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Best Assisted Living in Lewisville, TX

Why trust this guide? Our editorial team analyzed 7 assisted living communities in Lewisville, TX using TX Health & Human Services Commission (HHSC) data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in TX
Reviewed by
Last updated
Jul 2026
We analyzed
7 homes
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Video Tour: Top-rated Assisted Living facilities in Lewisville, Texas.

Watch this Video to see Lewisville's Top-rated Senior Communities
Avg Walk Score: 39/ 100The average Walk Score across facilities in Lewisville, TX. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 87The average licensed bed capacity across facilities in Lewisville, TX. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Lewisville

Info below is compiled from the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Brookdale Lewisville
AL
Lewisville
60
Facility 60
TX AVG 79
Rank #568 / 972
Yes
41
Facility 41
TX AVG 41
Rank #707 / 1389
48
Facility 48
TX AVG 21
Rank #47 / 585
Brookdale Senior Living Communities, Inc
8
Facility 8
TX AVG 6
Rank #636 / 823
-8Suite
Discovery Village At Castle Hills
AL
IL
MC
Lewisville
127
Facility 127
TX AVG 79
Rank #156 / 972
No
12
Facility 12
TX AVG 41
Rank #1202 / 1389
-Discovery Village Castle Hills Alf Opco LLC
0
Facility 0
TX AVG 6
Rank #1 / 823
--Studio / 1 Bed / 2 Bed
Lewisville Estates
AL
IL
Lewisville (College Parkway)
60
Facility 60
TX AVG 79
Rank #568 / 972
Yes
45
Facility 45
TX AVG 41
Rank #626 / 1389
26
Facility 26
TX AVG 21
Rank #151 / 585
Lewisville Elite Street LLC
5
Facility 5
TX AVG 6
Rank #464 / 823
-5Studio / 1 Bed / 2 Bed
The Pearl Senior Living at Lewisville
AL
MC
Lewisville
177
Facility 177
TX AVG 79
Rank #31 / 972
Yes
43
Facility 43
TX AVG 41
Rank #662 / 1389
8
Facility 8
TX AVG 21
Rank #463 / 585
Pam Round Grove Road Opco, LLC
18
Facility 18
TX AVG 6
Rank #791 / 823
414-
Breezewood Assisted Living
AL
RESC
RC
Lewisville
-Yes
40
Facility 40
TX AVG 41
Rank #732 / 1389
------
AvilaCare Assisted Living in Flower Mound
AL
MC
Lewisville
-No
71
Facility 71
TX AVG 41
Rank #124 / 1389
-----Private / Shared Rooms
4 Seasons Senior Living
AL
HOS
MC
RESC
RC
Lewisville (Oak Creek Estates)
9
Facility 9
TX AVG 79
Rank #915 / 972
Yes
19
Facility 19
TX AVG 41
Rank #1111 / 1389
-4Ssl Holdings, LLC
4
Facility 4
TX AVG 6
Rank #399 / 823
4-Private Rooms / Semi-Private Rooms

Brookdale Lewisville

965 N Garden Ridge Blvd, Lewisville, TX 75077
Overview of Brookdale Lewisville

At Brookdale Lewisville in the historic city of Lewisville, Texas, residents can create a cozy sanctuary in spacious, private apartments while socializing with friends and neighbors in comfortable, stylish common areas. The community offers an engaging calendar of activities, classes, and outings, allowing residents to stay busy as much or as little as they like. Brookdale Lewisville’s trained caregivers assist with daily tasks like bathing, dressing, and medication management, while also helping to coordinate with outside healthcare providers. The community tackles cooking, cleaning, and home maintenance, allowing residents to enjoy restaurant-style dining and convenient amenities, with staff available 24/7 for emergencies.

The community’s constantly changing activities calendar provides opportunities for residents to reignite old passions or discover new ones, with options ranging from painting and flower arranging to happy hour socials, technology classes, and movies. Brookdale Lewisville also organizes group excursions for local shopping, dining, and sightseeing. The dining program creates memorable experiences with tasty meals prepared by a culinary team passionate about great food, incorporating residents’ favorite dishes, family recipes, and requests.

Contact Brookdale Lewisville

Overview of Discovery Village at Castle Hills

Discovery Village at Castle Hills offers independent living, assisted living, and memory care options for older adults in Lewisville, Texas. Managed by Discovery Village Castle Hills ALF Opco LLC under the leadership of Administrator Ibrahim Khalife, the community accommodates residents age 55 and older in one- and two-bedroom apartments, with layouts ranging up to approximately 1,300 square feet.

Care and lifestyle services are supported through a variety of signature programs focused on wellness, dining, transportation, housekeeping, and personalized assistance. The community also provides short-term respite care and a dedicated veterans program. For individuals living with Alzheimer’s disease or other forms of dementia, the SHINE Memory Care program delivers specialized support within a designated memory care neighborhood.

At the center of community life is a 43,000-square-foot clubhouse that hosts fitness classes, social gatherings, recreational activities, and wellness programs. Residents also enjoy chef-crafted meals and scheduled transportation, helping create a convenient and engaging daily experience.

Located near Carrollton Regional Medical Center, the community offers easy access to nearby healthcare resources. State surveys conducted by the Texas Health and Human Services Commission have consistently reported a deficiency-free record with no cited health or life-safety violations. While the surrounding area requires a vehicle for most errands, residents have access to transportation services that help simplify travel beyond the community.

