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.
In addition to those listed above, here are some other symptoms of heart failure: 1  You have trouble breathing or lying flat because you feel short of breath. 2  You feel tired, weak, and are unable to exercise or perform physical activities. 3  You have weight gain from excess fluid.  You feel chest pain.