The hotel is in central Tuscany, about 40 minutes east of Pisa (by car), 90-minutes west of Florence (by car and train), and four hours north of Rome (Roma) (by car). The rooms are very clean, and the service was outstanding. The folks at the front desk speak English well enough to be very helpful. The parking lot is a grassy field with a gate. The rooms have excellent air conditioners, but the hallways, stairs, halls, and lobby are not air-conditioned (except for open doors and windows). The value is good, but the lunch and dinner meals are pricey, especially for what you get (but we found that to be true everywhere in Italy). Breakfast -- included in the price -- is a continental breakfast and is adequate.
The elevator is very small and old. I did not like using it, but climbing the stairs two floors without air conditioning in the summer was hard work.
The hotel has free wi-fi, but the signal was weak in our room. I used my computer in the lobby without any problems.
Casciana Terme is picturesque, but not much happens there. It has a small convenience store, two small banks (where English is limited), several restaurants, and at least four gelato (Italian ice cream) shops. You can easily visit Pisa, Livorno, and Florence (Firenze) from there.
When you visit, take a GPS with European maps.
This review is the subjective opinion of a TripAdvisor member and not of TripAdvisor LLC.