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.
Making the marker. 1  3 To make the body of the marker, plastic resin is injection-molded into a marker body. 2  4 The nib, or tip, of the marker is made from powder which is mixed with water, molded, and baked into its pointed or flat form.