There's nothing misleading about this listing: the room is small, but neat, well finished. It's well out of town, but walkable, all of which is clear in the listing. It's a value-based decision to stay here unless you've some interest at the university or hospital.
Still, as an AirBNB listing It's odd to never hear a peep from the host. Not once. Even if you send a request. Not sure why that is. A bit dehumanizing.