NF/LTC patients interact with an array of individuals including physicians, nurse practitioners, nurses, nursing assistants, social workers, and physical, occupational and speech therapists on a daily basis.16 Those who have frequent direct contact with these patients are essential to early detection of CHF, thus allowing for prompt interventions to prevent rehospitalization.17 Studies have shown that the care of SNF/LTC patients by those who are trained to recognize early signs and symptoms of CHF are also the ones who normally assess the patients on a regular basis.18 However, these patients interact with various other staff members on a daily basis who may not be as well-versed in CHF symptom recognition such as nursing assistants or therapists. Educating and providing teaching tools to auxiliary staff may offer additional opportunities for early intervention and prevent rehospitalizations.