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.
A third type of culturally scarred tree common to the Ute people is the Burial Tree. The entire population of Burial Trees that has been identified at this time is cedar (or juniper) trees. In his book, Sacred Plant Medicine, Stephen Buhner writes about the spiritual attributes of cedar.