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 valve disease causes heart failure, symptoms may include: Swelling of your ankles or feet; swelling may also occur in your abdomen, which may cause you to feel bloated. Quick weight gain (a weight gain of two or three pounds in one day is possible.) Symptoms of heart valve disease do not always relate to the seriousness of your condition.