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 large Burr oak tree they chose as their Council Oak still stands tall in an urban neighborhood SE of downtown Tulsa. It is located at 18th Street and Cheyenne Avenue. For the Muscogee Creek people, this tree was the end of the Trail of Tears. From the Exploring Oklahoma website: (visit link)