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

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.

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 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 Q4FY15 (XLS, updated 3/17/2016)

Other Resources:

  • Refer to this document for guidance on how to create a listing of patients included in the PEPPER target areas (PDF).
  • View a list of the Skilled Nursing Facility target areas (DOCX, updated 3-9-16).
  • View this slide presentation (PPT, updated 7-11-2013) on percents and percentiles to help understand the differences between “percent” and “percentile” and how they are used in PEPPER.
  • View a demonstration (DOC, updated 12-10-2014) Compare Targets report, with associated hospital target area data and graph.
  • Audit tools shared with permission of Evergreen Rehabilitation Compliance Dept, Contact: Shawn Halcsik, VP of Compliance.
    • COT Audit tool (PDF or Excel) − Audits completion accuracy of required COTs by comparing Therapy Documentation for RUG Supported and Claim Form for RUG billed
    • Section O Audit tool (PDF or Excel) − Audits MDS section O accuracy by comparing minutes/modes supported in therapy documentation and minutes/modes reported on MDS
    • Triple Check (PDF or Excel) − The triple check form is used at monthly IDT meeting to match the clinical aspects with the billing items to ensure Medicare compliance with billing and coding requirements as well as ensure technical components on claim form are accurate
  • Contact TMF through the Help/Contact Us page to request examples of Triple Check tools from Skilled Healthcare.

PEPPER Update Training

Join us for an update on what is new/changed in the Q4FY15 PEPPER for Skilled Nursing Facilities (SNFs), Long-term (LT) Acute Care Hospitals and Inpatient Rehabilitation Facilities (IRFs)

When: Thursday, May 12, 1:00 - 2:00 pm CT

Registration is not required! Use this link to join the event:

Join Event
Event number: 927 948 162
Event password: rosemary

Handout: Download the handout.

Please join the event 15 minutes before the start time in order to ensure you are able to participate. Individuals are encouraged to listen to the audio portion of the webinar through the on-line broadcast platform using their computer speakers. However, we recognize that some individuals may prefer to listen to the session via telephone. To connect via telephone, please dial 1-415-655-0003 (toll); the access code is 927 948 162. The cost of this connection will be your responsibility. This number will be active 10 minutes prior to the start of the session. The session will be recorded. The recording will be posted here by May 20, 2016.