Overall, this is a very comfortable and convenient choice if you need to stay in downtown San Francisco and don't want to pay $300/night or more for a basic hotel room, like most of the hotels nearby. The reviews here were overall very accurate. The street is extremely noisy (not just with cars and trucks, but with loud and sometimes even screaming people in the middle of the night), and the windows are not at all sound proof, so even with the windows closed you will probably be woken up during the night a few times. That's not the hotel's fault, but it is a downside of this particular room. The bed and shower are perfectly good and do their jobs. Checkin and checkout are easy. The elevator is quaint and I liked that, but it is pretty difficult to use if you are carrying any luggage because you really need two hands to operate the doors (and this room is on the fourth floor, so it's a long way to go with a heavy suitcase). That means it is not ideal for disability access.
There are a few other things that are not ideal, but they really aren't deal breakers if you are just looking for a place to stay for a few nights. I agree that a few hooks or bars for towels would go a long way, and the overhead light is very dim. The smaller lamps help a bit, but you aren't going to be happy using any of the mirrors to put on makeup! The pillows are also really thin (but hardly the worst I've had in a hotel), and made of a very noisy plastic material. There is no carpet, and it would probably be more comfortable if there was one. The wifi is mostly okay but sometimes was a little slow. But again, these are minor things, and I was happy to stay here for a few nights for work.