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 Hymenaea genus comprises two dozen species of tall trees distributed. in tropical parts of South America, Mexico, and Cuba. Several species of Hymenaea, including jatoba, produce usable resins. At the base of the. jatoba tree an orange, sticky, resinous gum collects which is dug up and burned as incense, used. in the manufacture of varnishes, and employed medicin ally. Indians in the Amazon have long used.