Lewisville has 21 state-licensed assisted living communities: 7 larger communities and 14 small residential homes (16 or fewer residents). The median cost of assisted living in Texas is $5,666 a month (CareScout 2025), against $6,200 nationally.
Most communities don't publish prices. Tell us who you're looking for and a local advisor will send current rates and availability for the assisted living options that fit.
Both are licensed by Texas as assisted living. Larger communities suit people who want social life and on-site services; small homes suit people who do better with quiet, familiar routines, including many people with dementia. Texas words these licenses as “Assisted Living Facility TYPE B” (21).
Every assisted living community Texas licenses in Lewisville, from state records. Being listed is not a rating: Lilisity scores only communities with verified interviews (the Top Communities). Communities with verified reviews are listed first, then by size.
21 shown
| Community | Size | Price |
|---|---|---|
| The Pearl Senior Livingmemory care1080 W. Round Grove Road | Large177 residents | Get pricing |
| Discovery Village Castle Hillsmemory care2600 Windhaven Parkway | Large127 residents | Get pricing |
| Gemstone Lewisville Business LLC965 North Garden Ridge Blvd | Large60 residents | Get pricing |
| Lewisville Estates800 College Pkwy | Large60 residents | Get pricing |
| Rockbrook Assisted Living and Memory Carememory care2215 Rockbrook Drive | Large52 residents | Get pricing |
| Avalon Memory Carememory care1165 W Round Grove Rd | Mid-size27 residents | Get pricing |
| Garden Ridge Place301 N. Garden Ridge Blvd | Mid-size24 residents | Get pricing |
| Garden Ridge Place Assisted Living and Memory Carememory care477 W. Main Street | Small home16 residents | Get pricing |
| Frankie Lane Assisted Living429 Frankie Lane | Small home12 residents | Get pricing |
| Kenny's Heart Senior Living2024 Aspen Drive | Small home12 residents | Get pricing |
| 4 Seasons Senior Living Ix1724 Milestone Ridge | Small home9 residents | Get pricing |
| Orchid Care Homes LLC661 Greenland Rd | Small home9 residents | Get pricing |
| Four Seasons Senior Living Vi, LLC2200 Peachtree Ln | Small home8 residents | Get pricing |
| Highland Care Assisted Living Home LLC1101 Breezewood Dr | Small home8 residents | Get pricing |
| Four Seasons Senior Living Viii, LLC2208 Peachtree Ln | Small home7 residents | Get pricing |
| Gentle Breeze Care Home480 Crestview Point Drive | Small home7 residents | Get pricing |
| Highland Care Assisted Living Home LLC1436 Sunswept Terrace | Small home7 residents | Get pricing |
| Summertime House1342 Summertime Trail | Small home7 residents | Get pricing |
| Gentle Breeze at Biscayne2043 Biscayne Drive | Small home6 residents | Get pricing |
| Glencairn House1633 Gencairn Lane | Small home6 residents | Get pricing |
| Metroplex Residential Senior Care LLC1209 Logan Dr. | Small home6 residents | Get pricing |
The median cost of assisted living in Texas is $5,666 a month ($67,992 a year), below the national median of $6,200. That’s CareScout’s 2025 survey, collected July to November 2025. Small residential homes often cost less than larger communities, though care needs, room type and services move the price more than the building does.
Medicare does not pay for assisted living. People pay from savings and income, long-term care insurance, or VA Aid and Attendance (up to $29,093 a year for a veteran in 2026), and some qualify for Medicaid help with care costs at communities that accept it. Who actually pays for long-term care.
Free tools: how long will the money last? · home care or assisted living? · VA Aid and Attendance estimator
From 22,911 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.
All 8 tour questions, with a free printable tour card (PDF).
Texas publishes licensing records, and in most cases inspection or complaint reports, for every community on this page. Look up any community on the state’s site: hhs.texas.gov. Ask the community for its most recent inspection report too; they have to keep it.
Texas licenses 21 assisted living communities in Lewisville as of September 2026: 7 larger communities and 14 small residential homes of 16 or fewer residents, with about 647 licensed spots in all.
The median cost of assisted living in Texas is $5,666 a month (CareScout 2025), compared with $6,200 nationally. Prices vary with the room, the level of care and the community, so ask each one for its current rate sheet, or ask a Lilisity advisor for current prices.
Medicaid doesn't pay rent or meals in assisted living. Most states offer a Medicaid waiver or program that can pay for care services at participating communities for people who qualify; not every community takes it, so ask each one. Texas's Medicaid agency or your local Area Agency on Aging can tell you what's available.
Texas publishes its licensing records at hhs.texas.gov. You can also ask any community for its most recent state inspection report.
One call covers which communities have openings, what they cost and which fit your parent's needs and budget.
