I'll pipe in, Sandancisco, although it has been out of my price bracket since RS put it in the book several years ago.
Luckily I think I will be able to afford it this year.
We stayed several times when it was all family operating the hotel, and they could never do enough for everybody. The daughter spent time in London learning 5 star and 5+ star hospitality to bring back to Gent.
They were always fabulous, we stayed in Cosy and then all the other room types including the penthouse. Lovely rooms, even the Cosy is plenty big for 2 folks, we usually stayed in rooms at the front by choice. They have the road in front - never had any problem with road noise - and next to the road is the River Leie all lit up at night and views towards the centre of town. Very special.
Oh, and the breakfasts, previously mentioned upthread!
My wife didn't need a lift back when we used to stay there so I don't have a mental note about elevator/lift but I certainly don't remember not having one. The rooms do go off in various directions so there may be more than one.