I go to the Out of Bounds monthly taking groups for dental or medical tourism, from the USA. Out of Bounds is a first choice due to its location, price, comfort, convenience to area clinics and hospitals, and safety for women travelers.
The owners are very helpful, and the breakfast is very fresh and served to order on the terrace overlooking the central valley. The hotel is perched up the side of a mountain such that the view is terrific, particularly at night, with 3 volcanos in clear view.
My staff and clients from DentaRica Travel (we are certified medical and dental tourism facilitators) in North Carolina, use this hotel frequently-- particularly when we travel as a group for dental work in Costa Rica. Using this hotel, we are confident of a very pleasant stay for everyone.