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.
American Indian Tribes of the East The Woodland People The northeastern American Indian tribes were called the Woodland People. They had lots of trees on their land. So, they made dishes, pots, tools, and even canoes from wood. They built tall walls of sharp wooden posts around their villages, too.