Cascades at Skyview
505 O Street · Bridgeport, NE · 69336 · 3082620725
48 certified beds For profit - Individual Chain: Senex Foundation
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $192,328 in fines in the last 24 months.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$192,328 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
69% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.06 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.98 | 0.55–0.75 |
| Weekend hours / resident-day | 3.51 | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | 2 · $192,328 |
Inspection citations (46 in the current record)
-
Potential for harm · D February 18, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 4, 2026 · Pharmacy Service
-
Potential for harm · D February 18, 2026 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected April 4, 2026 · Pharmacy Service
-
Actual harm · G November 17, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G November 17, 2025 · found via complaint
Honor each resident's preferences, choices, values and beliefs.
Corrected January 23, 2026 · Quality of Life and Care
-
Actual harm · H November 17, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 23, 2026 · Quality of Life and Care
-
Potential for harm · E November 17, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 23, 2026 · Resident Rights
-
Potential for harm · E November 17, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 23, 2026 · Quality of Life and Care
-
Potential for harm · E November 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 23, 2026 · Quality of Life and Care
-
Potential for harm · D November 17, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 23, 2026 · Pharmacy Service
-
Potential for harm · E November 17, 2025 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected January 23, 2026 · Administration
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Potential for harm · D November 17, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 23, 2026 · Infection Control
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Potential for harm · F August 18, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 19, 2025 · Infection Control
-
Immediate jeopardy · K June 11, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 19, 2025 · Nursing and Physician Services
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Actual harm · H June 11, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 19, 2025 · Quality of Life and Care
-
Potential for harm · E June 11, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 19, 2025 · Quality of Life and Care
-
Potential for harm · D June 11, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 19, 2025 · Quality of Life and Care
-
Potential for harm · E June 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 12, 2025 · Quality of Life and Care
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Potential for harm · F June 11, 2025 · found via complaint
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.
Corrected August 19, 2025 · Nursing and Physician Services
-
Potential for harm · D June 11, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected June 13, 2025 · Pharmacy Service
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Potential for harm · D June 11, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 19, 2025 · Pharmacy Service
-
Potential for harm · D March 17, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 17, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 18, 2025 · Resident Rights
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Potential for harm · D March 17, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected March 18, 2025 · Resident Rights
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Potential for harm · D March 17, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 17, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 18, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 17, 2025 | Fine | $145,440 |
| November 17, 2025 | Payment Denial | 38 days |
| June 11, 2025 | Fine | $46,888 |
| June 11, 2025 | Payment Denial | 39 days |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 285224 · certified since April 1, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.