If you are here, you probably paid this company to help you open a home care, home health, or hospice agency, and now nobody answers. This page collects what is publicly verifiable, in one place and with sources, so you can stop searching and start deciding. We are not affiliated with 21st Century Health Care Consultants. We build the software home care agencies run on, and we started getting calls from their former clients.
Who 21st Century Health Care Consultants were
21st Century Health Care Consultants sold startup packages to people opening home care businesses: entity formation, state license applications, policy and procedure manuals, accreditation preparation, Medicare and Medicaid enrollment, and multi-day training "bootcamps" in Florida. The company traced its founding to 1995 or 1996 by Rosina McFadden, BSN, and by 2023 named Thomas Rose as CEO and President. It operated from Bradenton and Sarasota, Florida, under several domains, including homehealthcareconsultants.com, 21stcenturyconsultants.com, 1staccreditation.com, 1stproviders.com, and homecarebusiness.net.
Packages were sold upfront. Complaints on file describe payments of roughly $8,000 to $21,000 per client, paid in full before work started. That model matters for what came next.
The timeline, from public sources
| Date | What is on record | Source |
|---|---|---|
| August 2023 | Thomas Rose announced as CEO and President. | Newswire press release |
| January 7, 2026 | Company announces a "strategic alliance" with Homecare Homebase, an EHR vendor. This is its last public announcement. | PR Newswire |
| January 2026 | Clients still signing statements of work and paying in full, per later BBB complaints. | BBB complaints |
| June 2026 | Clients report the company "ceased operations without any notice to clients" and that phone numbers were disconnected. A ComplaintsBoard post dated June 27 is titled "Contact me if this company has ghosted you." | BBB, ComplaintsBoard |
| July 6 to August 14, 2026 | Ten BBB complaints describe unfinished licensing, hospice, and Medicaid enrollment work, with amounts from $8,000 to $20,790. One quotes a company vice president: "We are not issuing refunds." | BBB complaints |
| September 10, 2026 | Main websites no longer load. BBB shows an F rating, 27 complaints in total, 18 unanswered, and not BBB accredited. | Our own checks; BBB profile |
Read the complaints yourself on the BBB complaints page. We quote only what is there.
What we could not find
- No public closure notice. No press release, no message on the websites, no social post announcing a wind-down.
- No bankruptcy filing located in federal court records as of September 10, 2026. If one is filed, clients become creditors and the process runs through a trustee.
- No acquirer. Nobody has publicly said they took over the client list or the contracts. Treat any company claiming to have "inherited" your file with care, and ask for that in writing.
- No news coverage. Neither the Sarasota press nor the home care trade press had reported it when we looked.
What this means if you paid them
Three things are true at once, and it helps to separate them.
- Your money is a recovery question. Chargebacks, bank disputes, and consumer complaints have deadlines, some of them short. We wrote up the options on how to get a refund from 21st Century Health Care Consultants.
- Your application is a status question. A license application "in progress" may never have been filed, may have been filed under the wrong name, or may be sitting in a state queue waiting for a response nobody will send. Call your state licensing office and ask what they have under your entity name.
- Your agency is a finishing question. Whatever was delivered, you can still open. The work left is knowable, and most of it is document work: policies, forms, the application, staff onboarding, survey readiness. That is what our free gap review is for.
What to do this week
- Collect the paper. Contract, statement of work, invoices, proof of payment, every email, and everything they delivered. Screenshot the dead websites and the BBB page with today's date.
- Call your state. Ask the licensing agency whether an application exists under your entity name, its status, and what it is waiting on. Write down who you spoke to.
- Start the money clock. If you paid by card, call the issuer now. Deadlines for "services not received" disputes run from when the service was due, not from today, and they are already running.
- File the complaints that build a record. BBB, the Florida consumer complaint system, and your own state attorney general. None of them will write you a check, but together they document the pattern that a card issuer or a court will ask about.
- Get a written gap list before you pay anyone else. Know exactly what is done, missing, or wrong before you hire again. Ours is free and yours to keep whoever you use.
Do not pay upfront again
The lesson of 2026 is not "avoid consultants." It is "do not fund a consultant's next six months." Whoever you hire next, ask three questions: Do I pay per delivered milestone? What exactly is delivered at each one? What happens to my file if you stop? If the answer to the first is "50% deposit," you have learned nothing from this. Here is how the alternatives compare.