Pricing ranges from
    $3,770 – 7,153/month

    The Hacienda at the River

    2720 E River Rd, Tucson, AZ 85718
    • Independent Living
    • Assisted Living
    • Memory Care

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Hospice waiver
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Dementia waiver
    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (medical)
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.25·(109)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.5
    • Staff

      4.2
    • Meals

      4.3
    • Amenities

      4.5
    • Value

      1.5

    Pros

    • Warm, respectful caregivers and welcoming family interactions
    • Personalized assistance and attentive resident relationships
    • Beautiful, clean, home-like buildings and landscaped grounds
    • Distinctive horse-visiting and equine-therapy programs
    • Frequent activities, outings, exercise, and cultural programming
    • Well-regarded dining variety and generally high food quality
    • Strong rehabilitation and therapy experiences
    • Comfortable apartments, courtyards, and shared living spaces
    • Helpful, knowledgeable tour and move-in support
    • Calm, supportive memory-care environment described by families

    Cons

    • Inconsistent nursing coverage and delayed response times in skilled nursing
    • Variable clinical assessment, escalation, and family communication in rehabilitation
    • Uneven caregiver availability and assistance with daily care
    • Staff training and continuity gaps in some care areas
    • Limited clarity about staffing ratios and care capabilities
    • Variable meal quality and service recovery
    • Housekeeping, laundry, bathing, and hot-water reliability concerns
    • Medication-management and building-security concerns
    • Outing procedures that may create access and mobility barriers for assisted living residents
    • Billing and collections communication concerns

    Summary of reviews

    The Hacienda at the River receives strong praise for its setting, hospitality, and distinctive community life. Families and visitors describe attractive, clean buildings with natural light, spacious common areas, courtyards, gardens, and access to nearby walking paths. The equine program is a standout feature, frequently cited as meaningful for residents in assisted living and memory care. Reviewers also value the range of activities, outings, exercise, and cultural programming, as well as comfortable apartments and a generally home-like atmosphere.

    Experiences with care are positive for many families, who describe Nayas and other staff as warm, patient, respectful, and attentive to residents’ routines and preferences. Some families report strong support during transitions, respite stays, memory care, and end-of-life care. Therapy services also receive favorable comments. However, care experiences are not consistent across service areas. Skilled nursing and rehabilitation accounts are notably mixed: some families praise the therapists and individual nurses, while others describe staffing pressure, difficulty locating staff, slow responses, and concerns about assessment and escalation of changing medical needs. A few accounts also raise concerns about the consistency of daily assistance and staff preparation, including in memory care.

    Dining is commonly described as a strength, with appealing menus, good variety, and friendly service. Some residents and families praise the food enthusiastically, while isolated feedback identifies meal-quality and complaint-resolution concerns. Reviewers also differ in their views of furnishings and accessibility; one tour visitor questioned whether some common-area seating would be easy for older adults with mobility limitations.

    Management and communication receive mixed evaluations. Many prospective residents and families describe knowledgeable, accommodating tour and move-in teams, and some report that leaders welcome feedback and make improvements. Other accounts cite unclear staffing information, gaps in communication among care staff and families, or difficulty obtaining follow-up. Additional concerns include housekeeping and bathing consistency, medication controls and building access, procedures that may make outings harder for some assisted living residents, and billing or collections communication.

    Overall, the reviews portray a visually distinctive community with appealing amenities, strong hospitality, and many positive resident and family relationships. The principal caution is variability in operational care, especially in skilled nursing and rehabilitation, where staffing availability and timely clinical response are central concerns. Families considering the community may wish to discuss current nurse and caregiver coverage for the specific level of care, response procedures, clinical communication, and daily-care routines, and to assess those arrangements directly during a visit.

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    Location

    The Hacienda at the River is located at 2720 E River Rd, Tucson, AZ, 85718.

