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.
Sanford turned its focus to the emerging marker business and introduced the Sharpie marker. The Sharpie Fine Point black marker became the first pen-style permanent marker. It wrote on almost any surface from glass, wood and stone, to plastic, metal and, of course, paper. NBC talk show hosts Johnny Carson and Jack Parr were some of the first celebrity endorsers.