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.
After attaining statehood, a state fish (Chinook salmon) and a state tree (Sitka spruce) were the first new symbols to be brought on board by the Alaska State Legislature. Both were adopted in 1962 and both were important to the Alaska economy.House Bill No. 325 proposed the Sitka spruce, the most valuable tree species in Alaska, as the official state tree.The legislation was approved and the Sitka spruce (Picea sitchensis) became the official tree of the state on February 28, 1962.The Sitka spruce is also called the tideland spruce, coast spruce, and yellow spruce.he legislation was approved and the Sitka spruce (Picea sitchensis) became the official tree of the state on February 28, 1962. The Sitka spruce is also called the tideland spruce, coast spruce, and yellow spruce.