Cascades at Skyview
A nursing home in Bridgeport, Nebraska 69336
505 O Street, Bridgeport, Nebraska 69336. (308) 262-0725.
- A candidate for CMS’s special focus list
- Cited for abuse (CMS flag)
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 16 health citations at the latest inspection cycle Nebraska average: 7.6
- 3.21 nurse hours per resident per day Nebraska average: 4.12
- 2 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
16 health citations at the latest inspection cycle
The Nebraska average is 7.6.
Last standard inspection Jun 16, 2026.
Most serious in three years: immediate jeopardy to health or safety (K), at a complaint inspection on Jun 11, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
46 citations in 8 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (K). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 46 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 27 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jun 16, 2026: standard inspection4 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Ensure each resident receives an accurate assessment.
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jun 16, 2026: standard and complaint inspection1 citation
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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.
Feb 18, 2026: complaint inspection2 citations
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure medication error rates are not 5 percent or greater.
Nov 17, 2025: complaint inspection9 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Honor each resident’s preferences, choices, values and beliefs.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that residents are free from significant medication errors.
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Provide timely, quality laboratory services/tests to meet the needs of residents.
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Provide and implement an infection prevention and control program.
Aug 18, 2025: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Jun 11, 2025: complaint inspection8 citations
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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.
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Ensure medication error rates are not 5 percent or greater.
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Ensure that residents are free from significant medication errors.
Mar 17, 2025: standard inspection9 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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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.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide safe and appropriate respiratory care for a resident when needed.
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Verify that a nurse aide has been trained; and if they haven’t worked as a nurse aide for 2 years, receive retraining.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Mar 17, 2025: standard and complaint inspection2 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Observe each nurse aide’s job performance and give regular training.
Jan 6, 2025: complaint inspection2 citations
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 24, 2024: standard inspection6 citations
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Ensure each resident receives an accurate assessment.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Ensure medication error rates are not 5 percent or greater.
-
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Provide and implement an infection prevention and control program.
Apr 24, 2024: standard and complaint inspection2 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Apr 1, 1998.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 48 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $141,424 in all.
- 2 Medicare payment denials in the last three years.
- 27 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Nov 17, 2025 | Medicare payment denial | Not given |
| Nov 17, 2025 | Fine | $94,536 |
| Jun 11, 2025 | Medicare payment denial | Not given |
| Jun 11, 2025 | Fine | $46,888 |
Who does the caring?
3.21 nurse hours per resident per day
The Nebraska average is 4.12.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Nebraska average |
|---|---|---|
| Nurse hours per resident per day | 3.21 | 4.12 |
| Of which registered nurses | 0.50 | 0.69 |
| At weekends | 2.38 | 3.57 |
| Nursing staff turnover | 73.2% | 48.5% |
| Registered nurse turnover | 66.7% | 43.5% |
| Administrators who left | 3 | Not given |
Who owns it?
- Cascades at Skyview LLC owns 100% directly since May 8, 2026.
- Cascades at Skyview LLC and Nodyah Family Limited Partnership and Lone Star Assets Family Limited Partnership and Taki Family Limited Partnership and Saimaa Family Limited Partnership run it.
- 14 owners or officers are people: Chad B Fullmer (corporate director, 25%); Derek O White (corporate director, 25%); Darin S Mcspadden (corporate director, 25%); Jason W Crump (corporate director, 25%); Braden Owen (runs it (operational or managerial control)); Braden Owen (additional disclosable party (controls, leases property to, or provides services to the home)); Mark Y Chu (runs it (operational or managerial control)); Mark Y Chu (additional disclosable party (controls, leases property to, or provides services to the home)); Chad B Fullmer (runs it (operational or managerial control)); Derek O White (runs it (operational or managerial control)); Darin S Mcspadden (runs it (operational or managerial control)); Jason W Crump (runs it (operational or managerial control)); Clark Swofford (corporate director, 0%); Clark Swofford (runs it (operational or managerial control)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Cascades at Skyview LLC | Owns 5% or more directly | 100% | May 8, 2026 |
| Nodyah Family Limited Partnership | Owns 5% or more through other companies | 25% | May 8, 2026 |
| Lone Star Assets Family Limited Partnership | Owns 5% or more through other companies | 25% | May 8, 2026 |
| Taki Family Limited Partnership | Owns 5% or more through other companies | 25% | May 8, 2026 |
| Saimaa Family Limited Partnership | Owns 5% or more through other companies | 25% | May 8, 2026 |
| Aurala, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 8, 2026 | |
| Cascades at Skyview LLC | Runs it (operational or managerial control) | May 8, 2026 | |
| Gulf Assets, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 8, 2026 | |
| Crumo, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 8, 2026 | |
| Nodyah Family Limited Partnership | Runs it (operational or managerial control) | May 8, 2026 | |
| Lone Star Assets Family Limited Partnership | Runs it (operational or managerial control) | May 8, 2026 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | May 8, 2026 | |
| Taki Family Limited Partnership | Runs it (operational or managerial control) | May 8, 2026 | |
| Saimaa Family Limited Partnership | Runs it (operational or managerial control) | May 8, 2026 | |
| Hitori Hoshi, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | May 8, 2026 |
How do residents fare?
- CMS rates its quality measures 2 of 5 (Nebraska average 3.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 2 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 62.9 miles, this one had the 3rd most health citations at the latest inspection cycle (16; the middle value was 7).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Cascades at Skyview This nursing home | 16 | |
| Chimney Rock Villa | 13.1 | 7 |
| Northfield Retirement Communities Care Center | 31.5 | 13 |
| Heritage Estates | 31.6 | 7 |
| Monument Healthcare and Nursing Center | 32.4 | 18 |
| Highland Park Care Center | 32.7 | 2 |
| Srmc Long Term Care, LLC DBA Pole Creek Estates | 37.8 | 5 |
| Mitchell Care Center | 40.4 | 4 |
| Kimball County Manor | 41.6 | 8 |
| Garden County Hospital & Nursing Home | 42.7 | 4 |
| Hemingford Care Center | 44.9 | 20 |
| Goshen Healthcare Community | 62.9 | 6 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.