At least 7 of the 10 required patients should be receiving care from the home health agency at the time of the initial Medicare survey. 1  If no deficiencies are issued at the time of the initial certification survey, MDH will recommend Medicare certification to Region V Office of CMS effective the date of the survey.
Today, some call these old road signs Indian marker trees. They are known by others as trail trees, thong trees, or culturally modified trees. Years ago, Linda Pelon, one of the first anthropologists researching the subject, taught me the term of Indian marker tree.
Indians did not discover the bow and arrow technology until after the Hopewell Indians. Projectile points are made of chipped stone, bone, antler tips, or flint. Flint was used most often. When flint is chipped, it yields a very sharp edge. This provided the Indians with many tools and weapons.