CREATE TABLE table_204_800 (id NUMBER, "rank" NUMBER, "nation" CLOB, "gold" NUMBER, "silver" NUMBER, "bronze" NUMBER, "total" NUMBER)

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