Aethair CMS-2567 Reports show whether environmental conditions in your healthcare facility stayed within the limits that CMS surveyors check. These include humidity in operating rooms, temperature in clinical areas, pressure in isolation rooms, and indoor air quality. Each condition gets a clear Compliant, Non-Compliant, or Caution status. Violations and data gaps are listed by device, so you can document conditions and act before a survey.
CMS-2567 is the Statement of Deficiencies and Plan of Correction form that CMS issues when a facility fails to meet federal Conditions of Participation.
For the settings every report shares (name, schedule, Noesis summary), see Creating & Scheduling Reports.
The Aethair Environmental Compliance Codebook (AECC)
The report checks your data against the Aethair Environmental Compliance Codebook (AECC). Each AECC code represents a specific compliance condition aligned with CMS requirements and healthcare accreditation standards. The codes are grouped into four categories:
Code range | Category | What it checks |
AECC-100 | Humidity Compliance | Relative humidity in operating rooms, sterile storage, and critical care areas |
AECC-200 | Temperature Compliance | Temperature in clinical spaces |
AECC-300 | Pressure & Ventilation | Positive pressure in operating rooms and negative pressure in isolation rooms |
AECC-400 | Air Quality | PM2.5, PM10, VOCs, and CO₂ |
Set up an Aethair CMS-2567 Report
In Reports, click + New Report.
Fill in the Info card.
In Settings, set Report type to Aethair CMS-2567. Section 2 will change to AECC Compliance Categories, with a dropdown to select the code range.
To add more categories, pick one from the Add AECC category dropdown. It only lists categories you haven't added yet.
For each category:
In Devices, choose the devices that monitor those spaces. For example, choose only the devices in operating rooms for Pressure & Ventilation. To report on rooms with different requirements, such as ORs and isolation rooms, create a separate report for each.
Under Subcategories, check the codes that apply to those spaces. Use Select All or Select None to change them all at once.
Click ⓘ next to a subcategory to see its limits.
To take a category out of the report, click Remove. A report needs at least one category, so Remove is unavailable when only one is left.
Set the Content and Time Range & Schedule cards on the right side, then click Create. CMS-2567 reports support the same options as other reports, including Working hours, the Noesis summary, and scheduling.
AECC codes and limits
The limits are fixed by the AECC and can't be edited. A violation is recorded when a reading stays outside the limit for 5 continuous minutes.
Code | Subcategory | Compliant range | Applies to |
AECC-101 | RH Out of Range (Critical/OR) | Humidity 20–60 % (per ASHRAE 170) | Critical care areas, ORs, ICUs, sterile corridors, procedure rooms |
AECC-102 | Sterile Storage Humidity Failure | Humidity ≤ 60 % | Sterile storage and sterile supply rooms |
AECC-201 | Temperature | 68–75 °F (per ASHRAE 170) | Clinical areas |
AECC-301 | Positive Pressure Failure (OR) | Differential pressure > 0 Pa | Operating rooms |
AECC-302 | Negative Pressure Failure (Isolation Room) | Differential pressure < 0 Pa | Isolation rooms, hazardous drug rooms |
AECC-401 | Elevated | PM2.5 ≤ 12 µg/m³ and PM10 ≤ 25 µg/m³ | Clinical spaces |
AECC-402 | VOC Spike / Chemical Exposure | VOC ≤ 0.25 ppm | Clinical spaces |
AECC-403 | CO₂ Ventilation Indicator Failure | CO₂ ≤ 1000 ppm | Clinical spaces |
AECC-402 accepts VOC readings in ppb, ppm, or ppm isobutylene, so it works with different VOC sensors.
Compliance statuses
Status | Meaning |
Compliant | Every reading was within the limits, and no data is missing. |
Non-Compliant | At least one reading was outside the limits. The report counts the occurrences and their total time. |
Caution | No readings were outside the limits, but data is missing for part of the period (a data gap). |
A category's status reflects its subcategories. If any subcategory is Non-Compliant, the whole category is Non-Compliant.
What's in an Aethair CMS-2567 Report
Header
The report name with a Compliance · CMS-2567 label, plus the account name, reporting period, working hours (if set), and time zone.
AECC Category Groups
A table with the status of each category in the report. It lists the code range, category, description, and a status icon. Below it is a 'Remarks' box for additional comments and a short definition of the AECC.
Category pages
Each category has its own page with its overall status at the top. Each subcategory shows:
Description – the requirement being checked
Trigger – what counts as a violation (5 minutes continuously out of range)
Violations – a card for each device with a problem. It shows the device name, serial number, and parameter, plus either:
Red card: the number of out-of-range events and their total time,
e.g. 288 events • 1 dayYellow card: how long the data gap lasted, e.g. Data gap: 1 day
If a subcategory had no problems, Violations shows None.
Some examples below.
Summary by Noesis
If Include Summary by Noesis is on, the report ends with an AI-written summary and key findings.
Tips
Resolve Caution statuses. Data gaps are hard to defend in a survey. Check device connections and power with Troubleshooting Devices.
Schedule it. A weekly scheduled report builds a running record you can hand to surveyors.
Get alerts in real time. Set up alerts with the same limits, so your team can fix problems as they happen instead of finding them in the report.
Note: AECC limits help you document environmental conditions. They don't replace your facility's own policies or a surveyor's findings.