    About The Hacienda at the River

    The Hacienda at the River covers 7.5 acres and sits between urban and rural scenery, with white stucco exteriors, terracotta roofs, arches, and shaded pergolas inspired by traditional Hacienda architecture, and when you walk around you'll see courtyards, fountains, birdbaths, paved walkways, and plenty of flowers and greenery, so it feels calm and open. Residents can pick from different living options, including independent living, assisted living, memory care, and skilled nursing, with amenities that fit older adults, and they give special attention to support for people living with Alzheimer's disease or dementia, making things easier to find and reducing confusion. There are independent living apartments and private residences with balconies that look out over the mountains, and everything's designed for comfort with accessible bathrooms that have grab bars and easy access, while inside you'll find cozy common rooms filled with bookshelves, fireplaces, and places to sit and talk or maybe play a game. The food program is called Gourmet Bites Cuisine and offers nutritious meals in warm, inviting dining rooms that have comfortable seating and soft lighting, and you might eat outside on a patio with a wooden ceiling and floral chairs if you want, plus they have a flexible spending plan for meals so everyone gets what works for them. They keep a busy calendar of activities and events, with special programs like Watermark University and BrainCafé℠ for learning and engagement, wellness programs, horse therapy in the "In the Presence of Horses®" program, public events, and exercise spaces, plus a spa and salon for relaxing, and residents are welcome to bring their pets. Specialized programs like Prema Memory Support℠, EngageVR®, 360Well® Coordinator, and LifeLoop help to support resident health, memory, and social needs, and there's support including short-term stays, counseling, and, for those who need it, the Casa Hospice at the Hacienda delivers hospice services on site for acute or ongoing care. The Gardens at The Hacienda and beautiful grounds with lush plantings, fountains, and quiet places to sit make the outdoors peaceful, while the courtyard and indoor common areas offer more places to meet or unwind, and the whole community feels set up for comfort and safety, with a mix of modern apartments, villas, and shared areas that make it easy to move around and feel at home. The staff includes physicians, psychiatrists, and psychoanalysts, and they offer specialized care, including memory care and skilled nursing, along with support activities and therapy, plus unique amenities like birdbaths where birds gather and activities arranged all year, with resources available for families and caregivers, and flexible care options to match a variety of personal needs. There are photos, floor plans, toolkits, and guides to help people learn more, and residents can make use of fitness rooms, therapy pools with lifts for accessibility, and enjoy programs, games, and gatherings meant to create a lively, comfortable life in this pet-friendly, scenic Arizona setting.

    About Watermark Retirement

    The Hacienda at the River is managed by Watermark Retirement.

    Watermark Retirement Communities is a premier senior living operator managing over 70 communities across 21 states with approximately 5,800 associates, ranked as the nation's 9th-leading senior housing operator by the American Seniors Housing Association. Founded in 1985 by David Freshwater and David Barnes as The Fountains in Tucson, Arizona, the company pioneered wellness-based senior living in collaboration with the University of Arizona Center on Aging before rebranding as Watermark in 2006. Headquartered in Tucson, Watermark became a wholly-owned subsidiary of Singapore-based Keppel Corporation in March 2024, following Keppel's initial 50% acquisition in 2019, with Paul Boethel succeeding the founders as CEO while Freshwater continues as Chairman Emeritus.

    The company's signature Watermark University is an award-winning intergenerational learning program where residents, associates, family members, and local experts—including museum curators, university professors, and world-renowned doctors—teach dozens of classes ranging from watercolor painting and ballroom dancing to language learning and sculpture workshops. Named among Fortune's Top 25 Best Workplaces for Aging Services™ by the Great Place to Work® Institute, Watermark provides comprehensive training through programs like GO (General Orientation) Ripples, Leadership by Design workshops, and specialized sales systems focused on understanding buyer motivations and customer service excellence.

    Watermark's innovative Prema Memory Support℠ program features Naya caregivers—named after the Sanskrit word for "guide" or "person of wisdom"—who are Certified Dementia Practitioners trained through the National Council of Certified Dementia Practitioners. The Thrive Memory Care experience includes secure courtyards, multi-sensory environments with fresh flowers, music therapy, and sensory gardens. Their groundbreaking Thrive Dining (Gourmet Bites) program transforms nutritious meals into attractive, bite-sized portions that residents can enjoy independently without utensils. The Dementia Awareness Experience uses virtual simulations including impairment gloves and vision-loss glasses to help associates develop deeper empathy and understanding.

    The company leads the industry in technology innovation with EngageVR, a virtual reality program using Oculus Quest headsets that enables residents to travel virtually to the pyramids of Egypt, swim with whales, or reconnect with veterans from their battalions in virtual living rooms. The 360Well wellness program integrates four key circles—mind, body, spirit, and community—to promote holistic health and independence. Through partnerships with the University of Arizona's Evelyn F. McKnight Brain Institute and Curana Health for value-based care delivery in Florida, Texas, and Pennsylvania, Watermark continues advancing senior care research and innovation.

