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 common name for the Western red cedar was giant arborvitae or âtree of lifeâ. The native Indians were the first to discover the virtues of this versatile species. The wood and bark were used for shelters, clothing, dugout canoes, fishing nets, totem poles and baskets.