Balanced Healthcare
4250 66TH ST N, Saint Petersburg, FL, 33709
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Simcha Hyman & Naftali Zanziper
- Certified beds
- 299 · avg 268 residents/day
- Total nursing staff turnover
- 34.1% — lower than most Florida nursing homesFlorida avg: 42.3% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 30% — lower than most Florida nursing homesFlorida avg: 45.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Florida averageFlorida avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $114,133 total
State licensing & capacity
- License number
- 1252096
- Service type
- Nursing Home
- Licensed capacity
- 299 beds
- Current license effective
- November 4, 2025
- Current license expires
- November 3, 2027
Florida AHCA licensing registry · as of April 18, 2026
Ownership & operations
- Licensee
- Balanced Nursing Snf Llc
- Administrator
- Parikshit Deshmukh
Florida AHCA licensing registry · as of April 18, 2026
Federal ownership record
Chain affiliation
Part of the Simcha Hyman & Naftali Zanziper chain — 95 facilities across 8 states. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (9 on record)
- fl oc Opco Llc
5% or Greater Indirect Ownership Interest · 25% · since 2022
- hc Family Trust
5% or Greater Indirect Ownership Interest · 38% · since 2022
- Orchid Cove Snf Holdco LlcHolding
5% or Greater Indirect Ownership Interest · 100% · since 2022
- Robert b Schoenfeld
5% or Greater Indirect Ownership Interest · 25% · since 2022
- Shnz Holdings LlcHolding
5% or Greater Indirect Ownership Interest · 75% · since 2022
- Zanziper Family Trust
5% or Greater Indirect Ownership Interest · 38% · since 2022
+ 3 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 31)
- D0676·Nov 7, 2024Complaint
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- E0584·Nov 7, 2024Complaint
Resident Rights Deficiencies
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.
- E0880·Nov 7, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0693·Nov 7, 2024
Quality of Life and Care Deficiencies
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.
- D0689·Nov 7, 2024
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0684·Nov 7, 2024
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0656·Nov 7, 2024
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- J0689·Feb 14, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20241 fine · $99K
- 20231 fine · $16K
Most recent events
- Feb 14, 2024Fine · $99K
- Aug 13, 2023Fine · $16K
Largest single fine on record: $99K.
Fire-safety citations
16 Life-Safety-Code citations on file. Most recent: Nov 7, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
Where this information comes from
- License, capacity, ownership, administrator: Florida AHCA licensing registry, snapshot as of April 18, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
Read our methodology for how this information is collected and verified.