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:
Our Objectives
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
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Board of Directors
Charles (Chuck) Borst
President
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Chuck Borst has more than 25 years of leadership and management experience in the senior living and healthcare industry. His strong background in organizational leadership, board leadership, strategic planning, human resource management, healthcare, and fiscal management support his primary duties of operational management for the community and Texas Culture Change Coalition.
He is a licensed administrator in Texas and Missouri as well as a skilled nursing facility administrator preceptor. Borst has spent the last 25+ years in senior living as an administrator at individual facilities and 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 in Missouri from 2000 to 2008.
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Chuck Borst has more than 25 years of leadership and management experience in the senior living and healthcare industry. His strong background in organizational leadership, board leadership, strategic planning, human resource management, healthcare, and fiscal management support his primary duties of operational management for the community and Texas Culture Change Coalition.
He is a licensed administrator in Texas and Missouri as well as a skilled nursing facility administrator preceptor. Borst has spent the last 25+ years in senior living as an administrator at individual facilities and 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 in Missouri from 2000 to 2008.
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Chuck’s career experiences include positions as Administrator, Group Purchasing Director, and Quality Improvement Director helping troubled facilities for a large long-term care company. With an exceptional background in healthcare, Chuck has been with Westminster and Life Care Services in various capacities since 2008, serving as Health Care Administrator, Community Administrator, Associate Executive Director, and has been Executive Director since 2013.
Chuck is a founding member of the Texas Culture Change Coalition and currently serves as President of the organization. He also serves on the LeadingAge Texas Education Board and is a Certified Alzheimer’s and Dementia instructor. Borst has received various leadership and excellence awards over the years, from LeadingAge Texas, TAHSA, ACHCA, the Alzheimer’s Association, TXCCC, and Alzheimer’s Texas.
Under Chuck’s Leadership, Westminster has continued to thrive and achieve accolades, including but not limited to a 5-star ranking for 14+ years from the Center for Medicare Services, Top Sales, 100% Sold, President’s Safety Award, Silver Safety Award, Top Work Place awards for 8+ from the Austin American Statesman, and 5-star Resident Satisfaction from Sensight Surveys.
Chuck is a founding member of the Texas Culture Change Coalition and currently serves as President of the organization. He also serves on the LeadingAge Texas Education Board and is a Certified Alzheimer’s and Dementia instructor. Borst has received various leadership and excellence awards over the years, from LeadingAge Texas, TAHSA, ACHCA, the Alzheimer’s Association, TXCCC, and Alzheimer’s Texas.
Under Chuck’s Leadership, Westminster has continued to thrive and achieve accolades, including but not limited to a 5-star ranking for 14+ years from the Center for Medicare Services, Top Sales, 100% Sold, President’s Safety Award, Silver Safety Award, Top Work Place awards for 8+ from the Austin American Statesman, and 5-star Resident Satisfaction from Sensight Surveys.
Bill Maldonado
VP, Operations
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Bill has over 15 years of service in state government having experience as an Adult Protective Service Investigator and program support specialist, as a trainer and curriculum developer, and as a special project coordinator. Bill currently serves as the Project Manager Lead for the Program Development and Innovation Unit within the Quality Monitoring Unit for Texas Health and Human Services.
In his spare time Bill enjoys all activities with his family and friends. His greatest joy is in supporting the curiosity and goals shared with him in conversation with his teen daughter and tween son.
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Bill has over 15 years of service in state government having experience as an Adult Protective Service Investigator and program support specialist, as a trainer and curriculum developer, and as a special project coordinator. Bill currently serves as the Project Manager Lead for the Program Development and Innovation Unit within the Quality Monitoring Unit for Texas Health and Human Services.
In his spare time Bill enjoys all activities with his family and friends. His greatest joy is in supporting the curiosity and goals shared with him in conversation with his teen daughter and tween son.
Susan Purcell
VP, Regulatory Matters
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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.
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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.
Camille Miller
VP, Advisory Councils
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Camille has over 30 years of policy research and development experience in Texas. She has worked for the University of Texas, the Texas Governor’s Office, the Texas Senate, the Texas Hospital Association and the Texas Health Institute. She formed a private woman owned consulting firm and provided consulting across the United States. She is currently a deacon at first Baptist Church Austin, CEO Emeritus of the Texas Health Institute, a life member of the University of Texas Alumni Association, a recipient of the Texas NASW lifetime achievement award and President of the Westminster Resident Association.
