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.
Native American Symbolism: Moss was viewed as a very practical plant in most Native American tribes. Since moss is one of the most naturally absorbent materials available, it was valued by Native Americans for use in bandages, baby diapers and bedding, sponges, and paint applicators.ative American Symbolism: The pine tree symbolizes creativity, peace and harmony. Pines are symbolically and ceremonially important trees to many Native American people, but their meaning varies from tribe to tribe.