SNF PEPPER Reports Available for Download. To obtain your SNF's PEPPER, the Chief Executive Officer, President, or Administrator of your SNF should: 1. Review the Secure PEPPER Access Guide. 2. Visit the Secure PEPPER Access page at PEPPERresources.org. 3. Review the instructions and obtain the information required to authenticate access. 4. Click on the button to Access the Secure Portal. 5.
Heart failure can be ongoing (chronic), or your condition may start suddenly (acute). Heart failure signs and symptoms may include: Shortness of breath (dyspnea) when you exert yourself or when you lie down.
Symptoms of heart failure can include: Shortness of breath noted during activity (most commonly) or at rest, especially when you lie down flat in bed; Cough that produces white sputum. Rapid weight gain (a weight gain of two or three pounds in one day is possible.) Swelling in ankles, legs, and abdomen; Dizziness; Fatigue and weakness