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Camille has over 30 years of policy research and development experience in Texas. She has worked for the University of Texas, the Texas Governor’s Office, the Texas Senate, the Texas Hospital Association and the Texas Health Institute. She formed a private woman owned consulting firm and provided consulting across the United States. She is currently a deacon at first Baptist Church Austin, CEO Emeritus of the Texas Health Institute, a life member of the University of Texas Alumni Association, a recipient of the Texas NASW lifetime achievement award and President of the Westminster Resident Association.
Krista Olson
VP, Programs and Education
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Krista Olson, MS, CCC-SLP, RAC-CT, is a Texas native with over 20 years of experience in healthcare operations, clinical services, and regulatory compliance across the care continuum. She earned her undergraduate degree from Baylor University and her Master of Science in Communication Disorders from the University of Texas at Dallas. A licensed speech-language pathologist and RAC-CT certified professional, Krista has worked extensively with individuals experiencing neurogenic communication disorders, including dementia. As Regional Vice President of Business Development at Crestmark Pharmacy, she leads strategic partnerships that support quality care, operational efficiency, and regulatory alignment. Krista also serves on the Women’s Leadership Network for LeadingAge Southeast and is committed to advancing person-centered care in support of the Texas Culture Change Coalition’s mission.
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Krista Olson, MS, CCC-SLP, RAC-CT, is a Texas native with over 20 years of experience in healthcare operations, clinical services, and regulatory compliance across the care continuum. She earned her undergraduate degree from Baylor University and her Master of Science in Communication Disorders from the University of Texas at Dallas. A licensed speech-language pathologist and RAC-CT certified professional, Krista has worked extensively with individuals experiencing neurogenic communication disorders, including dementia. As Regional Vice President of Business Development at Crestmark Pharmacy, she leads strategic partnerships that support quality care, operational efficiency, and regulatory alignment. Krista also serves on the Women’s Leadership Network for LeadingAge Southeast and is committed to advancing person-centered care in support of the Texas Culture Change Coalition’s mission.
Jordan Bleecker
VP, Marketing and Communication
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With over 15 years of experience in healthcare, marketing, and sales, Jordan Bleecker brings a wealth of expertise and passion to the Texas Culture Change board. Throughout her career, Jordan has consistently led teams to surpass sales goals and metrics, demonstrating a proven track record of success. Her dedication to excellence is further exemplified through years of staff training in person-centered care and fostering environments that prioritize growth and development.
Beyond professional achievements, Jordan is deeply committed to the mission of the Texas Culture Change Coalition. Having witnessed firsthand the challenges faced by residents and staff in long-term care, she is driven by a personal passion to create environments where dignity, respect, and joy are at the forefront. This personal connection fuels her unwavering dedication to effecting meaningful change in the lives of Texas seniors and their families.
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With over 15 years of experience in healthcare, marketing, and sales, Jordan Bleecker brings a wealth of expertise and passion to the Texas Culture Change board. Throughout her career, Jordan has consistently led teams to surpass sales goals and metrics, demonstrating a proven track record of success. Her dedication to excellence is further exemplified through years of staff training in person-centered care and fostering environments that prioritize growth and development.
Beyond professional achievements, Jordan is deeply committed to the mission of the Texas Culture Change Coalition. Having witnessed firsthand the challenges faced by residents and staff in long-term care, she is driven by a personal passion to create environments where dignity, respect, and joy are at the forefront. This personal connection fuels her unwavering dedication to effecting meaningful change in the lives of Texas seniors and their families.
Deborah Armstrong
VP, Development and Fundraising
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Deborah Armstrong is an industry-recognized servant leader with more than 25 years of experience in healthcare leadership. She is deeply committed to transforming the culture of long-term care in ways that affirm the dignity and value of every individual.
Her hands-on experience spans a wide range of senior living environments, including hospitality-based models, co-ops, independent and assisted living, memory support, skilled rehabilitation services, and continuing care retirement communities. Deborah brings over two decades of senior-level leadership in both for-profit and nonprofit organizations.
Deborah has led initiatives in strategic and expansion planning, start-ups, new construction, health and wellness program development, and culture change. She has successfully guided teams through transitions from traditional care models to universal worker models and has provided expert coaching on operational challenges, succession planning, and financial sustainability.
With a professional foundation in social work and long-term care administration, Deborah is known for her ability to build trust, foster collaboration, and align stakeholders around a shared mission. She has served in numerous leadership roles and on various boards and advisory groups. Most recently, she completed the prestigious Masters Leadership Program of San Antonio.
