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.
Paper BirchWhite BirchCanoe Birch. Betula papyrifera. The paper birch is considered by many to be one of the most attractive native forest trees in North America and can be an eye-catching ornamental tree when planted in a suitable location.Easily recognized for its peeling white bark, paper birch bark was used as a paper substitute in the past.aper birch trees are often associated with the north woods and unspoiled wilderness. Paper birch bark, which can be peeled in large wide strips, was valued by native Indians for its use in the construction of canoes.