MINUTES 
          
                 LONG-TERM CARE LEGISLATIVE OVERSIGHT COMMITTEE 
              SUBCOMMITTEE ON A SURVEY REGARDING NURSING FACILITIES 
                             Monday, March 30, 1998 
                                     1 p.m. 
                                      2E.20 
          
                                      ***** 
         Pursuant to a notice posted in accordance with Senate Rule  
         11.11, a public hearing of the Long-Term Care Legislative  
         Oversight Committee Subcommittee on a Survey Regarding Nursing  
         Facilities was held on Monday, March 30, 1998, in 2E.20 of the  
         Texas State Capitol at Austin, Texas.   
          
                                      ***** 
          
         MEMBERS PRESENT:                        MEMBERS ABSENT: 
         Representative Jim McReynolds, Chair 
         Dr. Ken Kramer, Public Member 
         Pat Karrh, Public Member 
          
                                      ***** 
         The chair called the meeting to order at 1:07 p.m.  There  
         being a quorum present, the following business was transacted.   
          
         The chair laid out the February 26, 1998, minutes and called  
         for revisions.  Ms. Karrh and Dr. Kramer proposed two  
         revisions.  The chair made a motion to approve the minutes  
         with revisions. There being no objection, the motion prevailed  
         by unanimous consent.  
          
         The chair announced that the purpose of the meeting was to  
         hear invited testimony from Texas Department of Human Services  
         nursing home surveyors and nursing home administrators about  
         improving the quality of life for nursing home residents in  
         Texas.    
          
         The chair called invited panelists to provide committee  
         members with information about improving the quality of life  
         in Texas nursing homes. 
          
         The following persons provided oral testimony: 
          
              Michael Williams, generalist, Texas Department of Human  
         Services, 2561 Matlock Road,  Arlington, Texas 76015. 
          
              Susan Bessonett, surveyor, Texas Department of Human  
         Services, 3303 West Mineola   Highway, Tyler, Texas 75707. 
          
              G. Neil Libby, R.Ph., PhD, pharmacist surveyor, Texas  
         Department of Human Services, 5907      Winterhaven, San  
         Antonio, Texas 78223. 
          
              Timothy Kruse, surveyor, Texas Department of Human  
  
         Services, 10205 N. Lamar, Austin,  Texas 78756. 
          
              Carol S. Hodge, training preceptor, Texas Department of  
         Human Services, 301 N. 3rd St.,    Temple, Texas 76501. 
          
              Linda Morrison, administrator, Sears Methodist Centers,  
         6050 Hospital Dr., Abilene, Texas       79606. 
          
              Alicia H. Nieto, administrator, Care Inn of Seguin, 1219  
         Eastwood Dr., Seguin, Texas   78155. 
          
              Roberta Reitz, owner, Home Health Assisted Living in  
         Retirement, 3529 Bradford Pl.,     Houston, Texas 77025. 
          
              Kenneth T. Durand, president, CC Young, 4829 W. Lawther  
         Dr., Dallas, Texas 75214. 
          
              Tricia Heath, administrator, Texas Health Care  
         Association, 424 South Adams, Ft. Worth,     Texas 75104. 
          
              Jack Ainsworth, vice president, Truman W. Smith  
         Children's Care Center, P.O. Box 1292,  Mt. Pleasant, Texas  
         75456. 
          
              Linda Baker, administrator, Truco Properties, P.O. Box  
         2324, Mt. Pleasant, Texas 75456. 
          
         The chair called the following person who registered as a  
         resource witness to provide oral testimony: 
          
              Marc Gold, manager of long-term care policy, Texas  
         Department of Human Services, 701  W. 51st St., Austin, Texas  
         78751. 
          
         The chair called the following persons who registered as  
         public witnesses to provide testimony about improving the  
         quality of life in Texas nursing homes: 
          
         The following person provided oral and written testimony: 
          
              Marie B. Wisdom, president, Advocates for Nursing Home  
         Reform, 16908 S. Ridge Lane,  Austin, Texas 78734. 
          
         The following persons provided oral testimony: 
          
              Beth Ferris, president, Texas Advocates for Nursing Home  
         Residents, 500 E. Anderson  
              #234 W., Austin, Texas 78752. 
          
              Bruce Bower, attorney, Texas Legal Services Center, 815  
         Brazos, Suite 1100, Austin, Texas       78701. 
          
              Connie Klostermann, owner administrator, Colonial Belle  
         Nursing Home, P.O. Box 202,   Bellville, Texas 77418. 
          
              Irene Mattox, administrative assistant, Colonial Belle  
         Nursing Home, P.O. Box 202,   Bellville, Texas 77418. 
          
         The following person provided written testimony: 
          
              Gay Nell Harper, vice president, Texas Advocates for  
         Nursing Home Residents--Coastal    Bend Unit, 4033  
         Congressional, Corpus Christi, Texas 78413. 
          
         There being no other witnesses registered or responding to the  
         chair's call for public testimony, the chair closed public  
         testimony.   
          
         The chair announced that the next two subcommittee meetings  
         would be held on two consecutive days to minimize travel  
         expenses. 
          
         With no other business to come before the subcommittee, the  
         chair recessed the subcommittee on a Survey Regarding Nursing  
         Facilities at 5:25 p.m., subject to the call of the chair. 
          
         Representative Jim McReynolds, Chair 
          
         Monica D. Cruz, Committee Clerk