    Following a "shrinking to grow" strategy under new leadership, Watermark focuses on operating premium communities while maintaining its founding philosophy that they are "a wellness company that happens to provide housing and services for seniors," committed to creating experiences where residents truly feel at home with purpose, possibility, and joy.

    People often ask...

    The Hacienda at the River offers competitive pricing, with rates starting at a cost of $3,770 per month.

    The Hacienda at the River offers independent living, assisted living, memory care, and board and care.

    There are 86 photos of The Hacienda at the River on Mirador.

    Yes, The Hacienda at the River allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 2720 E River Rd, Tucson, AZ 85718.

    No, The Hacienda at the River does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Arizona, the Department of Health Services licenses assisted living and long-term care facilities through AZ Care Check, running compliance inspections and investigating complaints.

    License number001cs00000WoA8vAAF
    StatusActive
    Facility typeAssisted Living Center
    License classActive
    Capacity84 residents
    LicenseeHACIENDA AT THE RIVER
    EffectiveMarch 9th, 2017
    ExpiresFebruary 28th, 2027
    View the official license record

    Inspection Reports

    11

    Reports

    58

    Citations

    7

    Complaints

    3

    Years

    29 May 2026Complaint
    Identified deficiencies indicating that directed care services listed in residents' service plans were not consistently provided or documented in medical records for three of six sampled residents. Documentation gaps occurred due to intermittent EHR outages and reliance on printed forms, with safety checks also not documented for one resident.
    • R9-10-808.C.1.a-gR9-10-808.C.1.a-g. Service Plans C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: a. Provides a resident with the assisted living services in the resident’s service plan; b. Is only assigned to provide the assisted living services the caregiver or assistant caregiver has the
    29 May 2026Monitoring
    Verified compliance with the agreement's monitoring provisions; no deficiencies were cited.
    21 Apr 2026Complaint
    Found no deficiencies during the on-site investigation of complaints.
    16 Mar 2026Inspection
    Found multiple compliance deficiencies including failure to retain emergency responder documentation, incomplete caregiver service documentation, improper medication administration per order, and hot water temperatures outside the required range.
    • A.R.S. § 36-420.04.DA.R.S. § 36-420.04.D. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document D. An assisted living center or assisted living home shall maintain a copy of the document provided to the emergency responder and documentation of the actions requi
    • R9-10-808.C.1.gR9-10-808.C.1.g. Service Plans C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident’s medical record; and
    • R9-10-817.B.3.bR9-10-817.B.3.b. Medication Services B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is administered in compliance with a medication order, and
    • R9-10-820.A.6R9-10-820.A.6. Environmental Standards A. A manager shall ensure that: 6. Hot water temperatures are maintained between 95º F and 120º F in areas of an assisted living facility used by residents;
    04 Feb 2026Inspection
    Identified multiple regulatory deficiencies cited for violations of state statute and administrative rules. These related deficiencies spanned several sections of law and rule.
    • A.R.S. § 36-420.01.A36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition A. Each health care institution shall develop and administer a training program for all staff regarding fall prevention and fall recovery. The training program shall include initial training and con
    • R9-10-803.A.5A. A governing authority shall: 5. Review and evaluate the effectiveness of the quality management program at least once every 12 months;
    • R9-10-803.A.9A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.
    • R9-10-803.E.1E. A manager shall ensure that, unless otherwise stated: 1. Documentation required by this Article is provided to the Department within two hours after a Department request; and
    • R9-10-806.A.8.a-bA. A manager shall ensure that: 8. A manager, a caregiver, and an assistant caregiver, or an employee or a volunteer who has or is expected to have more than eight hours per week of direct interaction with residents, provides evidence of freedom from infectious tuberculosis: a. On or before the date
    • R9-10-807.C.3.C. A manager shall not accept or retain an individual if: 3. The services needed by the individual are not within the assisted living facility's scope of services and a home health agency or hospice service agency is not involved in the care of the individual;
    • R9-10-807.D.1-10D. Before or at the time of an individual's acceptance by an assisted living facility, a manager shall ensure that there is a documented residency agreement with the assisted living facility that includes: 1. The individual's name; 2. Terms of occupancy, including: a. Date of occupancy or expected d
