, residents in old dirty clothes, not enough staff(2/3 CNA's to 58 patients), ants crawling around the nurses staion,not enough supplies, Agency nurses coming and going....total Chaos!!!! I just dont know what to do? Be the new Nurse who complains all the time, try to fix all these problems, or just say enough is enough...make a little phone call to the State and call it a day. Any sincere advice is appreciated.