I have stayed at the Tuscan several times due to its location to a doctor I see from time to time.
Great location to Fisherman's Wharf, Coit Tower, Ghiradelli Square, etc.
Very nice and helpful staff
Nice happy hour with free wine from 5-6 each evening
No gym. They offer a $12 pass to the 24 Hour Fitness across the street, but I was NOT impressed with that gym. Old equipment and WAY overpriced!
Overall, I would recommend the Tuscan Inn!