    • R9-10-808.C.1.aC. A manager shall ensure that: 1. A caregiver or an assistant caregiver: a. Provides a resident with the assisted living services in the resident's service plan;
    • R9-10-808.C.1.gC. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record; and
    • R9-10-811.C.18C. A manager shall ensure that a resident's medical record contains: 18. Documentation of the resident's orientation to exits from the assisted living facility required in R9-10-818(B);
    • R9-10-816.B.3.bB. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is administered in compliance with a medication order, and
    • R9-10-818.A.4A. A manager shall ensure that: 4. A disaster drill for employees is conducted on each shift at least once every three months and documented;
    • R9-10-818.A.6.c.i-iiA. A manager shall ensure that: 6. Documentation of each evacuation drill is created, is maintained for at least 12 months after the date of the evacuation drill, and includes: c. If applicable: i. An identification of residents needing assistance for evacuation, and ii. An identification of residen
    • R9-10-819.A.6A. A manager shall ensure that: 6. Hot water temperatures are maintained between 95º F and 120º F in areas of an assisted living facility used by residents;
    • R9-10-819.A.14.bA. A manager shall ensure that: 14. If pets or animals are allowed in the assisted living facility, pets or animals are: b. Licensed consistent with local ordinances; and
    • R9-10-819.A.14.cA. A manager shall ensure that: 14. If pets or animals are allowed in the assisted living facility, pets or animals are: c. For a dog or cat, vaccinated against rabies;
    29 Sept 2025Complaint
    Found no deficiencies during the on-site investigation of the complaints.
    03 Feb 2025Inspection
    Identified widespread deficiencies in training, records, health screenings, and resident safety processes.
    • A.R.S. § 36-420.01.A36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition A. Each health care institution shall develop and administer a training program for all staff regarding fall prevention and fall recovery. The training program shall include initial training and con
    • R9-10-803.A.5A. A governing authority shall: 5. Review and evaluate the effectiveness of the quality management program at least once every 12 months;
    • R9-10-803.A.9A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.
    • R9-10-803.E.1E. A manager shall ensure that, unless otherwise stated: 1. Documentation required by this Article is provided to the Department within two hours after a Department request; and
    • R9-10-806.A.8.a-bA. A manager shall ensure that: 8. A manager, a caregiver, and an assistant caregiver, or an employee or a volunteer who has or is expected to have more than eight hours per week of direct interaction with residents, provides evidence of freedom from infectious tuberculosis: a. On or before the date
    • R9-10-807.C.3.C. A manager shall not accept or retain an individual if: 3. The services needed by the individual are not within the assisted living facility's scope of services and a home health agency or hospice service agency is not involved in the care of the individual;
    • R9-10-807.D.1-10D. Before or at the time of an individual's acceptance by an assisted living facility, a manager shall ensure that there is a documented residency agreement with the assisted living facility that includes: 1. The individual's name; 2. Terms of occupancy, including: a. Date of occupancy or expected d
    • R9-10-808.C.1.aC. A manager shall ensure that: 1. A caregiver or an assistant caregiver: a. Provides a resident with the assisted living services in the resident's service plan;
    • R9-10-808.C.1.gC. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record; and
    • R9-10-811.C.18C. A manager shall ensure that a resident's medical record contains: 18. Documentation of the resident's orientation to exits from the assisted living facility required in R9-10-818(B);
    • R9-10-816.B.3.bB. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is administered in compliance with a medication order, and
    • R9-10-818.A.4A. A manager shall ensure that: 4. A disaster drill for employees is conducted on each shift at least once every three months and documented;
    • R9-10-818.A.6.c.i-iiA. A manager shall ensure that: 6. Documentation of each evacuation drill is created, is maintained for at least 12 months after the date of the evacuation drill, and includes: c. If applicable: i. An identification of residents needing assistance for evacuation, and ii. An identification of residen
    • R9-10-819.A.6A. A manager shall ensure that: 6. Hot water temperatures are maintained between 95º F and 120º F in areas of an assisted living facility used by residents;
    • R9-10-819.A.14.bA. A manager shall ensure that: 14. If pets or animals are allowed in the assisted living facility, pets or animals are: b. Licensed consistent with local ordinances; and
    • R9-10-819.A.14.cA. A manager shall ensure that: 14. If pets or animals are allowed in the assisted living facility, pets or animals are: c. For a dog or cat, vaccinated against rabies;
    26 Sept 2024Complaint
    Found deficiencies in directed-care service plans missing weight information or medical justification, medications not administered per current orders, and medication storage not kept in a locked area.