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Deborah Armstrong is an industry-recognized servant leader with more than 25 years of experience in healthcare leadership. She is deeply committed to transforming the culture of long-term care in ways that affirm the dignity and value of every individual.
Her hands-on experience spans a wide range of senior living environments, including hospitality-based models, co-ops, independent and assisted living, memory support, skilled rehabilitation services, and continuing care retirement communities. Deborah brings over two decades of senior-level leadership in both for-profit and nonprofit organizations.
Deborah has led initiatives in strategic and expansion planning, start-ups, new construction, health and wellness program development, and culture change. She has successfully guided teams through transitions from traditional care models to universal worker models and has provided expert coaching on operational challenges, succession planning, and financial sustainability.
With a professional foundation in social work and long-term care administration, Deborah is known for her ability to build trust, foster collaboration, and align stakeholders around a shared mission. She has served in numerous leadership roles and on various boards and advisory groups. Most recently, she completed the prestigious Masters Leadership Program of San Antonio.
Dorothy Crawford
Treasurer
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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.
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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.
Kristin Benton
Secretary
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Kristin K. Benton, DNP, RN, is the Executive Director 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.
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Kristin K. Benton, DNP, RN, is the Executive Director 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.
Samantha Chase
Board Member
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Samantha Chase BSN, RN is the Lead Joint Training Specialist in Educational Services within Policy/Rules, Curriculum, and Training division for Texas Health and Human Services. She has clinical experience working in long term and short-term acute care facilities. Samantha is a certified Virtual Dementia Tour facilitator. She has been speaking and training leaders in various areas of her personal life for over 20 years. Samantha has a desire to help others reach their highest potential and operate in excellence in every area of their lives. Some of her passions include spending quality time with her husband and children, being outdoors, and traveling. She also enjoys helping in her local community.
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Samantha Chase BSN, RN is the Lead Joint Training Specialist in Educational Services within Policy/Rules, Curriculum, and Training division for Texas Health and Human Services. She has clinical experience working in long term and short-term acute care facilities. Samantha is a certified Virtual Dementia Tour facilitator. She has been speaking and training leaders in various areas of her personal life for over 20 years. Samantha has a desire to help others reach their highest potential and operate in excellence in every area of their lives. Some of her passions include spending quality time with her husband and children, being outdoors, and traveling. She also enjoys helping in her local community.
Michael Cummings
Board Member
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Michael has been a healthcare administrator for the past 12 years working for three prestigious not for profit senior living communities in the Houston Area. Michael joined The Crossings team in the latter part of 2019 as the Healthcare Administrator. The Crossings is a five star senior living community in the Houston, Galveston market focused on quality of life and care for seniors in all aspects of senior living. The Crossings is an Eden Alternative growth member. Michael has been asked to be on the Board of Directors of the Eden Alternative International has been an active member of Leading Age Texas, Education Board and on the Board of the League City Regional Chamber of Commerce. Michael has a servant heart and is interested in finding new ways to enhance the lives of elders, their families and the associates that work closest with those elders.
Michael has a degree from the University of Georgia in Business – Economics. He also holds degrees in Risk Management, Stephen Ministry, and is a Licensed Nursing Facility Administrator (LNFA). Michael was guided to senior care after a career analyzing corporate risk for fortune 500 companies, senior living communities, financial institutions, contractors and commercial manufacturers as a commercial insurance underwriter. Michael is married, has two married adult sons and is blessed to have a granddaughter since June of 2025.
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Michael has been a healthcare administrator for the past 12 years working for three prestigious not for profit senior living communities in the Houston Area. Michael joined The Crossings team in the latter part of 2019 as the Healthcare Administrator. The Crossings is a five star senior living community in the Houston, Galveston market focused on quality of life and care for seniors in all aspects of senior living. The Crossings is an Eden Alternative growth member. Michael has been asked to be on the Board of Directors of the Eden Alternative International has been an active member of Leading Age Texas, Education Board and on the Board of the League City Regional Chamber of Commerce. Michael has a servant heart and is interested in finding new ways to enhance the lives of elders, their families and the associates that work closest with those elders.
Michael has a degree from the University of Georgia in Business – Economics. He also holds degrees in Risk Management, Stephen Ministry, and is a Licensed Nursing Facility Administrator (LNFA). Michael was guided to senior care after a career analyzing corporate risk for fortune 500 companies, senior living communities, financial institutions, contractors and commercial manufacturers as a commercial insurance underwriter. Michael is married, has two married adult sons and is blessed to have a granddaughter since June of 2025.
