Overall sentiment across these reviews is strongly mixed: many families and residents describe a warm, compassionate, high-quality living environment with exceptional caregivers, attractive facilities, strong food, and engaging activities, while a significant minority report serious lapses in cleanliness, medication management, staffing, and leadership that have led to safety incidents and family distress. The reviews reveal a facility that appears to deliver excellent outcomes when staffing, leadership, and processes are functioning well, but also one that has experienced notable periods of instability and service breakdowns.
Care quality and staffing: A dominant positive theme is the praise for front-line caregivers and nurses. Multiple accounts describe staff as respectful, dignified, professional, and attentive; specific clinical staff (nurses, Health & Wellness Directors, Memory Care Directors) are named and lauded for communication and competence. Families report improved health outcomes, weight gain, regular bathing, mobility improvements, and peace of mind when leadership and clinical staff are present and engaged. Conversely, there are recurrent and serious complaints about medication management errors (meds not given on time, incomplete meds at move-in), neglect in memory care (infrequent bathing, incontinence issues, soiled rooms), delayed response to call buttons, and in at least one account an apparent abandonment of care (nurse walking out). Staff shortages and high turnover are frequently cited as root causes of these negative experiences; multiple reviews mention new or inexperienced nursing staff being over-burdened.
Leadership and management: Reviews show a clear split. Several families praise specific leaders (Executive Director, Byron/Bryon Bounds, Tommy Thomas, Nichole, Madeline, Christie, and others) for being approachable, responsive, and hands-on — credited with smoothing operations, improving safety, and communicating frequently with families. Several reviewers explicitly note a turnaround after professional leadership arrival, with 24/7 nurse coverage and better family communication. At the same time, other reviews document repeated leadership changes, removal of key roles (Move-In Coordinator), underqualified or unprofessional managers (named individuals appear in negative contexts), miscommunication, and broken promises. These governance fluctuations appear tied to variability in resident experience; positive reports often follow a period of stable, engaged leadership, while negative reports cluster around times of turnover or ineffective management.
Facilities, move-in, and cleanliness: Many reviewers describe the campus as beautiful, bright, hotel-like, and well-decorated with large gathering spaces, libraries, and amenities (pool, kitchenettes, outdoor areas). Dining rooms and common spaces are frequently praised. However, a number of reviews recount move-in issues (units not ready, paint/carpet defects, dirty cabinets, bathroom fixture buildup) and ongoing cleanliness problems in specific incidents (dirty floors, unmade beds, fecal matter in memory care, dirty laundry rooms). Some families report that cleanliness and housekeeping improved after management changes; others report persistent problems. There are also mentions of on-going construction or remodeling in some phases, which impacted tours and early move-ins.
Dining and therapies: Dining is another area with polarized feedback. Many reviewers applaud a dedicated chef, fresh ingredients, variety, and restaurant-style dining options, including dinner delivery. These reviewers describe meals as a highlight that contributes to resident enjoyment and health. Conversely, several families noted a decline over time in kitchen quality — bland, burned, undercooked items, and stockouts. Rehabilitation services (physical therapy, speech therapy) receive positive mentions for coordinated care and helping with mobility and recovery.
Activities and social environment: Repeatedly, reviewers say the activities program is engaging and that residents enjoy social events, outings, Bingo, Happy Hours, and arts & crafts. Families report that these programs promote friendships and emotional well-being. A smaller number of reviews note limited activities or that some residents spend too much time in their rooms, especially early in a stay or during staffing shortages.
Safety, incidents, and communication: Several serious adverse reports raise safety concerns: missed medication doses, delayed or missed checks on residents, failure to notify families or emergency services in some cases, COVID-era visitation problems (families not allowed back after hospital stays), and missing personal items (wedding band). Billing disputes and charges for months when residents were hospitalized and unable to return were also reported. On the positive side, many families emphasize improved safety after leadership interventions and regular, open communication with management (daily updates, photos, calls).
Patterns and context: A strong pattern is variability over time and by unit. Multiple reviewers explicitly describe an initial period of mismanagement or transition followed by visible improvement after new leadership or a corporate response; others describe the opposite trajectory (good at first, declining with staff turnover). Memory care receives both strong praise for being bright, homey, and well-staffed in some accounts and severe criticism for neglect and unsanitary conditions in others — indicating inconsistency in the standard of care. COVID-19 also features as a complicating factor: some negative outcomes are tied to pandemic restrictions or early crisis responses, while other families commend the facility for safe move-ins and communication during COVID.
Bottom line and guidance implied by reviews: The Pearl / Inspired Living at Lewisville elicits strong loyalty when experienced as intended: compassionate direct care, excellent food, attractive environment, rich activities, and responsive leadership. However, multiple reviewers report serious lapses tied to staffing, medication administration, hygiene, and management turnover that materially affected resident safety and family trust. Prospective residents and families should be aware of this variability: when touring or evaluating, ask specific, recent questions about current leadership stability, staffing ratios (especially in memory care), medication management procedures, housekeeping schedules and oversight, incident reporting and emergency policies, COVID/hospital readmission visitation rules, and how the facility has addressed any recent complaints or turnover. Request to meet current clinical leads, see recent inspection or quality reports, and verify written policies on billing during hospitalizations and handling of belongings. These steps will help determine whether the positive features frequently cited in the reviews are currently consistent and reliable for your loved one.