    • R9-10-815.C.6.a-bC. In addition to the requirements in R9-10-808(A)(3), a manager shall ensure that the service plan for a resident receiving directed care services includes: 6. Documentation: a. Of the resident's weight, or b. From a medical practitioner stating that weighing the resident is contraindicated; and
    • R9-10-816.B.3.bB. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is administered in compliance with a medication order, and
    • R9-10-816.F.1F. When medication is stored by an assisted living facility, a manager shall ensure that: 1. Medication is stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage;
    30 Aug 2024Complaint
    Found no deficiencies. No violations were cited.
    07 Jun 2024Complaint
    Identified deficiencies regarding incomplete signatures on resident service plans and missing weight documentation for directed-care services.
    • R9-10-808.A.5.a-dA. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when updated, is signed and dated by: a. The resident or resident's representative; b. The manager; c. If a review is required in subsection (A)(3)(d), the
    • R9-10-815.C.6.a-bC. In addition to the requirements in R9-10-808(A)(3), a manager shall ensure that the service plan for a resident receiving directed care services includes: 6. Documentation: a. Of the resident's weight, or b. From a medical practitioner stating that weighing the resident is contraindicated; and
    17 Oct 2023Complaint
    Identified multiple deficiencies across personnel records, resident service plans, medication storage, safety practices, disaster planning, evacuation, and licensing. These issues affected documentation, plan accuracy, and safety controls.
    • R9-10-803.A.9A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.
    • R9-10-803.E.1E. A manager shall ensure that, unless otherwise stated: 1. Documentation required by this Article is provided to the Department within two hours after a Department request; and
    • R9-10-803.J.1-6J. If a manager has a reasonable basis, according to A.R.S. § 46-454 , to believe abuse, neglect or exploitation has occurred on the premises or while a resident is receiving services from an assisted living facility's manager, caregiver, or assistant caregiver, the manager shall: 1. If applicable,
    • R9-10-808.A.3.cA. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: c. The amount, type, and frequency of assisted living services being provided to the resident, including medication administration or assistance in the self-adm
    • R9-10-808.A.4.b.iiiA. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated based on changes in the requirements in subsections (A)(3)(a) through (f): b. As follows: iii. At least once every three months for a resident receiving directe
    • R9-10-808.A.5.a-dA. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when updated, is signed and dated by: a. The resident or resident's representative; b. The manager; c. If a review is required in subsection (A)(3)(d), the
    • R9-10-808.C.1.gC. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record; and
    • R9-10-815.C.6.a-bC. In addition to the requirements in R9-10-808(A)(3), a manager shall ensure that the service plan for a resident receiving directed care services includes: 6. Documentation: a. Of the resident's weight, or b. From a medical practitioner stating that weighing the resident is contraindicated; and
    • R9-10-816.F.1F. When medication is stored by an assisted living facility, a manager shall ensure that: 1. Medication is stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage;
    • R9-10-817.C.4.aC. A manager shall ensure that food is obtained, prepared, served, and stored as follows: 4. Potentially hazardous food is maintained as follows: a. Foods requiring refrigeration are maintained at 41° F or below; and
    • R9-10-817.C.5C. A manager shall ensure that food is obtained, prepared, served, and stored as follows: 5. A refrigerator used by an assisted living facility to store food or medication contains a thermometer, accurate to plus or minus 3° F, placed at the warmest part of the refrigerator;
    • R9-10-818.A.3.a-dA. A manager shall ensure that: 3. Documentation of the disaster plan review required in subsection (A)(2) includes: a. The date and time of the disaster plan review; b. The name of each employee or volunteer participating in the disaster plan review; c. A critique of the disaster plan review; and d
    • R9-10-818.A.4A. A manager shall ensure that: 4. A disaster drill for employees is conducted on each shift at least once every three months and documented;
    • R9-10-818.A.5.aA. A manager shall ensure that: 5. An evacuation drill for employees and residents: a. Is conducted at least once every six months; and
    • R9-10-819.A.6A. A manager shall ensure that: 6. Hot water temperatures are maintained between 95º F and 120º F in areas of an assisted living facility used by residents;
    • R9-10-819.A.14.bA. A manager shall ensure that: 14. If pets or animals are allowed in the assisted living facility, pets or animals are: b. Licensed consistent with local ordinances; and

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