Contact Discovery Village At Castle Hills

Lewisville Estates

800 College Pkwy, Lewisville, TX 75077
Overview of Lewisville Estates

Operated by Lewisville Elite Street LLC, Lewisville Estates is a senior living community in Lewisville, Texas. It offers assisted living and independent living. Smitha Krishnan serves as the administrator. The community is located on College Parkway, about 0.7 miles from Medical City Lewisville, keeping hospital care within easy reach if residents need it. The three-story community has 60 beds. It has been serving residents for 26 years and welcomes adults age 55 and older.

Independent living residents can choose from studio, one-bedroom, and two-bedroom residences. Assisted living residents have studio apartments. Every residence includes a 24-hour emergency response system, private kitchen, en-suite bathroom, and large closet space. Across both care options, residents receive chef-prepared meals, medication assistance, 24-hour support, and help with activities of daily living.

Grooming services, housekeeping, community security, an entertainment center, and a fitness center are all part of daily life. The community also welcomes pets, allowing residents to keep a companion animal during their stay.

State inspections conducted by the Texas Health and Human Services Commission have focused primarily on fire and life safety requirements, including exhaust and ventilation systems and hazardous-area construction standards. Earlier life safety issues identified during inspections were addressed and corrected.

The area has a Walk Score of 45, which means some nearby errands can be completed on foot, but most trips require transportation. Families considering Lewisville Estates should ask how the community maintains its fire and life safety systems.

Contact Lewisville Estates

Overview of The Pearl Senior Living at Lewisville

The Pearl Senior Living is a senior living community located in Lewisville, TX, providing assisted living and memory care services to its residents. They offer resort-style amenities that cater to the residents comfort and enjoyment, as well as 24/7 availability of assistance and supervision, regular physician visits, medication management, incontinence management, and assistance to daily living activities.

At The Pearl Senior Living, the residents are able to benefit from a rich list of their amenities and programs including three family style meals daily, refreshments and snacks, grooming services, fitness and wellness programs, access to on-site pool and fishing dock, and art and music programs. They also provide regular housekeeping and laundry services to free the residents of the burden of physically taxing chores.

Contact The Pearl Senior Living at Lewisville

Overview of Breezewood Assisted Living

Breezewood is a senior living community located in Lewisville, TX, providing assisted living services to its residents. They offer residential-like, private and shared living spaces with handicap accessible features, and 24/7 monitored security. As part of their assisted living services, they also provide their residents personalized care; from assistance to daily living activities, to medication management, incontinence care, diabetes management, and memory care for residents living with Alzheimer’s and other forms of dementia.

The residents of Breezewood also enjoy a variety of amenities and programs designed to make their stay more comfortable and fulfilling. Such amenities and activities include 3 delicious home cooked meals and snacks, grooming services, personalized wellness exercises, access to board games and Wi-Fi, as well as spiritual services. And to ensure that the residents receive the right care they need, Breezewood also arranges therapists, physicians, nurses, and hospice, whenever the need arises.

Contact Breezewood Assisted Living

Overview of AvilaCare Assisted Living in Flower Mound

Enjoy your golden years with AvilaCare Assisted Living in Flower Mound located in the distinct neighborhood of North Garden Ridge Boulevard, Lewisville, TX, that offers assisted living. Featuring Texan-style accommodations, residents have several options to choose from for their utmost comfort and safety. A compassionate and highly trained team attends to residents’ needs 24/7 while handling the housekeeping and laundry to ensure a worry-free lifestyle.

Have fun and do the things you love with personalized activities that aim to promote belongingness and an active lifestyle. Have hassle-free dining with healthy and delicious meals catering to dietary needs and preferences. The community strives to provide the highest quality of care with its beautifully designed amenities and dedicated services. Residents and families keep their peace of mind with the community offering a refund for rent for the first 60 days if the community does not meet their expectations.

Contact AvilaCare Assisted Living in Flower Mound

Overview of 4 Seasons Senior Living

Located in Lewisville, Texas, 4 Seasons Senior Living provides care in a residential-style setting with just nine beds. Operated by 4SSL Holdings, LLC, the single-story community offers both private and semi-private accommodations, creating a more intimate environment for older adults than many larger care settings.

Services span multiple levels of support, including assisted living, memory care, residential care, respite care, and hospice care. This range allows residents to receive changing levels of assistance as their needs evolve. Around-the-clock caregivers and medication management services help ensure support is available whenever needed.

Daily life includes access to shared living spaces, outdoor areas, and a communal dining room where meals are served. Housekeeping, transportation, wellness activities, and recreational programs are also available, giving older adults opportunities to stay active and engaged while reducing the need to rely on family members for routine errands and appointments.

Since the surrounding area is not particularly walkable, most outings require transportation by car. The smaller size of the community can allow for more individualized attention and stronger day-to-day connections between residents and staff.

Contact 4 Seasons Senior Living

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Assisted Living in Lewisville, TX

What is the average cost of assisted living in Lewisville, TX?

The average monthly cost of assisted living in Lewisville, TX is approximately $4,100. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in Lewisville, TX?

Assisted living in Lewisville, TX typically ranges from $3,600–$6,200 per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at assisted living facilities in Lewisville, TX?

Assisted living facilities in Lewisville, TX typically operate with a staff-to-resident ratio in the range of 1:6 to 1:12.

What's the difference between assisted living and memory care in Texas?

Assisted living in Texas supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Texas?

Assisted living in Texas is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Texas Medicaid cover assisted living?

Texas Medicaid does not directly pay room-and-board for assisted living, but most states (including Texas) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.