38 C.F.R. § 51.31
(b) Recognition surveys. VA will not conduct a recognition survey unless the following minimum requirements are met:
(c) Threats to public, resident, or participant safety. If VA identifies a condition at the home that poses an immediate threat to public, resident or participant safety, or other information indicating the existence of such a threat, the Director of the VA medical center of jurisdiction will immediately report this to the VA Network Director (10N1-22); the Office of Geriatrics and Extended Care in VA Central Office; and the State official authorized to oversee operations of the home.
(The Office of Management and Budget has approved the information collection requirements in this section under control number 2900-0160)