Morrill County, Nebraska · Nursing home
Cascades at Skyview
1 of 5 overall from CMS
505 O Street, Bridgeport, NE 69336
At a glance
- Overall rating 1 of 5 Below the state average of 2.8
- Nurse time per resident, per day 4.08 hours Above the state average of 3.98
- Nursing staff who left in a year 75.5% Above the state average of 48.7%
- Health citations, last 3 inspection cycles 46 5 at the harm level or above
- Fines in 3 years $141,424 2 fines
- Certified beds in use 52.1% of 48 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Cascades at Skyview is a 48-bed nursing home in Bridgeport, Nebraska (Morrill County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 4.08 nurse staffing hours per resident per day, above the Nebraska average of 3.98. CMS lists 2 fines totaling $141,424 in the past three years.
- Certified beds
- 48
- Residents per day (average)
- 25.0
- Certified since
- 1998 (28 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidCMS Special Focus: SFF CandidateCMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Cascades at Skyview
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 2 fines totaling $141,424 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 16 health deficiencies in the latest inspection cycle (the standard inspection on Jun 16, 2026 plus complaint and infection-control inspections); the Nebraska average is 7.4. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Nebraska average 2.8
- Health inspections 1 of 5 Nebraska average 2.8
- Staffing 3 of 5 Nebraska average 3.2
- Quality measures 2 of 5 Nebraska average 3.0
The vertical line marks the Nebraska average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.08 h Nebraska average 3.98
- Nurse aides 2.57 h Nebraska average 2.64
- Licensed practical nurses 0.68 h Nebraska average 0.67
- Registered nurses 0.83 h Nebraska average 0.67
- All staff, weekends 3.52 h Nebraska average 3.48
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the Nebraska average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover75.5%
- Nebraska average48.7%
- Registered nurse turnover70.0%
- Nebraska average44.1%
- Administrators who left3
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Nebraska and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Nebraska | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 7.7% | 19.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.8% | 5.1% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.0% | 1.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.9% | 2.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 4.3% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.3% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.5% | 4.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.4% | 93.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 10.7% | 18.2% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.9% | 19.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 96.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 12.4% | 4.0% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.7% | 25.9% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 20.9% | 20.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.91 | 1.81 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 3.77 | 1.92 | 1.78 |
Short-stay residents
| Measure | This home | Nebraska | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.4% | 80.9% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 2.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 75.9% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 20.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 11.4% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 46 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 4 involved actual harm; the rest were graded as no actual harm. 27 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Nov 17, 2025: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jun 16, 2026 | 16 | 2 |
| Mar 17, 2025 | 22 | 3 |
| Apr 24, 2024 | 8 | 2 |
Nebraska homes averaged 7.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (46)
-
FPotential for more than minimal harm, widespread
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jul 8, 2026)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jul 8, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (Jul 8, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 8, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 8, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Apr 4, 2026)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Apr 4, 2026)
-
HActual harm, pattern
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 23, 2026)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jan 23, 2026)
-
GActual harm, isolated
Honor each resident's preferences, choices, values and beliefs.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 23, 2026)
-
EPotential for more than minimal harm, pattern
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jan 23, 2026)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 23, 2026)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 23, 2026)
-
EPotential for more than minimal harm, pattern
Provide timely, quality laboratory services/tests to meet the needs of residents.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jan 23, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jan 23, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Jan 23, 2026)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Aug 19, 2025)
-
KImmediate jeopardy, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Aug 19, 2025)
-
HActual harm, pattern
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 19, 2025)
-
FPotential for more than minimal harm, widespread
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Aug 19, 2025)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 19, 2025)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 12, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 19, 2025)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jun 13, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Aug 19, 2025)
-
FPotential for more than minimal harm, widespread
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Nursing and Physician Services · Deficient, Provider has date of correction (Mar 18, 2025)
-
FPotential for more than minimal harm, widespread
Observe each nurse aide's job performance and give regular training.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Mar 18, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Mar 18, 2025)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 18, 2025)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 18, 2025)
Showing the 30 most recent of 46.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Nov 17, 2025 | Fine | $94,536 |
| Nov 17, 2025 | Payment Denial | 38 days |
| Jun 11, 2025 | Fine | $46,888 |
| Jun 11, 2025 | Payment Denial | 39 days |
Nebraska homes averaged 0.4 fines and $11,975 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Nebraska
- Size133 of 180 by certified beds
- Nebraska average residents per day55.3
- ChainNone listed
- Resident or family councilResident
- Homes in Morrill County2
Common questions
What is the CMS star rating for Cascades at Skyview?
Cascades at Skyview has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 3 and quality measures is 2.
How many beds does Cascades at Skyview have?
Cascades at Skyview has 48 certified beds. It averages 25.0 residents per day, about 52.1% of its certified beds.
How much nursing care do residents get at Cascades at Skyview?
The home reports 4.08 hours of nurse staffing per resident per day, including 0.83 hours from registered nurses. The Nebraska average is 3.98 hours and 0.67 hours from registered nurses.
Has Cascades at Skyview been fined?
Yes. CMS lists 2 fines totaling $141,424 in the past three years. It also lists 2 payment denials.
Does Cascades at Skyview accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Chimney Rock Villa 49beds 65.1%in use 3.47nurse hours a day
- 1 of 5 Northfield Retirement Communities Care Center 66beds 83.0%in use 3.88nurse hours a day
- 4 of 5 Heritage Estates 102beds 94.5%in use 4.44nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Morrill County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 285224. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.