Pioneers in Home Health Care
Since the 1970s, we’ve been at the forefront of home health care, transforming the industry with the groundbreaking concept of "Nursing Homes Without Walls." This innovative approach redefined care delivery and set the standard for in-home services.
Founded in 1996 by Rosina McFadden, BSN, MS, 21st Century Health Care Consultants has spent over 27 years helping entrepreneurs establish and grow successful home care agencies. From licensing and compliance to training and business strategy, we equip our clients with the expertise and resources they need to build a thriving care business with confidence.
Built on a Legacy, Thriving in the Future
Rosina McFadden’s contributions to home care are legendary. She played a pivotal role in developing New York’s Long-Term Home Health Care Program, negotiated the first fee-for-service nursing contract in the U.S., and shaped Hawaii’s home health care system. Her advocacy and leadership have left a lasting impact, earning her prestigious industry recognition.
Today, as Rosina enjoys her well-earned retirement, her vision continues to thrive under the leadership of CEO Thomas Rose. With a commitment to innovation and excellence, we continue to evolve, ensuring that our clients and their businesses flourish in an ever-changing industry.
Our Core Values
✅ Accountability & Ownership
We take responsibility for our work, embracing accountability to drive meaningful outcomes.
✅ Collaboration & Teamwork
Together, we achieve more. By sharing ideas and working as a team, we build stronger businesses and communities.
✅ Growth with Purpose & Vision
We believe in continuous personal, professional, and organizational growth—guided by intention and a clear vision for the future.
✅ Integrity, Always
We do the right thing, even when no one is watching. Honesty, transparency, and ethical decision-making define our approach.
Our Vision: Redefining Home Care Consulting
"To be the industry’s leading experts and the trusted partner of choice for healthcare entrepreneurs."
We don’t just help start home care businesses—we empower our clients to envision what’s possible and turn their dreams into reality. Our goal is to set new standards for the home care consulting industry, where every client feels valued, supported, and inspired to deliver compassionate care in their communities.
Our Mission: Your Success is Our Purpose
"To provide dynamic solutions that enable and empower our clients to achieve lasting business success."
We go beyond consulting—we provide tailored strategies, tools, and world-class support to help our clients navigate the complexities of home health care. With a deep understanding of the industry, we create personalized solutions that foster resilience, innovation, and long-term growth.
Our mission is to be your trusted partner, guiding you through every step of your journey—from startup to sustained success. With the right resources and unwavering support, we empower entrepreneurs to not just launch a business, but build a legacy of care.
Let’s Build the Future of Home Care Together.
Join us as we continue shaping the home health care industry—one visionary entrepreneur at a time.