Assisted Living in Lewisville, TX
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.
Free guide · 14 pages
Choosing Assisted Living
A practical guide for families, with checklists to take on your tours.
- What assisted living costs and the ways to pay
- Signs it may be time
- Tour checklists to print and take with you
- What residents and families told us matters most
Two kinds of assisted living in Lewisville
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).
All 21 licensed assisted living communities in Lewisville
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 testimonials are listed first, then by size.
21 shown
| Community | Size | Price |
|---|---|---|
| The Pearl Senior Livingmemory care1080 W. Round Grove Road | Large177 residents | $3,550 to $5,700/moLilisity estimate |
| Discovery Village Castle Hillsmemory care2600 Windhaven Parkway | Large127 residents | $3,550 to $5,700/moLilisity estimate |
| Gemstone Lewisville Business965 North Garden Ridge Blvd | Large60 residents | $3,550 to $5,700/moLilisity estimate |
| Lewisville Estates800 College Pkwy | Large60 residents | $3,550 to $5,700/moLilisity estimate |
| Rockbrook Assisted Living and Memory Carememory care2215 Rockbrook Drive | Large52 residents | $3,550 to $5,700/moLilisity estimate |
| Avalon Memory Carememory care1165 W Round Grove Rd | Mid-size27 residents | $3,550 to $5,700/moLilisity estimate |
| Garden Ridge Place301 N. Garden Ridge Blvd | Mid-size24 residents | $3,550 to $5,700/moLilisity estimate |
| Garden Ridge Place Assisted Living and Memory Carememory care477 W. Main Street | Small home16 residents | $3,550 to $5,700/moLilisity estimate |
| Frankie Lane Assisted Living429 Frankie Lane | Small home12 residents | $3,550 to $5,700/moLilisity estimate |
| Kenny's Heart Senior Living2024 Aspen Drive | Small home12 residents | $3,550 to $5,700/moLilisity estimate |
| 4 Seasons Senior Living Ix1724 Milestone Ridge | Small home9 residents | $3,900 to $6,250/moLilisity estimate |
| Orchid Care Homes661 Greenland Rd | Small home9 residents | $3,900 to $6,250/moLilisity estimate |
| Four Seasons Senior Living Vi2200 Peachtree Ln | Small home8 residents | $3,900 to $6,250/moLilisity estimate |
| Highland Care Assisted Living Home, Breezewood Dr1101 Breezewood Dr | Small home8 residents | $3,900 to $6,250/moLilisity estimate |
| Four Seasons Senior Living VIII2208 Peachtree Ln | Small home7 residents | $3,900 to $6,250/moLilisity estimate |
| Gentle Breeze Care Home480 Crestview Point Drive | Small home7 residents | $3,900 to $6,250/moLilisity estimate |
| Highland Care Assisted Living Home, Sunswept Terrace1436 Sunswept Terrace | Small home7 residents | $3,900 to $6,250/moLilisity estimate |
| Summertime House1342 Summertime Trail | Small home7 residents | $3,900 to $6,250/moLilisity estimate |
| Gentle Breeze at Biscayne2043 Biscayne Drive | Small home6 residents | $3,900 to $6,250/moLilisity estimate |
| Glencairn House1633 Gencairn Lane | Small home6 residents | $3,900 to $6,250/moLilisity estimate |
| Metroplex Residential Senior Care1209 Logan Dr. | Small home6 residents | $3,900 to $6,250/moLilisity estimate |
How much does assisted living cost in Lewisville?
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. If more care is needed: nursing home costs in Texas, with CareScout medians and the private-pay rates nursing homes publish. 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
Three questions to ask on every Lewisville tour
From about 23,000 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.
- Can I come back and eat a meal here, unannounced?Dining was 23% of all concerns: quality that changes day to day.
- How is laundry labeled and tracked, and what happens when something goes missing?Housekeeping was 17%.
- Who is my main contact, and how often will I hear from them?Communication with management was 15%.
All 8 tour questions, with a free printable tour card (PDF).
Check a Lewisville community’s license
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.
Lewisville assisted living questions
Texas licenses 21 assisted living communities in Lewisville as of November 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. The table on this page shows each community's published price or a Lilisity estimate where we have one, and our free guide lists the questions to ask about cost.
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.