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 trees are also known as bodark or bodarc trees, most likely originating from a corruption of bois d'arc. The Comanches also used this wood for their bows. It was popular with them because it was strong, flexible and durable, and was common along river bottoms of the ComancherÃ­a.