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.
If the failure occurs on the right side of the heart, the side that pumps blood to the lungs, fluids build up in the veins, especially in the legs and feet. Some people have weakness on both sides of their heart, which means fluids build up in both their lungs and veins.