About Us

Choose Your Home Health Care Consultant Wisely

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

During its existence, 21st Century Health Care Consultants has successfully helped establish and helped obtain licensure and home care accreditation for more than 1000 Home Health Care businesses. 21st Century Health Care Consultants have 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 in our ability to complete state Home Health 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 Health Care business fail to obtain its state license or home health care accreditation.

Today 21st Century has 20 full time employees located at its Florida headquarters and has satellite offices in Sugar Land, Texas (a suburb of Houston), Dallas, Los Angeles and Chicago. During its existence, 21st Century has obtained licensure and accreditation for over 1000 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 at being the best in this one area of “Medicare, Medicaid and Private Duty Accreditation Preparation and Certification”.

Just ask any one of our clients and they will tell you that everything we do is customized for each individual agency in compliance with Federal, State and Medicare requirements.

Why have we been so successful 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 RN, BSN, CHPN

Rosina McFadden, MS, BSN, is known as pioneer in home care and a former CHAP Accreditation Senior Site Surveyor. Rosina received her BSN from Hunter College and received an MS in Community Health Administration from Long Island University. Rosina has had many great accomplishments, some of which are she pioneered New York’s Long Term Home Health Care Program which has become the model for new programs and remains the largest and most successful in the state. She organized the largest and most successful Lifeline Program in the country. She negotiated first fee-for-service nursing contract in USA which has provided increased availability of nurses. She founded nationally recognized Home Care Department whose budget grew to $20 million and 260,000 visits under my leadership. Rosina provided leadership and expertise in development of the Long Term Home Health Care Program for the state of Hawaii. She was the First Vice President for 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 potential analysis of data. She was the Chairperson, Public Policy Committee and Legislative Analysis and Action Committee for the Home Care Association. She was First Vice President, Board of Directors, Brooklyn Lung Association. She was a member of the New York State Senate Health Committee Paraprofessional Task force and the Professional Affairs Policy Committee, Greater New York Hospital Association. 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.  Rosina McFadden is presently the CEO of 21st Century Health Care Consultants Group and the company’s chief clinician.

Rhonda Surgnier, RN, BSN

Rhonda Surgnier is a certified CHAP consultant and Registered Nurse of 38 years of extensive experience in Home Health Care including Medicare services, Private Duty services, Personal care services, Pediatrics and Infusion therapy. Throughout her career she has had many great accomplishments. Some of which are when she was a pediatric nurse Manager she developed of the first “sick” daycare unit in the state of Florida, a newborn care program and a maternal tocolytic therapy and fetal monitoring program for pre-term labor patients. She in IV Therapy Services with and has held positions that include Director of Nursing, General Manager of an Infusion pharmacy and Clinical Director for seven pharmacies. Rhonda was an Administrator/Director of Nursing for a Medicare/Private Duty home care agency and has developed CEU programs, maintenance of Performance Improvement programs, staff teaching, PICC insertions and policies and procedures. Her accreditation experiences includes CHAP and ACHC.  Rhonda also holds a certification in Case Management thru ANCC.   Rhonda is an operations director at 21st Century Corporate office.

John Vincent Dapello

John is former executive at Reynolds and Reynolds (a fortune five hundred company) and the President of Total Care Permanent Staffing Services (the industry’s largest international recruitment agency for nurses and permanent nurse place). With office locations in the Philippines, Dubai, Nigeria, and North America.  John has been around home health care all his life and became a Managing Member of 21st Century Health Care Consultants and acts as 21st Century’s President & Owner.

Carol Byrne

For the last 5 years, Carol Byrne has worked with 21st Century Health Care Consultants as the Customer Commitment Director.  She is generally the first contact clients make when they call the company and she guides them through the options available to them in their states.  She like to think of herself as an Ombudsman, always there for her clients to answer questions and provide guidance when needed. Along with her team, she has brought about a sustained growth in the company. Carol Byrne was born in Brooklyn, New York and is graduate of Hunter College with a degree in Psychology and Education.  She has been married to Tom for more than 50 years and is the Mother of 5 children and Grandmother of 9.  She has lived in many areas of the country from the East Coast to West Coast, Midwest and now the South.  Her years of teaching and service to her community has brought about her love of people and her desire to help those realize their dreams and achieve their goals. Carol presently acts as 21st Century’s  servant leader in the Quality Commitment Department.   She, along with three other Quality Commitment Managers, Don Budd, and James Dapello are responsible for 21st Century’s Quality Commitment “Voice of the Customer Program”.

