"Out of balance"...as I'm not an EV owner (yet):
1) What does "out of balance" mean?
All EVs have a battery / pack which is comprised of many cells chained together in some fashion.
A balanced pack would have all cells of the same capacity and health so that a full charge would bring all the cells up to the same voltage, and a full discharge would drop them to the same even level. For example, using a fictional but relevant example, lets say a pack had 100 cells each with a normal range of 3V to 4V.
So, a pack might have a per cell "full" of 4V per cell, and "empty" of 3V per cell, where the total pack is 400V when full and 300V when "empty".
Now lets say one of the cells is aged prematurely and refuses to charge above 3.8V. The BMS ("Battery Management System") could see when charging that a cell was not accepting any more charge when it got to 3.8V so it could stop charging the rest of the pack and leave you at 380V max full. There could be 99 other healthy cells that had the potential to get to their 4V, but the system would not charge them to full because a laggard dragged everything else down. You basically have some lowest common denominator that affects overall pack capacity.
Now, in some cases, the problematic cell(s) could be brought back into line if was conditioned properly with a different charging method. Perhaps if you charged it more slowly, or (some other battery charging magic I don't understand) you could get it to come back up to 4V and get the pack back in balance and everything happy again.
I think that packs can get out of balance if you have erratic charging and driving. Lets say you were at a dragstrip and doing heavy discharge, then did partial charges and went back to driving again repeatedly. The BMS never gets a chance to sort things out, and uneven heating / discharging could slowly gets the individual cells out of balance with each other. Usually you can correct this by doing a complete full charge and letting the car sit for a while as the BMS figures out what it needs to do and re-balances things. For a really tired old pack some cells may not be able to be recharged to useful state again and the BMS may "write them off" and not try to use them. It all depends on how compartmentalized the system is designed to allow. The Roadster has various "sheets" and such that were expected to work in groups. In the case of the 240,000KM Roadster it may be they could replace one weak "sheet" (say ~10% of the cells) and get the overall health back up a bunch if one sheet was a lot weaker than the others. But in practice, with that many miles, perhaps all the sheets are "tired" now, and there is an assortment of weak and some even "dead" cells mixed around, and it isn't really practical to remove test and replace each from the 6831 total, so a full pack replacement would be the only practical option.
"Out of balance" isn't an all or nothing situation. Basically any pack is going to be "slightly out of balance" to some degree. The problem could be barely noticeable, or so severe that your max range is noticeably less than new/optimal, and the vehicle utility is compromised.
The 85kWh Model S probably has more individual cells than the Roadster, and I don't know if the pack is divided into sections that can be replaced individually or not.
We don't know how good the BMS is at keeping the individual cells balanced and if there are certain charging and/or driving styles that could cause out-of balance situations sooner rather than later. Probably best to discuss with Tesla directly if you were concerned and wanted to use the car in a way best "optimized" to keep the pack healthy as long as possible.
One would like to think that they have improved things to the point where it is smart enough to sort everything out automatically and so the driver doesn't have to think about any sort of "usage protocols". I think it is inevitable that the pack will lose capacity given enough years/miles/kms. Driving habits and charging habits probably have some effect on that aging process, but how far out of your way do you want to go to "baby" your vehicle?