Training & Resources for Skilled Nursing Facilities

Free-standing skilled nursing facilities and skilled nursing facilities that are part of another type of hospital receive their PEPPER via PEPPER Resources Portal at View a map of SNF PEPPER retrievals by state.

Skilled Nursing Facilities/swingbeds that are part of a short-term acute care hospital receive their PEPPER via QualityNet Portal at

View information on how to download your PEPPER via QualityNet Portal.

To download or save to your computer any of the files on this page, right click on the file name (link) and select "Save Target As...". To receive updates on training and other resources, please join our email list.

SNF PEPPER Testimonials

Current PEPPER User’s Guide


  • View a list of the 12 MAC jurisdictions and the number of providers in each jurisdiction in total and by state for PEPPER Q4FY15 (XLS, updated 3/17/2016).


  • PEPPER Update (Duration: 48:22): This session reviews changes in the Q4FY15 release of the PEPPER for SNFs, LTs and IRFs (NOTE: there are no changes in this release of the IRF PEPPER). It includes a brief walk-through of a sample SNF PEPPER.
  • Download the PowerPoint slides (PDF) for this PEPPER update.
  • Review Questions and Answers (PDF) from the session.

PEPPER Training Update for LT, IRF, HOSPICE, SNF and HHA; April 2015:

PEPPER Training Update, May 2014:

PEPPER Training, August, 2013:

Demonstration PEPPER:

  • Demonstration PEPPER version Q4FY16 (XLS, updated 3/24/2017)

Other Resources:


When: Thursday, April 27, 1 p.m. to 2 p.m. CDT
What: A WebEx presented by Kimberly Hrehor with TMF Health Quality Institute
Topic: A review of the Q4FY16 PEPPER for Skilled Nursing Facilities (SNFs) and other available resources
Registration is required.


This program is being brought to you at no charge.

Because registration is limited to 1,000 sites, SNFs are encouraged to coordinate internally to prevent duplicate registrations and to allow as many SNFs as possible to participate. Registrants will receive information via email on how to join the session as well as audioconference information.

For those unable to participate, the session will be recorded here by May 11, 2017.

Handout: Will be posted here by April 26, 2017. It will also be available via WebEx upon joining the session.