I stayed here in July with a student travel program (as the teacher leader). At the end of our CR experience, some of my students got sick, and we stayed in the Quality Real while the group finished the trip elsewhere. The hotel was absolutely AMAZING! First of all, when a student's fever spiked way after doctors were gone for the day, they got me a wonderful English-speaking paramedic to check her out. When another student needed medicine that the pharmacy wouldn't deliver (it didn't cost enough, and I was not allowed to leave the students to go pick it up), they sent one of their drivers at NO COST to go pick it up for me, along with some Gatorade for the students. When we needed food, they were able to get a local restaurant to bring over a menu, since I needed to order in and the hotel restaurant was a bit out of my budget.
On our last night, I asked housekeeping to change sheets for one of the girls who was finally feeling better, explaining she had been sick. The housekeeper even went so far as to fetch her a new comforter as well, and not just change the sheets.
During this time I was constantly in my room, so I could be close to the students, and when I told housekeeping I just needed to switch out my towels, she came back later just to make sure I didn't require anything else.
Aside from being the most helpful hotel EVER, the rooms were immaculate, the restaurant was hotel-pricy but delicious (and the included free breakfast was AMAZING), the pool is in a courtyard and was lovely, there is a two-washer guest laundry, a business center where copies and internet are free, and again just the best customer service ever. I look forward to staying here again when I return to Costa Rica in the future!