Donald “Don” Budd
As a member of the “Quality Commitment Department”, Don is the first point-of-contact for individuals wishing to begin the start-up process of owning a health care agency. He will assist you in identifying the “type of agency” that will best meet your needs as a business owner. He will educate you on the State regulations and requirements, to insure a successful launch of your agency.
As an individual, he has always had a passion for working with people from all walks of life around the world. Don has lived in India, the Philippines and various locations throughout the United States. And he is dedicated to helping clients fulfill their dreams while improving the health and well-being of the clients they serve in their communities.

Brittany Bruce

Brittany was born and raised in Bradenton, Florida. As the daughter of a Chiropractor, she grew up assisting in the daily operations of the doctor’s office. Brittany holds an Associate in Arts degree from the State College of Florida. Brittany has extensive experience in documentation for regulated and accredited health care companies. She is an expert in the area of state and federal requirements for Home Health, Personal Care, and Companion Care Licensure, CHOW Applications and CMS Medicare applications. She presently acts as 21st Century’s servant leader in the licensing department. Her, along with three other account Managers, Nicole Musgrave, Margaret Chamberlain and Michael Wolff are responsible for the fifty states where 21st Century Health Care Consultants have clients.

Nicole Musgrave

Nicole is a member of 21st Century Health Care Consultants “Quality Commitment Department” and is one of four Customer Account Managers / Servant Leaders. Her Account Manager/ Servant Leader responsibilities include the preparation of state license packages for Home Health, and Personal Assistant Services licenses, Medicare Applications, and Changes of Ownership for both Medicare and State Licenses. She has more than 13 years of customer service experience with seven plus years being in the medical field. Her medical experience includes managing a private practice ENT office, transcription, coding, and billing. Nicole is a certified coder and biller with ENT Specialty experience. She is currently working on adding Home Health certification to my coding credentials.

Mike Wolff

Mike is a member of 21st Century Health Care Consultants “Quality Commitment Department” and is one of four Customer Account Managers / Servant Leaders.
Mike came to 21st Century in 2013, bringing a wealth of knowledge to the Licensing Department. As a Customer Account Manager / Servant Leader, Mike looks forward to coming to work every day to help entrepreneurs across all 50 states realize their dreams by guiding them through the state and federal licensure process. Mike is a former radio broadcaster who left the radio business in 2006 to assume a position with a large nationwide DME company. He rose to a supervisory position, in the process become well versed in different Medicare and state regulations.

Frances Alletto

In 2008 Frances joined the 21st Century Health Care Consultants team and currently as the head of the publishing department, oversees the processing and production of the Policies and Procedures for our Agencies. Our publishing department works diligently to assure that the policies and procedures are formatted and customized to meet the specifics related to your Agency. Close communication with our clinical department assures that your policies have the latest updated State and Accrediting Body regulations. The Agency’s demographics, personnel, logos etc. are all incorporated in the policies. In addition, our Publishing Department customizes your Patient Information Booklet, Admission Forms and Advance Directives. She earned a Bachelor of Arts degree in Interdisciplinary Sciences and graduated Magna Cum Laude in 1981 from Stoney Brook University in New York .Her studies afforded her the opportunity to work for Catholic Charities as a Geriatric Case Manager for 17 years. She managed a caseload of seventy two clients which entailed making home visits, doing initial assessments and putting various entitlements in place.

Christine Dapello

Christine is a member of 21st Century Health Care Consultants “Quality Commitment Department” Her expertise is in the area, IT work, Website design, Search Engine Optimization/Business Development. She started working at 21st Century Health Care Consultants in July 2008. She has over twenty years combined experience in Computers and Web Design, Christine’s first computer was a “Commodore 64” at age 5. When Christine was just 10 years old, she built her very own computer and installed the 3.1 version of Microsoft Windows on 3.5” floppy disks. Christine also works as an Administrative Assistant, assisting with Policies and Procedures for our agencies and designs websites for our Personal Care and Companion Care clients.