Thursday, April 30, 1998 
                                     9 a.m. 
         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 Thursday, April 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 9:05 a.m.  There  
         being a quorum present, the following business was transacted. 
         The chair stated that due to time constraints, the minutes  
         from the previous subcommittee meeting had not been completed  
         and would be mailed to each subcommittee member for approval.   
         The chair announced that the purpose of the meeting was to  
         hear invited testimony from nursing home residents, family  
         members of residents, advocates, operators, owners and  
         owner-operators about improving the quality of life for  
         nursing home residents. 
         The following persons provided oral and written testimony: 
              Cheryl L. Killian, owner-operator, Legacy Care Centers,  
         Inc., 3801 Woodside Dr., Arlington,     Texas 76016. 
              Peter A. Longo, owner and chief executive, Cantex Health  
         Care Centers, 2801 Woodside St.,   Dallas, Texas 75204. 
         The following persons provided oral testimony: 
              Darlene T. Evans, administrator and owner, Texas Health  
         Care Association, 28035 Elm   Grove, San Antonio, Texas 78261. 
              Connie Klostermann, owner, C.S.C. Nursing Homes, Inc.,  
         P.O. Box 202, Bellville, Texas     77418. 
              Wilhelmina Gladden, chair, American Association of  
         Retired Persons State Legislative  Committee, 1933 Loma Linda  
         Ct., Ft. Worth, Texas 76112. 
              Randy Elms, chair, Texas Senior Advocacy Coalition, 2905  
         Swiss Ave., Dallas, Texas     75204. 
              Beth Ferris, president, Texas Advocates for Nursing Home  
         Residents, 500 W. Anderson Lane    #234 W., Austin, Texas  
              Glenda Smelser, vice president, Texas Advocates for  
         Nursing Home Residents, 2234 Bishop     Dr., Grand Prairie,  
         Texas 75050. 
              Chris Spence, president, Wesleyan Homes, Inc., 2001  
         Scenic, Georgetown, Texas 78626. 
              Kim Nemec, program director, Alzheimer's Association,  
         P.O. Box 4829, Austin, Texas  78765. 
              Mike Burris, chief operating officer, Arboretum Group,  
         P.O. Box 7230, Victoria, Texas     77903. 
              John W. Holtermann, member, Texas Silver-Haired  
         Legislature, 459 Lindsey, San Marcos,   Texas 78666. 
         The chair called the following persons who registered as  
         resource witnesses to provide oral testimony: 
              Anthony Chapple, intergovernmental relations liaison,  
         Texas Department of Human Services,     701 West 51st Street,  
         Austin, Texas 78756. 
              John F. Willis, state ombudsman, Texas Department on  
         Aging, P.O. Box 12786, Austin,     Texas 78711. 
         Dr. Kramer announced that the following person who registered  
         as a public witness provided written testimony: 
              Bruce P. Bower, attorney, Texas Legal Services Center,  
         815 Brazos, Suite 1100, Austin,    Texas 78701. 
         There being no other witnesses registered or responding to the  
         chair's call for public testimony, the chair closed public  
         With no other business to come before the subcommittee, the  
         chair recessed the subcommittee on a Survey Regarding Nursing  
         Facilities at 1:05 p.m., subject to the call of the chair. 
         Representative Jim McReynolds, Chair 
         Monica D. Cruz, Committee Clerk