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.
Besides using Indian hemp, local Native Americans made cordage from a variety of other materials. The vegetable fibers they used included stinging nettle, cattail, and milkweed. The inner bark (bast) of mulberry, poplar, hickory, and red cedar trees was used, along with human hair, animal hair, and animal sinew. Also, the thin, flexible branches of willow trees, the surface roots of pines and vines like the trumpet vine were used to bind and tie things together.