Saint Petersburg, FL

Balanced Healthcare

1-star overall rating with 1-star inspections with $114,133 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

4250 66th St N, Saint Petersburg, FL

(727) 546-2405

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

299

Certified beds

Average residents

268

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Simcha Hyman & Naftali Zanziper

Operator or chain grouping

Approved since

1981-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.33

Registered nurse staffing

LPN hours / resident day

1.05

Licensed practical nurse staffing

Aide hours / resident day

2.51

Nurse aide staffing

Weekend hours

3.69

Weekend nurse staffing

RN turnover

30%

Annual RN turnover

Total nurse turnover

34%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.9
2.1
0.8 pts worse
1.9
1 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.3
1.2
1.1 pts worse
1.8
0.5 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 65.7%
97.8%
32.1 pts worse
93.4%
27.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
99.2%
0.8 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.6%
2.6%
2 pts worse
3.3%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.3%
3.7%
3.4 pts better
11.4%
11.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.2%
5.9%
2.7 pts better
5.4%
2.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 31.4%
15.7%
15.7 pts worse
19.6%
11.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 13.0%
11.7%
1.3 pts worse
16.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 14.7%
9.8%
4.9 pts worse
14.9%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.4%
0.4%
About the same
1.0%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.1%
0.8%
0.7 pts better
1.7%
1.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.2%
12.5%
6.7 pts worse
19.8%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.1%
5.1%
1 pts worse
5.1%
1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 18.9%
94.3%
75.4 pts worse
81.7%
62.8 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 15.9%
9.3%
6.6 pts worse
12.0%
3.9 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 11.5%
1.5%
10 pts worse
1.6%
9.9 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 91.3%
94.7%
3.4 pts worse
79.7%
11.6 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 41.2%
26.2%
15 pts worse
23.9%
17.3 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-07 · Fire 2024-11-07

7 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2022-06-30 · Fire 2022-06-30

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2021-03-05 · Fire 2021-03-05

12 health deficiencies

Top issue: Resident Rights (4 deficiencies)

10 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-11-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-12-16

D · Potential for more than minimal harm 2024-11-07

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-12-16

D · Potential for more than minimal harm 2022-06-30

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-07-30

D · Potential for more than minimal harm 2022-06-30

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2022-07-30

D · Potential for more than minimal harm 2022-06-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-07-30

D · Potential for more than minimal harm 2022-06-30

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-07-30

D · Potential for more than minimal harm 2021-03-05

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2021-04-05

D · Potential for more than minimal harm 2021-03-05

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2021-04-05

D · Potential for more than minimal harm 2021-03-05

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2021-04-05

D · Potential for more than minimal harm 2021-03-05

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2021-04-05

D · Potential for more than minimal harm 2021-03-05

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2021-04-05

D · Potential for more than minimal harm 2021-03-05

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2021-04-05

D · Potential for more than minimal harm 2021-03-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-04-05

D · Potential for more than minimal harm 2021-03-05

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-04-05

D · Potential for more than minimal harm 2021-03-05

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2021-04-05

D · Potential for more than minimal harm 2021-03-05

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2021-04-05

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-11-07

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-12-07

E · Potential for more than minimal harm 2024-11-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-11-07

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-11-07

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-11-07

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-11-07

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-11-07

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-12-07

J · Immediate jeopardy 2024-02-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-03-09

J · Immediate jeopardy 2024-02-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-03-09

J · Immediate jeopardy 2023-08-24

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-09-21

D · Potential for more than minimal harm 2023-06-13

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2023-07-13

D · Potential for more than minimal harm 2023-06-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-07-13

E · Potential for more than minimal harm 2023-04-03

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-05-01

D · Potential for more than minimal harm 2023-04-03

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-05-01

E · Potential for more than minimal harm 2022-06-30

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-07-30

E · Potential for more than minimal harm 2022-06-30

F625 · Resident Rights Deficiencies

Health

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 2022-07-30

E · Potential for more than minimal harm 2022-06-30

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-07-30

E · Potential for more than minimal harm 2022-06-30

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-07-30

D · Potential for more than minimal harm 2022-06-30

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-07-30

D · Potential for more than minimal harm 2022-06-30

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2022-07-30

D · Potential for more than minimal harm 2022-06-30

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-07-30

D · Potential for more than minimal harm 2022-06-30

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-07-30

D · Potential for more than minimal harm 2022-06-30

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2022-07-30

D · Potential for more than minimal harm 2022-06-30

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2022-07-30

D · Potential for more than minimal harm 2022-06-30

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2022-07-30

D · Potential for more than minimal harm 2022-06-30

F885 · Infection Control Deficiencies

Health

Report COVID19 data to residents and families.

Corrected 2022-07-30

D · Potential for more than minimal harm 2021-03-05

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2021-04-05

D · Potential for more than minimal harm 2021-03-05

F573 · Resident Rights Deficiencies

Health

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2021-04-05

D · Potential for more than minimal harm 2021-03-05

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2021-04-05

D · Potential for more than minimal harm 2021-03-05

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2021-04-05

D · Potential for more than minimal harm 2021-03-05

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2021-04-05

Penalties and ownership

What sits behind the stars

$98,540 2024-02-14

Fine

Fine · fine $98,540

Fine

$15,593 2023-08-13

Fine

Fine · fine $15,593

Fine

Ownership

St Petersburg Fl Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2020-11-24
Bradford, John

W-2 Managing Employee · Individual

0% 1 facilities 2020-11-24
Fl Oc Opco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 4 facilities 2022-04-01
Gorelick, Batya

Corporate Officer · Individual

0% 37 facilities 2021-05-01
Hc Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 59 facilities 2022-04-01
Orchid Cove SNF Holdco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 4 facilities 2022-04-01
Schoenfeld, Robert

5% Or Greater Indirect Ownership Interest · Individual

0% 12 facilities 2022-04-01
Shnz Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 41 facilities 2022-04-01
Zanziper Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 64 facilities 2022-04-01

Nearby options

Other facilities in reach

#1

Lexington Healthcare And Rehabilitation Center

Saint Petersburg, FL

3-star overall rating with 2-star inspections with $26,685 in total fines with 15 recent health deficiencies

Overall
3 / 5
Health
2 / 5
Staffing
2 / 5
Fines
$26,685
#2

Alhambra Healthcare & Rehabilitation Center

Saint Petersburg, FL

2-star overall rating with 2-star inspections with 12 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
2 / 5
Fines
$0
#3

Eagle Lake Nursing And Rehab Care Center

Saint Petersburg, FL

1-star overall rating with 1-star inspections with $312,600 in total fines with 15 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$312,600

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