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.
A marker is an ink-filled pen with a wide tip. Kids often use washable markers, while adults are usually trusted with the permanent type. Permanent markers contain ink that can't be washed away, and they're useful for labeling and marking things like cardboard boxes and file folders. Another kind of marker is a highlighter, which you can use to make important words or phrases in a book stand out with a line of translucent neon ink. A different meaning of marker is something that marks a route or specific place. Markers along a hiking trail help keep you from getting lost.