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.
When Aboriginal people scarred trees they removed large pieces of its bark and used it for traditional purposes. The wounds scarred trees still display tell of the many uses Aboriginal people found for them: 1  resource harvesting, for example for canoes or containers,  food implements,