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India's most beautiful state Gujarat is blessed with nature's reward. A person or an explorer can discover any type of places here like: historical places Austin Bryant Limited Jersey , amusement parks, shrine, gardens Will Harris Limited Jersey , museums and lakes etc. The perfect gift of scenery to Gujarat is its lakes. Lakes are the very peaceful area where you enjoy some water activities and watching a different kind of birds.

In this article, we discuss some beautiful lakes in Gujarat which you must visit when you in Gujarat with Gujarat tour packages.

1. Kankaria Lake: Previously the Kankaria Lake was used as the bathing place of the Emperors. Yes, it is a 15th century Lake which was known as Hauz e Qutb. Recently this lake is one of the best tourist destinations in Ahmedabad. Actually Jahlani Tavai Limited Jersey , it is enclosed by attractions like Kankaria Zoo, Nagina Island, Kids City T.J. Hockenson Limited Jersey , and Dutch Tombs and so on.

2. Nal Sarovar: Nal Sarovar Lake is positioned almost 78 km away from Ahmedabad. Actually, it is a bird sanctuary which is a house to the occupant as well as wandering birds. It was confirmed as a sanctuary in 1969 and till at present, it is one of the huge marshland bird sanctuaries in Gujarat.

3. Sursagar Lake: Sursagar Lake is one of the attractive magnetism in Vadodara. The quiet seashore of the lake and the giant Shiva statue in the center are going to entice many visitors. It is also known as Chand Talao in Vadodara.

4. Thol Lake: Thol Lake is an ecotourism place in Kalol of Gujarat. Thol Lake is one of the eminent bird sanctuaries in Gujarat. Thol Lake is a habitat for many species Kenny Golladay Limited Jersey , including many endangered species.

5. Hamirsar Lake: Hamirsar Lake is a non-natural lake which was produced by the Emperor Rao Hamir. It is the center of magnetism in Bhuj. It is one of the desired hangout places in Bhuj.

6. Narayan Sarovar: Narayan Sarovar is measured as one of the sacrosanct lakes in Gujarat. It is located in Kutch district and it is enclosed by numerous shrines and chronological places. Legendary, it is measured one of the five sacred lakes.

7. Gomti Lake: Gomti Lake is situated at Dakor of Vadodara. After Dwarka, it was named as Gomati Lake after Gomti River. According to legends Jarrad Davis Limited Jersey , Bhim of Mahabharata formed a large lake outside the small pond to help the villagers.

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By: Anil Sinha

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CMS Regulations for Nursing Homes Regarding Meal Times and the 14 Hour Rule Health Articles | August 19, 2014
Recently we have had a few questions about meal times and the 14 hour rule from CMS for nursing facilities. The concerns are related primarily to the requirements for spacing of the evening meal and t...


Recently we have had a few questions about meal times and the 14 hour rule from CMS for nursing facilities. The concerns are related primarily to the requirements for spacing of the evening meal and the next day's breakfast especially in the context of person centered dining. Facilities are trying to balance regulations with personal choice and this is fairly easy to achieve.


The State Operations Manual Appendix PP - Guidance to Surveyors for Long Term Care Facilities, tag F368 Frequency of meals states that each resident receives and the facility provides at least three meals daily Kerryon Johnson Limited Jersey , at regular times comparable to normal mealtimes in the community. The facility must offer snacks at bedtime daily. There must be no more than 14 hours between a substantial evening meal and breakfast the following day except: When a nourishing snack is provided at bedtime, up to 16 hours may elapse between a substantial evening meal and breakfast the next day if a resident group agrees to this meal span and a nourishing snack is served. Nourishing snack is defined as a verbal offering of items, single or in combination from the basic food groups. Adequacy of the nourishing snack will be determined both by resident interviews and by evaluation of the overall nutritional status of residents in the facility. It is also wise to check your state's nursing home regulations. Some states have more specific regulations on the expectations regarding what type and how much food is to be offered at HS.


Based on the CMS regulation Marvin Jones Jr Limited Jersey , my personal recommendation would be to offer an HS snack from at least 2 food groups and preferably one that provides some protein. For example: half turkey sandwich with juice or milk, cereal with milk, a milkshake or milk with graham crackers Barry Sanders Limited Jersey , etc. It really comes down to what your residents want and whether or not they are satisfied with what you offer. So it's always best to ask the individual resident what they would like at HS snack - and providing a variety of HS snacks for residents to choose from is ideal. This helps to incorporate personal choice while meeting the intent of the regulation. If residents complain to a surveyor or if a surveyor finds that your facility has issues with unintended weight loss or other nutrition related problems then they may investigate further.


In addition, be sure that you have a written policy to explain what you will do if your meal times do not meet the 14 hour rule - and what you are providing as the "nourishing HS snack" to show you are complying with the regulation. We use the explanation that a "substantial evening meal" is defined as offering of three or more menu items at one time, one of which includes a high quality protein... The meal should represent no less than 20% of the day's total nutritional requirement. "Nourishing snack" is defined as verbal offering of items Austin Bryant Elite Jersey , single or in combination, from the basic food groups. Adequacy of the snack will be determined both by individuals in the group and eval. Cheap Jerseys From China Cheap Jerseys Free Shipping Cheap Jerseys China Wholesale Cheap Jerseys Wholesale Cheap Jerseys China Online Cheap NHL Jerseys Cheap Jerseys Online Cheap NFL Jerseys China Wholesale Cheap NCAA Jerseys From China Cheap Jerseys China Wholesale