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

    Spacious memory-care, warm staff, excellent

    I lived at this lovely, well-kept community and was very pleased with the care. The staff are warm, professional and engaged, the chef-driven meals are excellent, and the grounds - including a remarkable equine therapy program and sensory gardens - are peaceful and restorative. My memory-care apartment was spacious and spotless, activities are abundant, and management was open and responsive; I recommend a tour if you want an active, comfortable senior living option.

    Current/former resident
    Jul 2026

    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

    4.23·(106)

    Overall rating

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

      3.5
    • Staff

      4.2
    • Meals

      4.2
    • Amenities

      4.5
    • Value

      1.5

    Pros

    • new, well-appointed facility and modern design
    • extensive landscaped gardens and multiple courtyards
    • equine-assisted therapy and on-site stable program
    • robust activities program with frequent outings
    • strong rehabilitation services (physical and occupational therapy)
    • chef-driven dining with varied, health-focused menu
    • private rooms with en-suite bathrooms and modern finishes
    • welcoming, family-oriented atmosphere
    • concierge and engaged community-life staff
    • natural daylight and thoughtfully planned common areas
    • resort-like amenities and spa-like spaces
    • access to outdoor walking paths and local Loop
    • music and therapeutic programming
    • named caregiving teams noted for attentiveness (e.g., Naya)
    • separate neighborhoods for independent, assisted, and memory care

    Cons

    • chronic nursing staffing shortages
    • reliance on agency caregivers impacting continuity
    • variable clinical competency across shifts
    • gaps in medication-management processes and documentation
    • inconsistent personal-care delivery (bathing, laundry, hygiene support)
    • variable dining quality and inconsistent snack availability
    • security and access-control gaps for assisted-living residents
    • communication gaps between clinical teams and families
    • billing and administrative follow-up deficiencies
    • visitor-policy rigidity and moving-in administrative burden
    • smoke-location and odor-transfer management issues
    • some finishes and furniture not fully elder-ergonomic

    Summary of reviews

    The Hacienda at the River is repeatedly described as a visually attractive, recently built campus with resort-like finishes, abundant natural light, and extensive outdoor landscaping. Its facilities include multiple courtyards, a spa-like atmosphere, private rooms with en-suite bathrooms, and a distinctive equine program that many families and residents value. The community offers robust amenities — chef-driven dining, music and therapeutic programs, a wide activities calendar, and frequent outings — and several reviewers highlighted the positive role of physical and occupational therapy teams in rehabilitation and functional improvement.

    Staff culture is a prominent strength in many accounts: caregivers and therapists are frequently described as warm, attentive, and family-oriented. Named teams and staff members received praise for responsiveness, individualized attention, and strong community-life engagement. When staffing and leadership are stable, reviewers describe a welcoming environment with high resident engagement and improved well-being.

    However, recurring operational patterns raise concerns that prospective residents and families should examine closely. Staffing levels — especially nursing coverage — are consistently cited as inadequate at times, with reliance on agency caregivers contributing to discontinuity of care. Several comments point to variability in clinical skill and responsiveness during certain shifts, gaps in medication management and documentation, and inconsistencies in personal-care services such as bathing, laundry, and night-time snack availability. These themes suggest uneven execution of care protocols rather than universally poor performance.

    Dining impressions are generally positive overall, but the quality and consistency of meals and snack access are described as variable across reports. The campus design and amenities are praised, yet a few operational and safety issues were noted: assisted-living access routes that require outdoor travel, access-control and perimeter-security concerns at night, smoke-location practices that can cause odor transfer, and some furniture or finish choices that may not suit all mobility needs.

    Administrative areas to review during a visit include staffing ratios and typical shift coverage, medication-storage and administration procedures, incident-response and family communication practices, billing and collections processes, and visitor-policy flexibility. Given the mix of strong therapeutic programs, a rich activities schedule, and a highly regarded equine program alongside repeated operational complaints, families may find the Hacienda offers substantial lifestyle and clinical resources — but should verify current staffing stability, security protocols, and administrative practices to ensure they meet specific care expectations.

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    Location

    Map showing location of The Hacienda at the River

    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 79 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
    LicenseeTUCSON HACIENDA RIVER, LLC
    EffectiveMarch 9th, 2017
    ExpiresFebruary 28th, 2027
    View the official license record

    Inspection Reports

    9

    Reports

    57

    Citations

    6

    Complaints

    3

    Years

    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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    Mirador Living is not affiliated with the owner or operator(s) of The Hacienda at the River. The information above has not been verified or approved by the owner or operator. For exact information, please contact The Hacienda at the River directly. There is no cost for this service. We are compensated by the community you select.

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