About the Texas Culture Change Coalition

Culture Change is a national movement that began in the mid-1990s for the transformation of long-term care and services for elders and individuals with disabilities. It’s based on person-centered values and practices where the voices of the person and those working with them are both considered and respected. The core person-centered values of Culture Change include choice, dignity, respect, support, self-determination, and pursuing purposeful living.

Culture Change transformation typically requires changes in the organization’s practices, physical environments, decision-making processes at all levels, and service delivery models, all designed towards better satisfaction for consumers and morale for employees.

There are approximately 4,122 long term care facilities in Texas serving more than 200,000 Texans.

The Texas Culture Change Coalition is a non-profit initiative that is dedicated to transforming the culture of long-term care provided to Texans, who are aging or have disabilities, by affirming the dignity and value of each individual and the caregivers who provide support for them.

Our Principles

Culture Change aims to move towards a person-centered approach that promotes a person’s quality of life. Towards this end, TXCCC strives to:

  • Appreciate the uniqueness of each individual and provide individualized care
  • Offer input and choices to residents that demonstrate dignity and respect for individuals
  • Create a home environment
  • Recognize the potential for growth
  • Empower direct caregivers to make decisions with residents
  • Have all staff involved in the resident’s life that support mutual well-being
  • Foster the development of reciprocal relationships between residents, caregivers, family and community
  • Promote Culture Change in long-term care in Texas

Our Objectives

  • Promote Culture Change in long-term care in Texas
  • Offer training and educational opportunities for individuals in Texas interested in Culture Change
  • Create opportunities for individuals, organizations and regulators to collaborate on Culture Change
  • Promote the values, principles and practices of the Culture Change movement

Board of Directors

Texas Culture Change Coalition Board of Directors
Charles Borst President & Vice President, Organizational Administration charlesborst@wmanor.com

Chuck has more than 25 years of leadership and management experience. His strong background in organizational leadership, board leadership, strategic planning, human resource management, and financial management support his primary duties of operational management for the entire community.

He is a licensed administrator in Texas and Missouri as well as a skilled nursing facility administrator preceptor. He has spent the last 20 years in long term care as an administrator at individual facilities while providing multi-facility system wide leadership as a Quality Assurance Director. He gained experience in both group purchasing and quality assurance positions during his tenure a large multi-facility provider, from 2000 to 2008.

Chuck also served at individual facilities, including opening a new 165-bed facility that included assisted living, skilled nursing, as well as rehabilitation services and Alzheimer’s care. As a licensed nursing facility administrator at a 90-bed skilled nursing facility in Fredericktown, Missouri, from 2005 to 2007, Borst demonstrated his ability to provide quality care and improve financial results.

His career experiences include positions as a Quality Assurance Consultant, Group Purchasing Director and Quality Improvement Director helping troubled facilities for a large long-term care company.

Texas Culture Change Coalition Board of Directors
Dorothy Crawford Treasurer dcrawford@txhca.org

Dorothy Crawford was involved in the launch of culture change in Texas in 2010 and currently serves as President of the Texas Culture Change Coalition.

Dorothy works as the Director of Policy and Regulatory Analysis for the Texas Health Care Association, a founding member of the Texas Culture Change Coalition. She is a Certified Dementia Practitioner and holds a business degree in statistics from the University of Texas at Austin.

She has worked many years with state and federal governmental bodies and private entities on long term care and quality issues.   In addition she has served on numerous boards and committees, with the most recent being the Advisory Panel of the Center for Excellence in Long Term Care.

Texas Culture Change Coalition Board of Directors
Stephanie Hoffman Vice President, Education and Training shoffman@musicandmemory.org

Stephanie grew up in a small town where neighbors knew each other and looked out for one another. This worldview has guided her professional career in her home state of Texas. She is working as a Consultant for Music & Memory and acting VP of Education and Training for the Texas Culture Change Coalition. Stephanie is the former Director of AGE of Central Texas Adult Day Health Center, where she pioneered person-centered care and the former President of the Adult Day Health Care Association of Texas where she helped to pass legislation securing the dignity and autonomy for elders with SB1999. Stephanie is inspired by those who think differently and believes that strong creative collaboration is key to positive change in long-term care.

Texas Culture Change Coalition Board of Directors
Deborah Armstrong Vice President, Marketing and Development dlarmstro@gmail.com

Deborah has 25 years of leadership experience with a focus in Independent and Assisted Living, memory support, skilled rehabilitation services and Continuum of Care Retirement Communities.  Her experiences include 15 years of senior level leadership in not-for-profit organizations.

Deborah has served senior living communities in a variety of ways: start-ups; new construction; strategic and expansion planning; development of health and wellness programs; steering committees initiating culture change; transitioning teams from traditional staffing models to a universal worker model; coaching business owners through operational challenges, the development of a strategic plan, succession planning and financial health.

Deborah has an educational background in Social Work and Long Term Care Administration.  She has served on numerous boards and committees and currently serves as Vice President of Marketing and Development for TxCCC, Board Chair for National Assisted Living, and as the Director of Roaring Lambs San Antonio Chapter.  Deborah is also a Big Sister with Big Brothers Big Sisters

Texas Culture Change Coalition Board of Directors
Susan Purcell VP, Regulatory Matters Susan.Purcell@tmf.org

Susan Purcell, BS, RN, CPHQ is a registered nurse with over 35 years of experience in various clinical settings, leadership and quality improvement. She is employed with TMF Health Quality Institute for over 17 years, leading clinical quality improvement projects.  In addition to serving on the Texas Culture Change Coalition board, she also serves on the advisory council for the University of Texas School of Nursing Center for Excellence in Long Term Care, the Houston Health Department Antimicrobial Stewardship Executive Committee, and the leadership council for the Nebraska Culture Change Coalition.

Texas Culture Change Coalition Board of Directors
Kristin Benton Secretary Kristin.Benton@bon.texas.gov

Kristin K. Benton, DNP, RN, is the Director of Nursing for the Texas Board of Nursing. Prior to becoming Board Staff, she taught for the Austin Community College Vocational Nursing Education program from 2000-2012 and served on the Texas Board of Nursing from 2008-2012. She served on the National Council of State Boards of Nursing NCLEX Item Review Subcommittee and currently serves on the Awards Committee. Dr. Benton received a Bachelor of Science in Psychology from the University of Florida, a Bachelor of Science in Nursing from Louisiana State University Health Sciences Center School of Nursing, a Master of Science in Nursing from the University of Texas Health Science Center in San Antonio and Doctor of Nursing Practice degree from Texas Tech University Health Sciences Center School of Nursing.

Texas Culture Change Coalition Board of Directors
Amanda Wiedenfeld Board Member amanda@leadingagetexas.org

Amanda is the Director of Professional Development at LeadingAge Texas, a trade association representing the continuum of mission-driven, not-for-profit aging services providers. In this role, she is passionate about curating quality continuing education for administrators, nurses, and other long-term care professionals and helping members cultivate leaders from within their organizations. Amanda is exceptionally proud of the LeadingAge Texas program she worked with a team of members to build: Leadership Collective. The Collective is a community designed for mission-driven leaders to pursue growth, explore self-development, create connections, and feel empowered to lead as impactful change agents within the aging services field. It is a triumph in the vein of cultivating leaders and is an effort that goes hand-in-hand with the Texas Culture Change Coalition’s efforts of leading change within the long-term care field. Amanda is dedicated to continually working toward supporting growing leaders who support and “affirm the dignity and value of each individual and the caregivers who provide support for them. Amanda has called Austin home since 2006 and loves to enjoy all the city has to offer with her husband & high school sweetheart, Warren, and their son, Hayden.