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 PatauÃ¡ tree is a slow-growing type of palm tree that is found throughout the Amazon. Natives use the tree for many things, including using the palms for roofing, the roots for medicinal purposes, the fruit and oil (which is very high in protein) as a source of nutrition and the fibers in the palms for weaving.