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.
Sequoia [se-quoia] as a girls' name (also used as boys' name Sequoia) is pronounced seh-KWOY-ah. It is of Cherokee origin, and the meaning of Sequoia is sparrow. Tree name: the giant redwood tree named for a Cherokee Indian of the early 19th century who invented a system for writing down the Cherokee language. ASSOCIATED WITH tree, 19th century.