Cascades At Skyview
Cascades at Skyview in Bridgeport, NE — inspection on August 18, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
prior.
Using the gauze with normal saline, RN-A cleansed the wound beginning at the area surrounding
RN-A opened the Alginate with their gloved hands, cutting the packet open. RN-A opened the skin prep
hallway, contaminating their gloves. RN-A applied the skin prep around the edge of the wound, applied the Alginate, and then the dressing with the same gloved hands. An interview on 8/6/2025 at 10:10 AM with RN-A confirmed EBP had not been implemented for Resident 18. RN-A was unaware of the contamination during the wound care treatment procedure. C. A record review of the facility's undated policy Handwashing/Hand Hygiene revealed hand hygiene should be completed with an ABHR or soap and water in the following situations:- Before and after coming on duty- Before and after direct contact with residents- Before preparing or handling medications- Before donning gloves- After contact with objects in the immediate vicinity of the resident A continuous observation on 8/5/2025 beginning at 8:27AM of Mediation Aide (MA) - B revealed the following:- At 8:25 AM, MA-B had completed medication administration to a previous resident. At 8:27 AM, MA-B began preparing Resident 3's medication without the benefit of performing hand hygiene. MA-B did not sanitize the medication cart preparation surface prior to beginning. - MA-B used scissors to cut Resident 3's lidocaine patches in half. MA-B then utilized the scissors to cut open Resident 3's arginaid packet without sanitization of the scissors beforehand. - MA-B prepared Resident 3's medication, dispensing Resident 3's tums into a separate medication cup and the remainder into another. MA-B then sat the other medication cup on top of the medication cup with the Tums, touching the bottom of the medication cup to the Tums. - MA-B then applied gloves and proceeded to Resident 3's door, using their gloved hands to open the door. MA-B then assisted Resident 3 with applying their medicated cream to their hip as ordered with the same gloved hands.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.