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.
They may also have used broken pieces of pottery as hand shovels. Like other North American Indians, the Hohokam probably planted their crops in a series of small earth mounds. Corn, beans, squash, and cotton could all be planted in the same mound, so that each plant provided the others with nutrients and weed protection.