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 main crop that the Native Americans grew was corn, which they called maize. Maize was eaten by many of the American Indian tribes because it could be stored for the winter and ground into flour. Maize was eaten nearly daily by many tribes and was a major part of much of American Indian culture.