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.
The now infamous Tater Tree pictured below is an all time firing range favorite with our Christian Small Group, Right On Target. It consists of a five foot 2x6 for the tree with some finishing nails driven into it on the front and both sides. A 2x4 is cut into 6 pieces to make the base.