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.
Pueblo indians used bow and arrows, tomohawk, spear, warclubs, knives, and blow gun darts to hunt for their food. One of the pueblo indians weapons war bolas used for hunting weapons made from wieghted ends pueblo men would go and hunt with bow and arrows some pueblo tools inclued hoes, rakes for farming also spindles and looms for weaving cotton