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
2010 ESTABLISHED
200 K TEXANS SERVED
1233 CONFERENCE ATTENDEES
2471 CUPS OF COFFEE CONSUMED

Board of Directors

Texas Culture Change Coalition Board of Directors
Dorothy Crawford President 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 now the Regional Director of 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
Rose Saenz Vice President, Advisory Councils rose@revealsol.com

Rose M. Saenz’s 20+ year career is centered over serving our seniors in various senior living roles from nursing care to operations to new developments. She has successfully opened, licensed and operated assisted living and memory care communities with organizations such as American Retirement Corporation, Brookdale Senior Living, and Silverado.

Rose is President and Operations Specialist for RevealSol, LLC providing consulting services and as the Vice President of Workforce Development for Texas Assisted Living Association (TALA)

Rose is passionate about educating and supporting community leaders in how care is approached, ensuring independence, autonomy and dignity of senior adults is of highest regard through day to day operational practices, programming and community design.

Texas Culture Change Coalition Board of Directors
Charles Borst 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
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