CREATE TABLE table_204_800 (id DECIMAL, "rank" DECIMAL, "nation" TEXT, "gold" DECIMAL, "silver" DECIMAL, "bronze" DECIMAL, "total" DECIMAL)

which is above cayman island
SELECT "nation" FROM table_204_800 WHERE "rank" = (SELECT "rank" FROM table_204_800 WHERE "nation" = 'cayman islands') - 1
SELECT "nation" FROM "table_204_800" WHERE "rank" = (SELECT "rank" FROM "table_204_800" WHERE "nation" = 'cayman islands') - 1