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About 21st Home Care Consultants

Choose a home care consultant that does it all. From guaranteeing your Home Care Agency startup, will successfully obtain a state home care license. To offer lifetime Home Care Agency consultation and home care training to your home care business. 21st Century Health Care Consultants is the only choice when choosing a Home Care consultant.

21st century health care consultants team

During its existence, 21st Century Health Care Consultants has successfully helped establish and helped obtain licensure and home care accreditation for more than 6,000 Home Health Care businesses. 21st Century Health Care Consultants has assisted clients in the establishment of such home care businesses in all states that do not require a certificate of need (meaning the state is not accepting new license applications).

We pride ourselves on our ability to complete state Home Care license applications quickly, without error as well as successfully preparing our clients for their home care license inspections. In our long history, we have never had a Home Care business fail to obtain its state license or home health care accreditation.

Today, 21st Century has more than 50+ full-time employees located at its Bradenton, Florida national headquarters. During its existence, 21st Century has obtained licensure and accreditation for over 6,000 health care organizations. We have assisted clients in the establishment of such Home Care Businesses in 43 of the 50 states.

Unlike most companies who offer diluted consulting in many different areas, we offer and pride ourselves on being the best in this one area of “Medicare, Medicaid, and Private Duty Accreditation Preparation and Certification”.

Why have we been so successful in helping all of our agencies obtain accreditation and certification?

The fact is that we are only focused on the Medicare/Medicaid accreditation and certification process. This allows us to provide the very best in education, training, and preparation for certification for home health care agencies.

Rosina McFadden, BSN, MS is the owner and founder of 21st Century Health Care Consultants. She has been hailed as the pioneer of the home care consulting industry.

A former CHAP accredited senior site surveyor; she received her BSN from Hunter College and an MS in community health administration from Long Island University. 

She was the first vice president of the home care association of New York State and developed procedures for recording and maintenance of records to provide improved accessibility, clarity, time efficiency, and possible analysis of data. She has held many distinguished roles in healthcare including Chairperson of the Public Policy Committee, member of the Legislative Analysis and Action Committee for the Home Care Association, first vice president of the Board of Directors of the Brooklyn Lung Association, member of the New York State Senate Health Committee, member of the Paraprofessional Taskforce and member of the Professional Affairs Policy Committee of the Greater New York Hospital Association. Rosina was the recipient of the Ruth F. Wilson Award from the Home Care Association of New York State for outstanding contributions of statewide significance to the home care field and recipient of the New York State Legislature’s Nurse of Distinction Nurse of the Year Award.

A male caregiver pushing a senior on wheelchair both having fun
Some of Rosina’s professional accomplishments include:
  • Pioneering New York’s Long-Term Home Health Care Program which became the model for new programs and remains the largest and most successful in the state.
  • Organizing the largest and most successful lifeline program in the country.
  • Negotiating the first fee-for-service nursing contract in the US has increased the overall availability of nurses nationwide.
  • Founding a nationally recognized home care department whose budget grew to $20 million and 260,000 home visits under her leadership.
  • Providing leadership and expertise in the development of the Long-Term Home Health Care Program for the state of Hawaii.

John Dapello is a managing member of 21st Century Health Care Consultants and acts as its servant leader and president.